Waste Tyre System Efficiency Measurement

1. What Problems do you have with Waste Tyre Collections *

No Collections at all Insufficient Collections Irregular collections Unsuitable Vehicles for the volume to be collected No Problem (System working as expected)

3. What quantity of Waste Tyres (PCR) do you have on hand currently *

How many waste tyres need collection

	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000
How many units are on your premises	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000

4. What quantity of Waste Tyres (TBR) do you have on hand currently *

How many waste tyres need collection

	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000
How many units are on your premises	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000

5. What quantity of Waste Tyres (Other) do you have on hand currently - *

How many waste tyres need collection

	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000
How many units are on your premises	Zero	0 - 50	50 - 100	100 - 200	200 - 500	500 - 1000	More than 1000

6. When was the Last Collection of Waste Tyres *

This is when the last collection took place.

8. Town or City *

Please provide the name of the Town or City

9. Suburb (within Town or City) *

Please provide the name of the Town or City

11. Business Trading Name *

Not the legal registered name of the business

12. Contact Email address *

Please insert the contact email address for feedback

13. Have You registered with the WASTE BUREAU for Collection *

If NO! please contact TEPA for assistance

YES NO

14. Company Registration number either CK No. or Pty (LTD) No. *

This is to avoid duplication of submissions

15. Do you know who your official Waste Bureau appointed transporter is? *

This is the official Waste tyre Collector

Yes No

16. Please add any relevant comments in this section

1000 / 1000

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