Occupancy Report

City of Oxnard

C&D Environmental Resources Management & Recycling

Occupancy Report: Form Must Be Filed Annually

Date Submitted:______Approved

_____Further Information Needed

_____Denied

Staff Initials:______

Applicant:

Project Name:

/

Project Number:

Job Site:

/

Total Square Footage of Project:

Street Address: City, State, Zip:

Project Manager: Signature of Person Completing Form:

Phone: Fax: Email:

Cell Phone:

Quantity of Material Diverted (reused, recycled): From through

(See Other Side for Occupancy Report Worksheet)

Quantity of Material Disposed (landfilled): From through

(See Other Side for Occupancy Report Worksheet)

The California Integrated Waste Management Act of 1989, Assembly Bill 939, requires the City to divert 50% of waste generated from the landfills. Occupants generate a significant amount of material that can be recycled. In order to comply with AB939, the City requires Occupant to minimize materials being landfilled by at least 50% through implementation of waste reduction and recycling efforts.

Occupants shall prepare an Environmental Resources Management & Recycling OccupancyReport by completing the attached worksheet for materials generated during occupancy. The goal of the Occupancy Report shall be to identify the amount of materials being disposed and the amount being diverted through waste reduction and recycling efforts.

Occupant shall include the following information: material type recycled, reused, salvaged or disposed; quantities; management method; destination of material including the hauler name and facility location. The attached Environmental Resources Management & Recycling OccupancyReport worksheet or similar format shall be used. Additional pages may be added as needed.

The Report shall include legible copies of weigh tickets, receipts, or invoices for materials sent to disposal or reuse/recycling facilities. For other discarded or salvaged materials, Applicant must provide documentation, on letterhead, identifying where the materials were taken, type of materials, and tons or cubic yards disposed, recycled or reused, and identify the project generating the discarded materials. The Environmental Resources Management & Recycling Occupancy Report shall be submitted annually.

For additional information contact: Trish Honigsberg (805) 385-7928; fax 487-3860;

C&D Recycling Plan Form 10/15

ENVIRONMENTAL RESOURCES MANAGEMENT & RECYCLING OCCUPANCY REPORT Period Covered:______through ______OCCUPANCY REPORT
Environmental Resources Management & Recycling Methods Project Name______
  1. Collection in mixed recycling bin & hauled to recycling facility5. Not enough generated to recycle
  2. Re-used on site6. Landfilled/Disposed
  3. Other on-site reuse: Grasscycling, mulching, chipping of greenwaste, etc.7. Other (Specify) or Hazardous Waste hauler
  4. Source Separation of materials (i.e. cardboard, landscape trimmings) hauled to recycling, composting, salvage, or other reuse facility

Materials
Generated
/ Method# (See Above) /
Hauler/Self-Haul
(N/A if reused on site) /
Destination
Facility/Location / Quantities / Number of Refuse & Recycling Bins Used
Tons / Cubic Yd. / Units
Example: Mixed
Recycling
/ 1 / City of Oxnard /
Del Norte Recycling/Oxnard
/ 8yd/week / (two) 4 yard recycle bins/week
Example: Trash / 6 / City of Oxnard /
Del Norte Transfer Station
/ 4yd/week / (one)4 yard refuse bin/week
Mixed Recycling(bottles, cans, paper, newspaper, catalogs, phone books, magazines, office paper, paper bags, cardboard, etc.)
Cardboard
Carpet/Foam/Padding
Concrete
Construction/Demolition material
Dirt (clean)
Food
Glass/Plate/Window
Grass Clippings
Green Waste: Leaves, Landscape Trimmings, Trees, Stumps, etc.
Metals (Specify)
Wood/Lumber/Pallets
Plastic/FilmWrap/Other
Produce Trimmings
Salvage Material
Textiles
Appliances/Electronics
(computers, water heaters, air conditioners, etc.)
HazardousWaste/Paint
Batteries
Tires
Mixed Trash
Other (describe)

Add Additional Pages If Needed TOTAL

For additional information contact: Trish Honigsberg (805) 385-7928; fax 487-3860;

C&D Recycling Plan Form 10/15