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Questionnaire <br />Please check the boxes to answer the following questions about your facility operations. <br /># <br />Question <br />Answer <br />1 <br />Do you operate an incinerator? <br />❑ Yes. Skip to Facility <br />Information section. <br />® No. Continue to 2. <br />2 <br />Do you ONLY send biosolids to another permitted facility for <br />❑ Yes. Skip to Facility <br />further treatment OR disposal? (This does not include sending to <br />Information section. <br />Beneficial Use Facilities, but does include sending to other <br />9 No. Continue to 3. <br />treatment works, composters, incinerators, and landfills.) <br />3 <br />Do you treat, store, land apply, or dispose of ONLY septage? (If <br />® Yes. Skip to Facility <br />you accept biosolids from wastewater treatment plants, answer <br />Information section. <br />"No", and continue to question 4.) <br />❑ No. Continue to 4. <br />4 <br />Do you operate a Beneficial Use Facility (BUF) that does not treat, <br />❑ Yes. Skip to Facility <br />but ONLY land applies biosolids generated from other sources? <br />Information section. <br />© No. Continueto 5a. <br />Sa <br />Do you operate a lagoon? <br />® Yes. Continue to 5b. <br />❑ No. Continueto 6a. <br />Sb <br />Will you need to remove solids from your lagoon before <br />® Yes. Skip to Facility <br />September 2025? <br />Information section. <br />❑ No. Skip to Facility <br />Information section. <br />6a <br />Do you treat biosolids or a mixture of biosolids and septage (but <br />❑ Yes. Continue to 6b. <br />not ONLY septage) and send to a Beneficial Use Facility (BUF)? <br />W No. Continueto 6b. <br />6b <br />Do you land apply non -Exceptional Quality biosolids, not JUST <br />❑ Yes. Continue to 7. <br />septage, at a site specifically approved for your facility ONLY? <br />R No. Skip to Facility <br />(This does not include facilities that send to a Beneficial Use <br />Information section. <br />Facility) <br />7 <br />Do you prepare exceptional quality biosolids to be sold, given <br />❑ Yes. Continue to <br />away, or applied to the land? <br />Facility Information <br />section. <br />® No. If you have not <br />been previously directed <br />to complete the facility <br />information and you <br />answer "No" here, <br />please contact your <br />regional biosolids <br />coordinator for <br />assistance. <br />ECY 070-300 (Revised 1/20) <br />