200 Civic Center Drive * Vista, CA 92084 * (760) 639-6105 * Fax (760) 639-6101 (Updated 07/2014)
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MATERIALS lbs. of waste taken to
LANDFILL
lbs. of waste
RE-USED or RECYCLED
Waste Hauling Company or Re-Use Method
(complete only if different than Table 1)
Asphalt / Concrete
Brick / Masonry
Cardboard
Drywall
Landscape Debris
Lumber / Wood
Metals
Mixed Waste
Trash / Garbage
Other:
TOTAL lbs:
Table 2 - Actual Waste (To be completed after construction.)
Actual Percentage Re-Used or Recycled %
Official Use Only
50% Goal Achieved 50% Goal Not Achieved Alternative Compliance Achieved Penalty Paid $
Reviewed / Approved by:
EXAMPLE: Use the following example as a guide to completing this form
Percentage to be Re-Used or Recycled 59
Formula:
Total Re-used or Recycled X 100 = % Re-Used or Recycled (Total Combined Waste)
3870 X 100 = 59% Re-Used or Recycled
(2700 + 3870)
MATERIALS lbs. of waste to be taken to
LANDFILL
lbs. of waste to be
RE-USED or RECYCLED
Waste Hauling Company or Re-Use Method
0 2000 ABC Hauling Co.
100 450 EDCO / Re-Used Brick On-site
0 150 ABC Hauling Co.
0 50 ABC Hauling Co.
0 120 Mulched & Re-used On-site
500 0 EDCO
300 200 EDCO / ABC Hauling
1500 0 EDCO
300 0 EDCO
Pool Gunite 0 900 Used as Crushed Base On-site
2700 3870
Since 59% exceeds the minimum requirement of 50%, this plan complies .
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