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<br />C-2 <br /> <br />Drop-Off Site Information #2 <br />Please complete all sections for permanent sites; complete sections A-B for temporary events. <br /> <br />A. Basic Site Information <br />1. Name of site <br />2. Street address for site <br />3. City, state, zip code for site <br />4. Permit holder (if applicable) <br />5. Service area (counties/cities/towns) <br /> <br />6. Type of Site: ☐ HHWCF ☐ One-Day HHW Event ☐ Transfer Station ☐ Paint-Only Event <br /> ☐ Other: <br /> <br />7. If One-Day Event: Date/Hours <br /> <br />B. Contacts <br />8. Primary contact’s agency/company <br />9. Primary contact’s name and title <br />10. Primary contact’s email and phone # <br />11. Second contact’s agency/company <br />12. Second contact’s name and title <br />13. Second contact’s email and phone # <br />C. Information for Household Customers <br />14. Phone # for households <br />15. Website for households <br />16. Days/hours for households <br />17. Volume limits for households <br />D. Info for Businesses (if applicable) <br />18. Days/hours for businesses <br />19. Phone # for businesses, if different <br />20. Website for businesses, if different <br />21. Admin fee for businesses, if any <br />22. Volume limits for businesses <br />E. Other <br />23. Is paint given away for reuse? ☐ yes ☐ no <br />24. Best newspapers and radio stations for <br />promoting this site? <br /> <br />25. Would you like PaintCare to list this site <br />in print ads* in your area? <br /> ☐ yes ☐ no <br />26. Additional info or special notes for your <br />site on PaintCare’s site locator <br /> <br />*Site listings in print ads are for permanent sites only. PaintCare does not list one -day events in print ads. <br /> <br />Site ID No. ________ (internal use only)