For Commercial, Municipal, Institutional Facilities.

How does your establishment handle recyclable materials?      
How are your recyclable materials collected?




If any of the above methods are used to collect your recyclable materials, do not include weights in the list below. Actual weights will be retrivied from your service provider or drop-off facility.


1. ADD the Material Type of each post-consumer* material that your establishment recycled.
2. If your establishment marketed your own recyclables, enter the weight in tons and attach a legible weight ticket from your recycler. ENTER the GROSS WEIGHT**. DO NOT subtract any processing residue.
3. ADD the Material Type of each post-consumer material recycled at your establishment.
4. If you market the recyclables yourself, enter the weight (in tons) of material recycled.
5. If you use a commingled or single stream collection system, add each material in the mix.
6. Put a weight of zero (0) for the materials your establishment recycles IF another company transports the recyclables from your location, IF you transport your recyclables to a drop-off facility or take the materials to be recycled with a curbside recycling program.
Material Type
 
Weight (Tons)

*Report only post-consumer materials on this form. Post-consumer material: Material that has been used as a consumer item and then diverted from municipal solid waste for the purpose of collection and recycling. The term excludes material generated in manufacturing and converting processes such as manufacturing scrap and trimmings/cuttings. Also, print overruns, overissue publications, and absolete inventories that did not leave the generating facility would be classified as pre-consumer materials and should not be reported on this form.
**Enter GROSS WEIGHT of all material. DO NOT subtract any processing residue as PA DEP has a formula it will apply.

Conversion Chart
Antifreeze 8.42 lbs per gallon
Battery – Lead Acid Car = 36 lbs
Truck = 47 lbs
Motorcycle = 8.7 lbs
Rubber Tires Car = 22.5 lbs
Truck = 70 lbs
Commercial/Farm = 110 lbs
Used Oil 7.4 lbs per gallon
Oil Filters 1.2 lbs each
Glass – Whole Bottle 1 ton = 2 yd3
Newsprint – Loose 1 ton = 3 yd3
Corrugated Cardboard 2.5' x 4' x 5' bale = 1100 lbs
Plastic Soda Bottles (Whole, Loose) 30 lbs = 1 yd3
Plastic Film 2.5' x 4' x 5' bale = 1500 lbs
Solid & Liquid Fats 55 gallon drum = 412 lbs
White Goods Freezers = 1 = 250 lbs
Refrigerators = 1 = 250 lbs
Other Appliances = 1 = 150 lbs
Yard Waste Leaves: 4 yd3 = 1 ton
Leaf & Yard Waste: 3 yd3 = 1 ton
Grass Clippings: 2 yd3 = 1 ton
Christmas Tree: 1 tree = 30 lbs
Wood Chips: 1 yd3 = 500 lbs
Wood Pallet 1 pallet = 25 lbs
Source: Volume-to-Weight Conversion Factors U.S. Environmental Protection Agency Office of Resource Conservation and Recovery
April 2016

For Waste/Recycling Hauler, Document Destruction Company or other Company Transporting Recyclables Generated in PA.

Please complete one form for each municipality where you collected recyclables.

1. ADD the Material Type of each post-consumer* material that you collected for recycling from the municipality above.
2. ENTER the GROSS WEIGHT** of material recycled in the correct column. DO NOT subtract any processing residue.
3. If you collect materials commingled or single stream, please add the appropriate materials to note the recyclable materials in the mix, but only enter the tonnage beside commingled or single stream. Do not estimate tonnages of each individual recyclable material in the commingled or single stream mix.
Recyclable Material Type
 
Residential Tons***
Res.
Drop-Off Tons***
Commercial/
Institutional Tons
Com.
Drop-Off Tons
Name of Processing
Facility or Market

*Report only post-consumer materials on this form. Post-consumer material: Material that has been used as a consumer item and then diverted from municipal solid waste for the purpose of collection and recycling. The term excludes material generated in manufacturing and converting processes such as manufacturing scrap and trimmings/cuttings. Also, print overruns, overissue publications, and absolete inventories that did not leave the generating facility would be classified as pre-consumer materials and should not be reported on this form.
**Enter GROSS WEIGHT of all material. DO NOT subtract any processing residue as PA DEP has a formula it will apply.
***Residential tons: Residential tons include recyclables from condominiums, apartment complexes and townhouses.


What form do you want to fill out?


FM-11:

For Commercial, Municipal, Institutional Facilities


FM-12:

For Waste/Recycling Hauler, Document Destruction Company or other Company Transporting Recyclables



For more instructions and information click here