Business name: *
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Street address: *
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City, State Zip Code: *
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Website URL (if any):
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Contact name: *
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E-Mail address: *
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Phone number: *
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Sector (e.g. restaurant, hotel, office, printer etc.): *
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Business Description: *
including processes that occur at your establishment.
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Approximate number of employees: *
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Approximate amount of waste you produce weekly (cubic yards) including recyclables
(if you're not sure, please indicate the same and let us know at a later time)
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Approximate size of the facility (sq. ft.): *
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What permits does your building hold? *
(e.g. Air Permit, Hazmat, Wastewater, None, etc.)
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Does your business have other branches?
Yes No
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Are you a tenant of a larger building?
Yes No
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Do you have a parking lot on your premises?
Yes No
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Do you store hazardous materials onsite?
(paint, motor oil, pesticides, cleaning products)
Yes No
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Do you have a pool/spa onsite?
Yes No
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Did your building have a recycling program?
Yes No
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Do you have an emergency back-up diesel generator?
Yes No
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In addition to greening daily operations, green businesses tend to offer alternative services and products that have low impacts on public health and the health of the environment. Please tell us (briefly) what service/products your business offers and how it may be greener than the competition. (For instance, please indicate if you stock recycled content products and eco-friendly cleaners, have LEED certified professionals on staff, offer organic food choices in the menu etc.)
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