ࡱ> hjgO 9bjbj Ywewe -. . sssss$P4\5&w*Yd45555555$7:pA5Es"A5ss5 ^ss5 5 2g4`dqrORC35505W3;;(g4;sg4 A5A5+l5;. 9: CRT REGISTRATION FORM All Cathode tube (CRT) collection facilities must register with the state. By registering, the facility will be placed on the Department of Natural Resources list of registered facilities to accept CRTs. It is the facilities responsibility to keep this registration current by updating the information. Company Name: FORMTEXT      Street Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip Code: FORMTEXT      County: FORMTEXT      Phone Number: FORMTEXT      Email Address: FORMTEXT      CRT Drop-off Address (if different than mailing address): FORMTEXT      Contact person name and phone number: FORMTEXT      Website (if available) to be listed: FORMTEXT       What type of equipment do you accept for recycling? Check all that apply. FORMCHECKBOX  Computer Monitors FORMCHECKBOX  Computer Towers FORMCHECKBOX  Televisions FORMCHECKBOX  Printers FORMCHECKBOX  Cell Phones FORMCHECKBOX  DVD and VCR Players FORMCHECKBOX  Copy Machines FORMCHECKBOX  Other Electronics Return form to: Iowa Department of Natural Resources Solid Waste & Contaminated Sites Section 502 E 9th Street Des Moines, IA 50319 By submitting this form to the Iowa Department of Natural Resources, the facility agrees to the following conditions. 567122.6 (455B,455D) CRT collection and storage requirements for registered collection points. 122.6(1) CRT storage at a registered collection site shall be limited to 48 Gaylord boxes or the equivalent containing no more than 2,000 CRTs 122.6(2) A CRT shall not be stored at a registered collection point for more than one year. 122.6(3) All CRTs shall be stored in a building, shipping container, or enclosed vehicle that provides protection from the elements. 122.6(4) Access to the CRT storage area shall be secured during non-business hours. 122.6(5) The CRT storage area shall be free of other solid waste, other than in designated storage areas, except for incidental amounts of solid waste that are not discarded CRTs. 122.6(6) Containers or packages shall be labeled and transported in compliance with state and federal Department of Transportation (DOT) rules. 122.6(7) Any container holding CRTs shall be clearly labeled with the contents of the container and the date the first CRT was placed in the container. 122.6(8) the CRT collection facility shall maintain the following records on site for a minimum of three years. The total amount of CRT received in a calendar year The total amount of CRTs shipped for recycling or reuse in a calendar year All shipping papers, manifests, and bills of lading for CRTs shipped from the facility. 122.6(9) the registrant must annually provide information to all employees who handle or have responsibility for managing discarwJ K Y Z d e 0 2 F ߮zrk`YK`=`k`Yjhb6UmHnHujhyhxU hyhxjhyhxU hyhPhyhP5hyhd5CJaJhyh 5CJaJhyh-e5hyhQB5hyh4C5CJ$aJ$`hyhQB0JB*CJ$PJRH_HaJ$ehfH!hphq rsHtHwhhyhj<5CJ$aJ$(jhyhPCJ$UaJ$mHnHuJ K Y   0 X Xkdt$$Ifl0T*H$ t644 laytf3d$IfgdkgdPgdQB$a$gdQB F H J T V f h | ~    ( * , 6 8 V X l n p z | ʼʮʠʒʄvj^hyhxUjShyhxUjhyhxUjhyhxUj6hyhxUjhyhxU hyhx hyhPjhb6UmHnHujhyhxUjhyhxU.X Z f d$IfgdkXkdU$$Ifl0T*H$ t644 laytf3   : V ~ ZLLLLd$Ifgdkkd$$Iflֈ<"*j t644 laytf3~ rrd$Ifgdk~kd$$Ifl\*^*> t644 laytf3 8 < > R T V ` b f & ( < > @ J L P R T ()*ٷ簢簔vhj hyhb6Uj hyhb6Uhyhx5hyhP5jhyhxUjhyhxU hyhxj?hyhS9UjhyhS9Uhf3hS9CJ hyhS9 hyhPjhyhxUjhb6UmHnHu( < d f ?1d$IfgdkXkd$$Ifl0 *D   t644 laytf3d$IfgdXkd$$Ifl0T*H$ t644 laytk & N P R ?8gdPXkdm$$Ifl0N * N t644 laytf3Xkd$$Ifl0*~ t644 laytf3d$IfgdkR T ;YtCkd$$Ifl*+ t644 laytPy $IfgdPygdP*;<JKLYZhijuv4AV^e|tlglt hU5hyhx5hyhP5 hyhPhyhP5CJaJhyh0aCJaJj hyhb6Uj hyhb6Uj hyhb6Uj6 hyhb6Uj| hyhb6Uj hyhb6UjhyhxU hyhx(tuxxxx $IfgdPy|kd $$Ifl\V *    t644 laytPy5^p]||mmmee|Z ^gdx$a$gdx^`gdxgdx|kd $$Ifl\V *    t644 laytPy egop  \fIR$-d1QiqrͼzzzrjhyhhI5hyhTB5hyh\hyhhI\hyhTB\hyhTB>* hyhTBhyhTB5\ hyh.`e5B* CJaJph hyhhI5B* CJaJph hyhn5B* CJaJphhyh 5hyhx5hyhP5hyhP5H*)I$isK89N9}999999 dgd0agdx & Fgdx0^`0gdx & Fgdx^`gdx ^gdx `gdxr JKT8|9}9~99999999999999999999999µ~v~~rh-ehkCJaJhUCJaJhPh-eCJaJh1jh1Uhyh.`eCJ aJ j*hGh1<UjWhGh1<U,jL hGh1<CJOJPJQJUaJUhyhhI\hyhhI5 hyhTB hyh hyhhI&ded CRTs. The information shall describe proper handling, safety, and emergency procedures appropriate to discarded CRTs. A training log shall be maintained on site by the registrant and contain the following information. A copy of the information provided to the employees. The names of the employees that received the information Date the training was provided to the employee      07/2021 cmc DNR Form 542-0060 999999999gdx $|)dgdk dgd0a21h:pk/ =!"#$% 21h:px/ =!"#$% n%a.)urPNG  IHDR`{sRGBgAMA a cHRMz&u0`:pQ<PLTEٟ pHYs.#.#x?vaIDATxݻҬ:v`t)q*O0ypF_CQH@7-]kI6JA ͖'- ,L30 e? 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