Title Page
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Unique identifer
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Unique Identified to be in exact format e.g 34-MORAYSTREETNEWFARMQLD4005)
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What type of lead is this?
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Date of Inspection
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MUD Status
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Time of Inspetion
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Prepared by
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Name of COEX Attendees
Site Information
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Location Latitude
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Location Longitude
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Site Name
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Site Address (Number)
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Site Address (Street Name)
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Site Address (Suburb)
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Site Address (Post Code)
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Site Contact Name
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Site Contact Telephone
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Site Contact Email
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Site contact level of influence
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Has the site contact been verified?
Building Information
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Building Owner
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Number of Floors
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Number of Residents
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Occupancy Percentage
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Residents per floor
Waste Management Information
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Existing Containers for Change program
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Type of service
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Details for Other
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Name of CRP Provider
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Extent of participation
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Elevator
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Chutes
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Space on floor level for more bins
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Provide a photo
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Loading Dock
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Space in Loading Dock for additional bins?
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Provide a photo
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Current Waste provider
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Bins on site
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Provide a photo
Site Champion
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Is there a recycling champion?
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Recycling Champions Name
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Recycling Champions contact / phone/email
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Decision maker name
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Decision maker contact phone
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Decision maker contact email
Solution Options
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Bags suggested
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Bins required
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Type of bins required
- 120L
- 120L hole
- 120L hole & rosette
- 240L
- 240L hole
- 240L hole & rosette
- 660L
- 660L hole
- 1100L
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Quantity of bins required
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Additional / alternate Bins required
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Type of bins required
- 120L
- 120L hole
- 120L hole & rosette
- 240L
- 240L hole
- 240L hole & rosette
- 660L
- 660L hole
- 1100L
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Quantity of bins required
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Labour needed / suggested
Suggested handling / service type
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Service type
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Service frequency
- daily
- twice weekly
- weekly
- fortnightly
- 3 weekly
- monthly
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Presentation? Where do bins go
Redemption Options
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Reporting (for the building)
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Will the containers be donated to charity?
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Which Charity
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Is there a building wide scheme ID?
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What is the Scheme ID?
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Potential Contacts for other buildings that could be interested (name / contact # / email)
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Potential Leads for other PFC streams (name / contact # / email)
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Comment
Other Features
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Education Marketing Material
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Type
- Flyers
- Poster
- Electronic Media
- In person Presentation
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Proposed start date
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Other comments & notes
