Keep York County Beautiful Recycling On-the-Go Program Event Name and Location: ____________________________________________________________ Organization___________________________________________ Event Date: _________________ Estimated Attendance: __________ Contact Person/Number_________________________________ Today’s Date________________ E-mail: ________________________________________ How are beverages sold or dispensed? ____ Oz Cups _____ Plastic Bottles (#1-#7 bottles/jugs/jars are the only plastics we accept) ____ Glass Bottles ____ Aluminum Cans _____ Other (describe here): What recyclable materials are generated in food preparation or other areas not used by the public? ____ Glass ____ Steel Cans ____ Aluminum Cans ____ Cardboard _____Plastic bottles/jugs/jars Styrofoam and any type of plastic bag or wrapping, food contaminated products and food ARE NOT recyclable and are considered contaminates when mixed with recyclables. Please fully complete form and fax, email, or send to Keep York County Beautiful P.O. Box 120 /220 Public Works Road York, SC 29745 Fax: 803-628-3182 E-mail: alysen.woodruff@yorkcountygov.com Contact: Alysen Woodruff, 803-628-3181 main Office Use Only: Date form rec’d # Bins: # Bags: _______________ _______________ _______________ Collection Data-Materials in the bags. Mark all that apply: Plastic bottles Date ¼ ½ ¾ full Total Aluminum cans ¼ ½ ¾ full Glass bottles ¼ ½ ¾ full Mixed bottles/cans ¼ ½ ¾ full Total Date Total Plastic bottles ¼ ½ ¾ full Aluminum cans ¼ ½ ¾ full Glass bottles ¼ ½ ¾ full Mixed bottles/cans ¼ ½ ¾ full Total