Oregon Department of Environmental Quality
Electronic Waste Collectors and Processors
Facility Survey
Facility Name:
Facility Mailing Address:
Facility Physical Address:
Contact Name:
Contact Phone Number:
Contact Email:
Facility Web site address:
1. Do you want to be listed as an electronics collector or recycler on the DEQ web site?
Yes (If Yes, in addition to questions 1-12, you must also respond to questions 13-21 on this survey)
No (Please fill out questions 1-12, questions 13- 21 are optional)
2. What types of waste electronic devices do you collect or process?
Check all that apply
Desktop computers
Portable computers
CRT monitors
CRT televisions
LCD monitors
LCD televisions
Cell phones
Printers
Fax machines
Copy machines
Keyboards, mice, speakers or
other computer peripherals
VCRs
DVD players
Plasma televisions
Other
Other
3. Please choose the best description for the section of your facility that is used for electronic waste. If
none match, please describe on the line provided.
Fully enclosed building
3-sided building
Concrete pad (no structure)
Other
Oregon Department of Environmental Quality
Hazardous Waste Program
Roof structure (no walls) over dirt or gravel
Roof structure (no walls) over concrete pad
Dirt or gravel base (no structure)
May 2011
Electronic Waste Collectors and Processors Facility Survey
4. Which of the following activities occur at your facility:
Check all that apply
Collecting electronic waste
Transferring whole electronic waste devices for further processing
Cutting cords off of devices
Dismantling devices using hand tools to recycle devices or component parts
Taking apart devices in order to do repairs
Taking apart devices to recover parts to put into other devices or for sale
Shredding whole devices
Shredding component parts
Dismantling or breaking open CRT devices
Breaking or grinding CRT glass
Smelting, melting, burning or transforming materials
Other
Other
Other
5. How are CRTs managed at your facility?
CRT-containing devices are collected whole and transferred to another facility (no dismantling)
CRT-containing devices are dismantled; CRT is transferred to another facility unbroken
CRT-containing devices are dismantled; glass is broken, ground or made into cullet for remanufacturing
CRT-containing devices arrive at the facility unbroken, except for accidental breakage in rare instances
CRTs mostly arrive at the facility cracked, broken or ground
6. How long do the materials stay on site? (If different components are shipped out at different rates,
use the estimate for the material that stays on site the longest)
1-7 Days
3- 6 Months
1-3 Weeks
6-12 Months
1 Month
1-2 Years
Longer than 2 years
7. Where are materials stored? (Includes materials awaiting processing, processed materials and
residual wastes)
Check all that apply
Inside of a fully enclosed building
Inside of a closed shipping container, outside of a building
Outside on a pallet
Outside on the ground
Outside under a roofed structure (but not surrounded by four walls)
Other
Oregon Department of Environmental Quality
Hazardous Waste Program
May 2011
Electronic Waste Collectors and Processors Facility Survey
8. Where do you send devices or materials that you collect and/or process?
Check all that apply
a.
Material recovery facilities
Smelters, retort facilities
Manufacturers
Re-use markets or retailers
Brokers
Energy recovery facilities
Landfill
Other
Other
b.
c.
Whole devices are exported out of the U.S.
Components/materials are exported out of the U.S.
Whole devices, components or materials are sent only to facilities in the U.S. or North America.
Whole devices are sent to brokers, don’t know next destination
Components are sent to brokers, don’t know next destination
Don’t know where materials go after they leave my facility
If materials are exported, have you (or your broker) notified the U.S. Environmental Protection Agency (EPA) or
have documentation from the country’s Competent Authority stating that the country legally accepts such imports or
documentation from the importing country that demonstrates the legality of the import?
No
d.
Don’t Know
Yes
Do you maintain records for at least two to three years for all transfers of equipment, components and materials into
and out of your facility?
No
Don’t Know
Yes
9. What is the approximate volume, in tons, of waste electronic devices that enter your facility per year? (1 Ton
= 2,000 Pounds)
Tons/Year
Sample Average Weights:
CRT Monitor 40 lbs (0.02 T)
CRT TV Less Than 19 Inches Diagonal 41 lbs (0.0205 T)
Flat Panel Monitor 24 lbs (0.012 T)
CRT TV Greater Than 19 Inches Diagonal 73 lbs (0.0365 T)
Desktop Computer 22 lbs (0.011 T)
Flat Panel TV 29 lbs (0.0145 T)
Portable Computer 7 lbs (0.0035 T)
Oregon Department of Environmental Quality
Hazardous Waste Program
May 2011
Electronic Waste Collectors and Processors Facility Survey
10. How far is your facility from the nearest stream, river, creek, ditch or other surface water or
conveyance to surface water?
Less than 1/8 mile (660 feet)
More than 1/8 mile, less than 1/4 mile (660-1,320 feet)
More than 1/4 mile, less than 1/2 mile (1,320-2,640 feet)
More than 1/2 mile, less than 1 mile (2,640-5,280 feet)
More than 1 mile (more than 5,280 feet)
Explain:
11. Is your facility in or adjacent to a residence, school, park, daycare or other location where children
are regularly present?
No
Yes, Explain:
Additional questions for facilities that wish to be listed on DEQ’s web site as
electronics waste collectors or recyclers:
12. Does your facility follow the Oregon E-Cycles Environmental Management Practices or any other
set of standards?
(e.g., ISO 14001, IAER, R2s etc)
No
Yes, Explain:
If yes, is your facility self-certified or third party-audited to these standards?
Yes- Self-certified
Yes- third party-audited
13. Do you have environmental liability insurance/financial assurance?
No
Yes, Explain:
14. Do you have a facility closure plan? (Procedures for how to handle materials in the event of long-term facility
closure?)
No
Yes, Explain:
15. Does your facility have current licenses? (business, city or county recycling registration, etc)
No
Yes, Explain:
16. Have you submitted an annual Material Recovery Survey for your electronics waste to DEQ?
No
Yes
Don’t Know
Oregon Department of Environmental Quality
Hazardous Waste Program
May 2011
Electronic Waste Collectors and Processors Facility Survey
17. Do you charge to accept electronic waste from the public?
No
Yes
18. Do you provide a certificate of recycling to your customers?
No
Yes
19. If you provide data destruction services, do you provide a certificate of data destruction, if customers
request one?
No
Yes
How do you manage data security issues?
Explain:
20. Do you have written procedures for handling/processing the material, such as a detailed Operations
Plan?
No
Yes
21. Have you contacted Oregon OSHA for a health and safety consultation?
No
Yes
Please submit the completed survey electronically, by fax or by mail to:
David LeBrun
Phone: 503-229-6742
Senior Hazardous Waste Policy Analyst
Fax:
503-229-6977
Oregon Department of Environmental Quality
th
lebrun.dave@deq.state.or.us
811 SW 6 Ave.
Portland, OR 97204
For questions about your operations, DEQ technical assistance is available:
1. Eastern Region
Solid Waste Program
400 E Scenic Drive, Suite 307
The Dalles, OR 97058
(541) 298-7255, ext. 21
2. Northwest Region
Solid Waste Program
2020 SW Fourth Ave., Suite 400
Portland, OR 97201
(503) 229-5353
3. Western Region
Solid Waste Program
750 Front St. NE, Suite 120
Salem, OR 97301
(503) 378-5047
Oregon Department of Environmental Quality
Hazardous Waste Program
May 2011