Hazardous waste licensing step 2 - retailers and wholesalers

Information about you

First name (required) Last name (required) Job title (required) Phone (required)

Format as xxx-xxx-xxxx.

Email (required) Confirm email (required)

Information about the company

Company name (required) Address (required)

Include suite number, if applicable.

City (required) State (required) Zip (required) Describe the retail or wholesale business this company does (required) Describe your relationship with this company (required) Identify the first and last name of the Hennepin County Environment and Energy staff member you have been working with (required)

Write "unknown" if you're not sure or "not applicable" if you haven't been working with any staff.

Training presentation questionnaire

Date you reviewed the presentation for retailers and wholesalers (required) Give two examples of common ignitable hazardous wastes (required)

Find the answers listed on page 15 of the training presentation.

What is one of the most common violations found during an inspection? (required)

Find the answer on slide 32 of the hazardous waste training for retailers and wholesalers.

Waste inventory

Does your business carry any of the following flammable products? Select all that apply (required) Air fresheners (sprays, oils, reed diffusers) Alcohol-based products All-purpose cleaners or wipes Any product in an aerosol container Automotive care products Carpet or spot cleaners Citrus solvents Citronella Cold dip cleaners Cologne and perfume Facial care products Flammable solvents, oil-based paint or stains Hair care products Hand sanitizers Lighters and lighter fluid Nail care products Office supplies (White Out and Dry Erase makers) Parts-washing solvents Pest control products Stain removers Thinner and mineral spirits Windshield washer fluid This business does not carry flammable products Other Other - specify Does your business carry any of the following toxic or lethal products? Select all that apply (required) Algaecides, aquarium, aquatic, or pool chemicals E-cigarette vape products containing nicotine Flea and tick products Insecticides/pest control products and traps Nicotine smoke cessation products (such as lozenges, patches, candy) Over-the-counter medicines Pesticides Sanitizers Weed killers This business does not carry toxic or lethal products Other Other - specify Does your business carry any of the following corrosive alkaline products? Select all that apply (required) All-purpose cleaners Ammonia Aquarium and pool supplies Bleach and products containing bleach (such as chlorine) Drain cleaner Hair relaxer and remover This business does not carry any corrosive alkaline products Other Other - specify Does your business carry any of the following corrosive acid products? Select all that apply (required) All-purpose cleaners Aquarium and pool supplies Bath and kitchen cleaner Brick/stone cleaner Calcium lime and rust remover Oven cleaners Tarnish remover Toilet cleaner This business does not carry any corrosive acid products Other Other - specify Does your business carry any of the following oxidizer products? Select all that apply (required) Bleach Hydrogen peroxide Mildew remover Nitrates Pool chemicals Soot remover This business does not carry oxidizer products Other Other - specify Does your business carry any of the following oil products? Select all that apply (required) Brake fluid Gear oil Grease Hydraulic oil Motor oil Transmission fluid This business does not carry oil products Other Other - specify Does your business perform services on equipment that generate any of the following used oil wastes? Select all that apply (required) Used oil Used oil filters Used oil sorbent, floor dry or disposable oil rags Launderable oily rags This business does not generate used oil wastes Other Other - specify What kind of lighting does your business use? Select all that apply (required) Fluorescent lamps (tubes or compact) Neon lamps High intensity discharge (HID) lamps Light emitting diode (LED) Incandescent Other Other - specify Who is responsible for changing out light bulbs and arranging for the disposal of old light bulbs from your facility? (required) This business The landlord Other Other - specify Does your business carry or use any of the following batteries? Select all that apply Alkaline Lead-acid or leaf gel Lithium batteries greater than 9 volts Mercury-containing button batteries Nickel-cadmium Nickel metal hydride Silver-containing button batteries Zinc-air Other Other - specify Does your company carry electronic devices including computers, phones, office equipment and other devices that have circuit boards? Yes No Do you return or send any products to the following for possible use or credit? Select all that apply Broker Charity/donation Distribution center Feedstock (used to make a new product; for example, perfume to make patio fragrance) Manufacturer Salvage or resale company Other Other - specify For each item checked in the previous question, list the specific company used for each use or credit method Provide any additional information that may be helpful in our evaluation of your survey submittal

Character limit is 512.

Certification

I am aware of hazardous waste resources

In addition to the training for retailers and wholesalers, I am aware that I can access resources regarding the proper management and disposal of wastes at the following webpages:

You may also call 612-348-3777 and ask for the environmentalist-on-call.

I am aware (required)

Certification of true, accurate and complete information

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. I am aware of significant penalties for failing to comply with hazardous waste requirements as described in the step 2 training.

I certify (required)