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C I T Y O F
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DIAMOND BAR
C A L IF0 RN IA
City Manager's Office
Attn: Alfa Lopez
21810 Copley Drive
Diamond Bar, CA. 91765
(909)839-7015
greendb@diamondbarca.gov
SB 1383 ORGANICS RECYCLING REGULATIONS
WAIVER REQUEST FORM
APPLICANT INFORMATION
BUSINESS OR MULTI -FAMILY COMPLEX NAME
BUSINESS LICENSE NUMBER
Diamond Bar Village Apartments
LC20080001006
BUSINESS OR MULTI -FAMILY PHYSICAL ADDRESS
DATE SUBMITTED
1850 S Diamond Bar Blvd Diamond Bar, CA 91765
12/10/2021
BUSINESS OFFICE MAILING ADDRESS
CITY
STATE
ZIP
1850 S Diamond Bar Blvd Leasing Office
I Diamond Bar
CA
91765
CONTACT INFORMATION (for designated business representative who should receive waiver related notices from the City)
Contact NameMtle Phone Number E-Mail
Norma Sanchez / Property Manager 909-861-5663 diamond_bar_village@yahoo.com
WAIVER TYPE (Check the box(es) adjacent to the exemption waiver type(s) you are requesting below and provide information
and answers to g1l questions requested for each waiver choice.)
❑ THIRD -PARTY WAIVER (if you have a landscape contractor and/or other organics recycler)
Please provide the following information to request a Third -Party Recycling Waiver:
• Third -party organic waste recycling service information:
> Recycler(s):1) Business Lic #: Self -Haul Permit #: Phone:
2) Business Lic #: Self -Haul Permit #: Phone:
Material type(s): Est. recycled per week: gallons OR cubic yards
> Facilit(ies) where this material is taken for recycling
WAIVER FOR BUSINESSES/PROPERTIES WITH MINIMAL ORGANIC WASTE (De Minimis Waiver)
Please provide the following information to request a low -waste generator "de minimis" waiver:
• Average number of employees onsite:
• Does your business have a cafeteria providing meals to employees?
• Estimated number of employees that eat meals/snacks onsite:
• Contracted landscaper service information:
Landscaper name: Business License #:
Self -Haul Permit #: Phone:
• Average amount of organic waste collected per week:
Q>_ 2 cubic yards of waste and < 20 gallons of organics
0 < 2 cubic yards of waste and < 10 gallons of organics
SPACE CONSTRAINT WAIVER
Please provide the following information to request a Space Constraint Waiver:
• I have documentation that space constraints preclude placement of green waste and/or food waste recycling
containers at my business. No (Please attach documentation)
• I have worked with the City to determine that we cannot adjust container sizes or make other such changes to
resolve the space constraint issue. No
• Please indicate the specific program(s) you are repes ' g a waiver for:
Green waste recycling only ZJ Food waste recycling Yy Green waste & food waste 0
By signing this form, you are attesting that you have a full understa te
ing of
report to, and otherwise fully cooperate with the City, as detailed in instr
Norma Sanchez Property Manager
Printed Name, Title and Signature of Authorized Business
rty's obligations to provide information,
accompany this form.
12/10/2021
Date