The Hazardous Materials Commission Survey

The Hazardous Materials Commission advises the Contra Costa County Board of Supervisors about the safe management and disposal of hazardous materials and hazardous wastes. Please take this short survey to help us better understand your concerns.

1. Do you know the location of the nearest place for you to properly dispose of household hazardous wastes?

	yes
	no

2. Do you think your disposal options for household hazardous waste are adequate?

	yes
	no

3. If no, explain:

4. Are you interested in learning about less-toxic alternatives for household products containing hazardous chemicals such as cleaning products, pesticides, paints and stains?

	yes
	no

5. Do you know about the County’s Community Warning system (CWS)?

	yes
	no

6. If Yes, What it the purpose?

7. Do you know how the County’s CWS advises people to Shelter-in-Place?

	yes
	no

8. If Yes, How?

9. Do you know what steps you need to take to Shelter-in-Place?

	yes
	no

10. List:

11. Do you know where to call when you have a complaint or question about hazardous materials?

	yes
	no

12. If Yes, Where?

13. What hazardous material issues most concern you? (pick three)

14. What sources of hazardous materials do you think most affect your health? (pick three)

	Contaminated drinking water
	Abandoned contaminated industrial sites
	Contaminated seafood
	Household products such as cleaning, painting, hobbies, and auto maintenance
	Illegally dumped hazardous wastes
	Accidental releases from industrial facilities
	Accidental transportation-related releases from railcars, truck, ships or pipelines
	Fires at industrial facilities, railcars, trucks, ships or pipelines
	Other, explain

15. Do you know how to tell if a product is hazardous?

	yes
	no
	not sure

16. If Yes, How?

17. How do you currently dispose of the following household products containing hazardous chemicals?

	A–take to a proper collection facility	B–trash	C–sink or toilet	D–curbside pickup	E–dump down stormdrain or on ground
Auto fluids (oil, antifreeze, solvents)
Paints and cleaning solvents
Leftover cleaning products
Household batteries
Leftover prescription drugs
Fluorescent bulbs
Electronic wastes (computer equipment, TVs, cell phones, other electronic devices)
Other hazardous chemicals used in the home

18. What other Hazardous Materials issues are you interested in?

19. What is your home Zip Code?

	Improper disposal of hazardous products from the home
	Abandoned contaminated industrial sites
	Accidental releases from industrial facilities
	Accidental releases from pipelines
	Spills from railcars, ships or tanker trucks
	Fires involving hazardous materials from sources such as industries, pipelines, commercial facilities, truck and railcars
	Illegal dumping of hazardous materials in streams or stormdrains
	Household use of products containing hazardous chemicals
	Leaking underground storage tanks
	Other, explain