These forms & worksheets are included to provide a structure for collecting and organizing the information needed to evaluate waste reduction opportunities. Additionally, they can be a record of your waste minimization efforts for compliance purposes.

Note for Online Version: Print out the forms & the hardcopy versions for your records. Each form and worksheet is hyperlinked to the primary corresponding discussion in Chapter Three: Your Waste Minimization Program.

Waste Profile: Form A

Refer to Your Waste Minimization Program: Conducting a Waste Reduction Assessment.

Wastestream: _______________________________________
Date:________________________________________

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(1) Physical/Chemical Characteristics

• What's in the waste? List all known components (include concentration/ "strength"):

  Check if Hazardous		% contribution to the waste		HazardType*
  _____________________________		______________		_________________
  _____________________________		______________		_________________
  _____________________________		______________		_________________
  _____________________________		______________		_________________
  _____________________________		______________		_________________
  _____________________________		______________		_________________
  _____________________________		______________		_________________

  *(corrosive, toxic, flammable, reactive)

• Physical State:
  • Solid
  • Liquid
  • Gas
  • Other/Mix _________
• Primary Hazard(s):
  • Corrosive
  • Toxic
  • Flammable
  • Reactive
• How hazardous is the wastestream?
  • High
  • Medium
  • Low

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(2) Sources of Waste Generation

• What process(es) or operation(s) generate the waste?
  _______________________________________________________________
  _______________________________________________________________

• How does the hazardous component(s) enter the wastestream?
  _______________________________________________________________
  _______________________________________________________________

• What percentage is it of your total waste generation? ______________________%

• How much is produced (quantity/time)?^{1
  1} Use consistent terms for all wastestreams, e.g. all solids in lbs/month or tons/year, etc.

  
  

• Constant or Intermittent Flow?
  • Constant flow
  • Intermittent

• Significant Variations?
  • YES
  • NO

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(3) Waste Management Practices

• What handling and/or storage occurs?
  Handling: _____________________________________________________
  Storage: _______________________ How Long: ___________________
  

• How is the waste managed? Check all that apply and describe:

  Onsite	Offsite	(Check appropriate box)
  		Recycled/Reclaimed: _________________
  		Treated: _________________
  		Incinerated: _________________
  		Other: _________________

• Is the waste (or residuals) ultimately:
  • Landfilled
  • Emitted to Air
  • Discharged to
    • Sanitary Sewer
    • Storm Drain/Other Waterway
  • Other: ____________

• Are there hazards/problems/long-term liabilities associated with current practices?
  • YES
  • NO
  Describe: _____________________________________________________
  _______________________________________________________________
  

• Is waste minimization already being implemented for this wastestream?
  • YES
  • NO
  Describe: _____________________________________________________
  _______________________________________________________________
  

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(4) Waste Management Costs

• What are your costs to manage this wastestream?             $ __________ /yr
  (Use Worksheet 1 to calculate.)

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(5) Waste Reduction Assessment & Implementation Results

• Wastestream Priority Assignment (from Worksheet 2)
  • High
  • Medium
  • Low

• Waste Reduction Alternatives Identified as Appropriate for this wastestream:		Implemented? (Yes/No)		Date		% Waste Reduction Achieved