REPORTING SUCCESSES

You can provide proof that OMEx is working! When you have successfully exchanged materials through the use of the OMEx Newsletter or fax on demand, we would like to hear about it! We realize that negotiations can take a long time to accomplish, but we really would appreciate success stories as soon as they occur. This information is very important as our funding depends on tracking description of materials, amounts and types on a quarterly basis and so that we can show that OMEx is working.

1. Material Information

Listing Code Number: __________ Material:______________________________

2. Information for the Company Generating Material:

Company Name: ______________________________ Contact:_______________

Address: _________________________________ Phone:________________

3. Information for the Company Transferring Material

Company Name: ______________________________ Contact:_______________

Address: _________________________________ Phone:________________

4. Please complete the following.

Was the exchange: One-time only Ongoing Date started: ___________

Annual amount of material being transferred (estimated): Tons________Gallons_________Pounds________

Frequency of ongoing transfers. Day Week Quarter Annual

Annual amount of revenues earned (estimated)__________________________________________________

Disposal/cost avoided (estimated)__________________________________________________

How was this material previously used_________________________________________________________

How will this material be used____________________________________________________________

Should we remove this listing from the next Newsletter? Yes No
 

Please return by mail to:
       OMEx P.O. Box 70 Mount Vernon, Ohio 43050

or fax: 740/397-7649
Thank you!

OMEx is administered by the Ohio EPA Office of Pollution Prevention

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