HomeMy WebLinkAboutrecycling and waste reduction compliance report (attachment c)Attachment C
Company and
This form must be submitted to the City of Diamond Bar within ten (10) calendar days of
construction/demolition project waste disposal. Verification from the location(s) utilized for
the disposal of construction and demolition waste must be provided.
Date: Permit #:
Company
Name:
Address:
Contact Name: Phone #:
Project Address:
Facility used for C&D Disposal Facility used for C&D Disposal
Name: Name:
Address: Address:
City/State/Zip: City/State/Zip:
Telephone: Telephone:
Type of facility: Type of facility:
Landfill MRF Recycling Center Landfill MRF Recycling Center
Reuse Center Other (explain)_____ Reuse Center Other (explain)_____
Weight: Weight:
Type of Material Removed: Type of Material Removed:
Demolition (only) Construction Demolition (only) Construction
Recycling & Waste Reduction Compliance Report
City of Diamond Bar ~ Attn: Public Works Department
21810 Copley Drive ~ Diamond Bar, CA 91765
909.839.7040 ~ www.DiamondBarCA.gov
Print Name:
Signature: Date:
I acknowledge that at least 75% of the construction and demolition waste collected from the
above referenced site was diverted away from a landfill. The deposit shall be returned,
without interest, in total or in proportion upon proof that no less than 75% of the
Construction/Demolition Waste has been diverted properly.
STAFF USE ONLY
Copy of receipts Provided? If no, explain :_________________________________________________
Meets diversion requirement (75%) If no, explain :_________________________________________________
______________________________________________________________________________________________
PLEASE READ, SIGN AND DATE