Recycler Annual Database Report

Organization's Annual Report
Calendar year covered by this report*:*
MM slash DD slash YYYY

* For a facility’s initial certification only, the Organization may provide less than a full year of data. In this case, data must be provided from the period of time between when the Organization contracted for initial certification and when they accomplished their Stage One audit, and must include at least three consecutive months of data.
End Date*
MM slash DD slash YYYY
Company Information
Company and Facility Name:*
Description of the Facility:*
Facility Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of person responsible for submitting this data, and accurate contact information:*
First Name Last Name
Phone*
Email*
Worker Information
Provide answers based on the number of individuals who worked for more than one month during the twelve month period (or less, if initial certification)
Full-time (equivalent*) employees:*
* Combine part time hours worked by all part time workers and calculate how many full time jobs are equivalent.
Full-time (equivalent*) contract workers:*
* Combine part time hours worked by all part time workers and calculate how many full time jobs are equivalent.
Volunteers:*
Description of Processes
Provide descriptions of all Processing activities taking place at facility & associated Ancillary Sites
De-manufacturing of e-Waste for Materials Recovery and/or Final Disposition, in one of more of the following categories:
Manual Disassembly:*
Shredding or other mechanical size reduction and separation:*
Other (define):*
Asset recovery/Repair/Refurbishment for reuse:*
Metals refining:*
Plastics recovery:*
Other (define), such as storage, preparing CRT glass for use in new products, etc.:*
TOTAL MATERIALS (in pounds and/or unit count)
Please provide the below information that totals all of the facility’s electronic equipment, components, and materials processed and in current inventory, including materials under the organization’s control, such as at ancillary sites.
Total pounds or units sent to end-of-life processing during the time period covered by this report:*
If this doesn’t apply, please enter “0”.
Total pounds sent to reuse programs during the time period covered by this report:*
If this doesn’t apply, please enter “0”.
Total units sent to reuse programs during the time period covered by this report:*
If this doesn’t apply, please enter “0”.
After you click submit you will receive an email confirmation for your records. If you do not receive this email please notify us at [email protected].
Please upload a current copy of site closure plan (Section (9.1.8 e)*
Max. file size: 256 MB.

Recycler Annual Database Report

Recycler Annual Database Report

Organization's Annual Report

Company Information

Worker Information

Description of Processes

TOTAL MATERIALS (in pounds and/or unit count)

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