Laserfiche WebLink
Hauler Tonnage Reporting Form <br />MOUNDS VIEW <br />Licensed Hauler Report <br />'All weigh tickets must be available upon request. <br />Business Reporting <br />Acid ressfCity. taterZip <br />Email <br />Phan-9 <br />Reporting Period (Month. -Year) <br />Number of Residential Properties (Cart Services Only) at which recycling service was provided <br />Number of mobile home carts at which recycling service was provided <br />Number of tans of recycling processed from properties with cart service <br />Number of tons of recycling processed from multi -unit properties (services separate from <br />residential route collection)_ <br />I nclude formu la I used todetermine cart andlor dumpster weight <br />Residual garbage in the recycling <br />Newspaper Cardboard Wags -_fines Plastic Glass Aluninum Tin Cans <br />Cans <br />Pound' <br />■ Enclose a list of multi -unit property addresses serviced, <br />■ Enclose a list of residential property addresses not recycling on a regular basis (less than once <br />in two months), <br />■ Enclose any educationaUoutreach materials that have been distributed to customers. <br />Remit report to: City of Mounds View, 2401 Mounds View Boulevard, Mounds View, MN 55112, <br />Attn: Recycling Coordinator <br />I certify, as an authorized representative of the above -named company, that I have personally <br />examined and am familiar with the information submitted in response to the questions contained in <br />this report, and all information submitted is true, accurate, and oamplete to the best -of myknowledge. <br />Signature <br />Person Oxnpfefrng Report <br />Title <br />Mare <br />Failure to remit monthly reports may result in suspension or revocation of your City of Mounds View <br />Hauler License_ <br />2401 Mcminds View Bouteuard' Mwnds Viiew, MN 55112 ` (703) 717-4000 ' Fax (703) 7174011D <br />wr ww.rnoundsuiewrnn.CjU L email: i oundlsaiewrnn-orn <br />City Of Mounds View • 18 <br />Solid Waste and Recycling Standards <br />