RE:Source Synergy Network Baseline Survey Thank you for participating in RE:Source, the Inland NW By-Product Synergy Network. Funded by a 2-year grant to Sustainable Resources INW from the WA State Dept. of Ecology, this project helps businesses become more efficient, innovative and competitive by saving money and sometimes even making money through the reuse and exchange of materials traditionally thought of as “waste.” RE:Source provides you with free access to workshops, the Materials Innovation Exchange website and a host of other resources to help you reduce disposal and operating costs, create new business opportunities, and exchange and reuse materials. Survey Purpose: The purpose of this survey is two-fold: 1) to create a set of baseline information from which we can all mark progress, and 2) to engage your work team members in a shared vision for how materials exchange and substitution opportunities could be incorporated into your operations. Survey Instructions: Complete the survey below with your work team, sharing with them what you’ve just learned from the May 22 Resource Flow Mapping workshop and drawing on them for other information about your organization. Return to the second workshop in this pair of trainings on June 19, “shopping list” in hand and prepared for a lively time of Materials Exchange Speed Networking. Return your completed survey by Thursday June 12 to Susanne Croft at Sustainable Resources, susanne@sustaininw.org. Questions? Contact Susanne by email or phone: 209-2861. Organization and Contact Information Organization Name: Address: Point of Contact Name: Title Phone: Email: SIC/NAICS code number: Product or Service: Number of Employees: Baseline information INPUTS Material Amount by wt./year Virgin Sustainably sourced Reused feedstock Cost Building & Construction Chemicals Electronics Furnishings Industrial Machinery Inorganics (e.g., sand, glass, etc) Metals Organics & Agriculture Packaging Materials Paint & Ink Paper/cardboard Plastics & rubber Textiles & Fibers Wood Products Misc. & Other Misc. & Other Misc. & Other Misc. & Other OUTPUTS: Type Weight or volume/year Comments Weight or volume/year Comments Hazardous Non Hazardous Total Category Inorganic Organic Total OUTPUTS, cont. Destination Weight or Volume/year Disposal cost/year Comments Reused (outside your organization) Recycled Composted Waste to Energy Landfilled Other (please specify) Material Building & Construction Chemicals Electronics Furnishings Industrial Machinery Inorganics (e.g., sand, glass, etc) Metals Organics & Agriculture Packaging Materials Paint & Ink Paper/cardboard Plastics & rubber Textiles & Fibers Wood Products Misc. & Other Misc. & Other Misc. & Other Misc. & Other Misc. & Other Total Amount by wt. Reused Recycled Composted Waste to Energy (Incinerated) Landfill Materials Identified from Resource Flow Diagram Material INPUTS Top 3 Inputs by weight Top 3 Inputs by Value OUTPUTS Top 3 Outputs by weight Top 3 Outputs by value Amount by wt. Virgin Sustainably sourced Reused feedstock Waste Recycle Reuse $$ value Amount by wt. $$ value Challenges with By-product synergy: Challenges Cannot find anyone to take by-products Do not have enough by-products Lack of storage space Not enough information about potential partners Too much effort to prepare for reuse Regulatory barriers prevent exchange No apparent cost benefit Conflicting regulations makes it uncertain *Note: 1 - Disagree strongly; 5 - Agree strongly Rate Each Challenge*