Household Hazardous Waste (HHW) Collection Pre-Registration Form For residents of Amherst, Pelham, Shutesbury & Leverett Collection Date: Saturday, October 3, 2009 from 9 am to 12:00 pm Amherst Transfer Station & Recycling Ctr., Route 9, Amherst, MA This form is for use by residents only. Businesses and Institutions may call the Amherst Department of Public Works at 259-3050 Ext. 0 to schedule an appointment or to obtain information about participating in the HHW collection. Dispose of your household hazardous wastes safely! Residents of Amherst, Pelham & Shutesbury may participate. Sign up today for your HHW Day appointment. No more than 25 gallons or 25 lbs. (whichever is greater) will be collected per household. Used motor oil, car batteries, fluorescent bulbs ($1 each), & rechargeable batteries are NOT counted toward this limit. Amherst, Pelham, & Shutesbury residents with valid vehicle stickers may bring these items to the Transfer Station on Tuesdays, Thursdays and Saturdays, 8 AM to 2 PM. Help a neighbor! You may bring HHW items for your neighbors in the four towns. Please list participants’ names and addresses on the pre-registration form below. Regarding Oil and Latex Paint and Paint Products: Small quantities of latex paint can be safely disposed of in household refuse by letting it air dry in a safe place, OR mixing an absorbent material, such as kitty litter or speedy-dri to absorb the liquid portion of the paint. Once the latex paint is solid, it can be safely disposed of in the trash. Notify your trash hauler if you will be disposing of dried paint in this manner. Up to 10 gallons of oil and latex paints and paint thinners can be brought to the transfer station any Tuesday, Thursday or Saturday 8AM- 2PM starting May 5, 2009 thru September 17, 2009. ♦ Quantities over 10 gallons will be accepted by appointment: please call 259-3050 X-0 The fee for all paint is $2.00 per equivalent gallon. Small fee for clean, scraped gallon-sized paint cans. ****************************************************************************** Mail completed pre-registration form to: HHW Collection, c/o Dept. of Public Works 586 South Pleasant St., Amherst, MA 01002 Your pre-registration must be received no later than Wednesday, 09/30/2009. Section 1 Name ___________________________________________________Day phone____________ Full Address____________________________________________________Zip code________ Email address ___________________________________________________ Preferred appointment times: ____9:00-9:30 ____10:00-10:30 ____11:00-11:30 (Indicate #1 and #2) ____9:30-10:00 ____10:30-11:00 Section 2 Please list approximate gallons or pounds of each material: Oil paint: __________________ Latex paint: ________________ Automotive chemicals: _______ Herbicides _________________ Pesticides: ______________________________________ Household cleaning chemicals: ______________________ Fertilizers _______________________________________ Other __________________________________________ You will receive a confirmation/information letter in the mail. For information call 259-3050 Ext. 0 THE FOLLOWING PRODUCTS SHOULD BE BROUGHT TO THE HOUSEHOLD HAZARDOUS WASTE COLLECTION HOME Adhesives (2 part) Art/hobby paint Button batteries Chemistry sets Disinfectants Drain cleaners Epoxy Flea killers Fluorescent bulbs Furniture polish Insect pump sprays Kerosene Metal polish Moth balls Muriatic acid Photography supplies Rechargeable batteries Rodent killers Septic tank cleaners Spot removers/solvents Thermostats Toilet bowl cleaners Varnishes GARDEN DDT Fertilizers w/ herbicides or pesticides Herbicides Pesticides Rodent killers Root killers Tree oils Weed killers GARAGE Antifreeze Automotive fluids Car batteries Creosote Dry gas Engine degreasers Gasoline Lead acid batteries Motor oil Paint thinners/solvents Paint: aerosol, lead, marine oil-based paints; stains & polyurethane Swimming pool chemicals Varnishes Wood preservatives PLEASE DO NOT BRING: Safe to give away for someone to use, and/or it may be thrown away in your regular trash LATEX PAINTS or STAINS Empty containers Aerosol cans (empty or nonhazardous Fertilizer w/out pesticides content such as hair spray) Glass & window cleaners Air fresheners/deodorizers Latex driveway sealer Alkaline batteries Scouring powder Car waxes/polishes/cleaners Caulk/spackle/grout Cosmetics/nail polish DANGER: Special arrangements required Ammunition, Asbestos, Explosives, Medical/infectious waste, PCBs (transformers), Propane tanks/gas cylinders, radioactive materials For more information please call 259-3050 Ext. 0.