CHAUTAUQUA COUNTY HOUSEHOLD HAZARDOUS WASTE DROP OFF DAY - FREE DISPOSAL! CHAUTAUQUA COUNTY D.P.F. BUILDING LOCATION: 454 North Work Street, Falconer, NY SATURDAY, SEPTEMBER 5, 2009 9 a.m. to 2 p.m. REGISTRATION FORM Bring completed form with you on the day of the event. NAME: ____________________________________ TELEPHONE NUMBER: _________________ ADDRESS: __________________________________________________________ I certify that the material offered for disposal is household generated waste and is not in any way associated with any business or commercial practice. SIGNATURE: _________________________________________ LIST ITEMS & AMOUNTS BELOW: Example: 2 cans Oil Based Paints FROM THE GARAGE FROM THE WORKBENCH ____Varnishes _____Transmission Fluids _____Used Antifreeze _____Brake Fluid _____Carburetor Cleaner _____Engine Degreaser _____Waxes and Polishes AROUND THE HOUSE _____Chemistry Sets _____Computers, Peripherals, Cellular Phones, radios, etc. _____Dry Cleaning solvents _____Drain & Toilet Cleaners _____Nail Polish _____Fluorescent Light Bulbs _____Oven Cleaners _____Airplane & Hobby Glues _____Rubber Cement _____Photography Chemicals _____Flea Powder & Spray _____Non-empty Aerosol Cans _____Furniture & Floor Polish _____Mercury Thermometers _____Stains _____Floor/tile Adhesive _____Roofing Tar _____Paint Stripper _____Turpentine _____Paint Thinners _____Sealants _____Wood Preservatives _____Rechargeable Batteries _____Alkaline Batteries _____Oil Based Paints _____Resins & Adhesives AROUND THE YARD/GARDEN _____Chemical Fertilizers _____Herbicides _____Pesticides _____Pool Chemicals _____Ant Spray _____Weed Killers WE WILL NOT BE ACCEPTING LATEX PAINT AND WASTE OIL LATEX PAINT CAN BE DRIED UP WITH KITTY LITTER & DISPOSED OF WITH YOUR HOUSEHOLD GARBAGE. WASTE OIL CAN BE DISPOSED AT ANY FACILITY PERFORMING OIL CHANGES. FOR MORE INFORMATION CALL 1-800-835-9362 OR 985-4785 Sponsored by Chautauqua County, New York State Department of Environmental Conservation Storer's Container Service, City of Dunkirk, Town of Sheridan, and Chautauqua County Hazmat