Hazardous waste licensing step 2 - paint

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 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 architectural paint presentation (required) What is one waste material that PaintCare does not accept? (required)

Find the answer on slide 10 of the hazardous waste training for users of architectural paint.

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

Find the answer on slide 25 of the hazardous waste training for users of architectural paint.

Waste inventory

Does your business use or sell any of the following products? Select all that apply (required) Acrylic paint Alkyd paint Deck or floor coating Enamel Field or lawn paint Latex paint (interior or exterior) Metal coating, including rust preventative Oil-based paint Primer, sealer, or undercoat Shellac, lacquer, varnish, or urethane Stain Water-based paint Water-proofer, sealer, or water repellant for concrete, masonry, or wood that is not tar or bitumen-based Will your business use a PaintCare collection site to dispose of waste oil-based paint and stains? (required) Yes No Will your business arrange for PaintCare to pick up waste oil-based paint and stains at your site? (required) Yes No

See slide 8 of the hazardous waste training for architectural paint users for more information.

Does your business use or sell any of the following products? Select all that apply (required) Additive, colorant, tins, or resin Automotive or marine paint Caulk, epoxy, glue, or adhesive Deck cleaners Original Equipment Manufacturer (OEM) or Industrial Maintenance (IM) coatings Roof patch and repair Tar or bitumen-based products Thinner, stripped, or solvent Traffic or road marking paint Wood preservative containing pesticide* I do not use or sell any of the products above Other Other - specify Does your business use or sell aerosol products? (required) Yes No Does your business use paint booth filters? (required) Yes No Does your business spray excess paint thinner from cleaning guns onto paint booth filters? (required) Yes. Stop spraying excess paint thinner or lacquer from cleaning paint guns onto paint booth filters. Collect excess paint thinner or lacquer with other waste paint thinner for proper disposal. No Does your business have a paint thinner or lacquer thinner recycling unit? (required) Yes No Does your business use disposable rags or towels? (required) Yes No Does your business use launderable rags or towels? (required) Yes No Does your business perform oil changes on work vehicles or service equipment that generates any of the following used oil wastes? Select all that apply (required) Used oil Used oil filters Used oil sorbent, floor dry, or disposable oily rags Launderable oily rags I do not generate any used oil wastes Other Other - specify What kind of lighting does your business use? Select all that apply (required) Fluorescent lamps (tubes or compact) High intensity discharge (HID) lamps Light emitting diode (LED) Incandescent 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

Certification

I am aware of hazardous waste resources

In addition to the training for users of architectural paint, 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)