HomeMy WebLinkAbout2555 ELDERBERRY LN; ; CBRA2024-0090; Recycle{"Cityof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www. earls bad ca. gov
APPLICABLE TO NEW CONS RU CTION, RE SIDENTIAL ADDITIONS AND A LTERAT I ONS OVER $6OK
VALUATION A ND CO MMERCIAL ADD IT IONS AND ALTER AT ION S OVER $ 2 0 0 K . You are required to list
materials that will be reused, recycled or disposed from your project. If you have questions about the recycling
requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or
the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved
haulers must be used for all construction projects within the City of Carlsbad.
PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued
Applicant Information
CBRA2024-0087. 0098, 0088, 0089, 0090, 0091, 0092, 0093 I Permit No. _____________ Project Tit e Marja Acres (Coral Springs, Phase M10
Project Address 2507, 2519, 2531, 2543, 2555, 2567, 2579, 2571 Elderberry Lane APN 207-102-03-00
. Owner
A I. t N KB Home Coastal Inc. / Attn: Elizabeth Shoemaker I ✓ I pp 1can ame
Contractor
□
Architect
□
Other
□ Last First
Applicant Address 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131
Phone 1760 ) 550-1957 E-mail Address eshoemaker@kbhome.com
ApplicantMailingAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131
(if different than project address)
Project Type
{check all that apply):
Residential
[ZJ
Commercial □
Brief Description Marja Acres -Coral Springs, Phase 8
Public Building □
Project Size ____________ Estimated Cost of Project$ ________________ _
{square footage)
Please check the appropriate box:
D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction.
I ✓ I I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection.
D This is a proposed LEED certified project . I plan on separating materials on site in conjunction with Republic.
Acknowledgement: I certify under penalty of perjury under the laws of the St ate of Ca lifornia that the information
provided in and with this form pertains to construction and demolition debris generated only from the project listed
in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the
best of my knowledge and belief.
Print Name ______________ Signature _____________ Date
Rev. 2.10.21
Page 1 of4
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
..._,:r.1r11~,-• Permit No . c0RA202•-00e1. ooss. 0086, 0089, 0090,0091. 0092. 009l Project Title Marja Acres (Coral Springs, Phas~
Project Address 2507, 2519, 2531, 2543, 2555, 2567, 2579, 2571 Elderberry Lane APN 207-102-03-00
Applicant Name KB Home Coastal, Inc. / Attn: Elizabeth Shoemaker Phone 760-550-1957
Last First
• : Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construction waste management. Changes can be made on the final recycle report.
Goal: the diversion rate shall be 65% by weights of debris.
A B C
Material Type Estimated Place a(✓) check Place a(✓) check next Place a ( ✓) check next
Waste Quantity next to items to be to items to be to items to be
(tons) reused or salvaged recycled disposed at landfill
Complete this line of the table only if
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Parki ng lot Asphalt & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Concrete Roofing Materials
Scrap Metal
Stucco
Other: Trash
TOTAL
8'!11,rn■
To meet 65% Diversion Requirement (estimate) X 0.65 = tons
Total Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signature Date
Page 2 of 4 Rev. 711120
PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final
building approval.
DEBRIS RECYCLING REPORT {ACTUAL):
-,~-i■rt . Acknowledgement
I certify under penalty of perjury under the laws of the State of California that the information provided in and with
this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have
reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge
and belief.
Permit No. CBRA2024-0087, 0098, 0088, 0089, 0090, 0091, 0092, 0093 Print Name KB Home Coastal Inc.
Address 2507, 2519, 2531, 2543, 2555, 2567, 2579, 2571 Elderberry Lane Date
1.1..i■llh'•:• Use this Final Log below to track loads of materials as they leave the job site.
@@SAVE RECEIPTS@@
Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken.
Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons.
A B C
Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility
Reused or Recycled Disposed in (Name, Address, Phone)
Salvaged Landfill
Examp_le: Palomar Transfer Station, 5960 El
01/01/2020 Concrete (broken) S tons Camino Real
-{760) 603-0153
04/03/2025 Construction Trash 0.84 0.00 0.84 Palomar Transfer
04/03/2025 Clean Plaster/Stucco 10.00 10.00 0.00 ARCOSA
04/09/2025 Construction Trash 0.54 0.00 0.54 Miramar Landfill
@TOTAL 38.43 30.82 7.61
•
~ 65%
Diversion Rate Achieved 30.82 / 38.43 = 81 % :,65%□
Total of columns A+ B Total of columns A + B + C DIVERSION
Contractor/Owner Signature Date -
Attach the following documentation to this Report: Return completed form and documentation to: . Original recycling weight tickets, landfill weight tickets City of Carlsbad . Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) . Any other relevant information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of 4 Rev. 04122
Conversion Table for Common Construction Waste
This document is informational onlv. It is here to helo vou convert truckload auantities to tons if necessarv.
Column A Column B Column C
Category Material Volume TonslUnit Tons
Mixed Debris Construction cy X 0.18 =
Demolition cy X 1.19 =
Asphalt/Concrete Asphalt (broken) cy X 0.70 =
Concrete (broken) cy X 1.20 =
Concrete (solid slab) cy X 1.30 =
Brick/Masonry/Tile Brick (broken) cy X 0.70 =
Brick (whole, palletized) cy X 1.51 =
Masonry brick (broken) cy X 0.60 =
Tile sq ft X 0.00175 =
Building Materials (cabinets, doors, windows, etc.) cy X 0.15 =
Cardboard (flat) cy X 0.05 =
Carpet By square foot sq ft X 0.0005 =
By cubic yard cy X 0.30 =
Carpet Padding/Foam sq ft X 0.000125 =
Ceiling Tiles Whole (palletized) cy X 0.0003 =
Loose cy X 0.09 =
Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 =
5/8" (by square foot) sq ft X 0.00105 =
Demo/used (by cu. yd.) cy X 0.25 =
Landscape Debris (brush, trees, etc.) cy X 0.15 =
Asphalt Composition
Shingles, asphalt Shingle cy X 0.22 =
Unpainted Wood/Pallets By board foot bd ft X 0.001375 =
By cubic yard cy X 0.15 =
Trash/Garbage cy X 0.18 =
Other (estimated weight) cy X estimate =
cy X estimate =
cy X estimate =
cy X estimate =
Total all =
Page 4 of 4
Rev. 2.10.21
The City of THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPO~T SERVl.cES DIVISION
MIRAMAR LANDFILL
5180 CONVOY STREET SAN •· DIEGO.JI 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
• SAN DIEGO, CA 92111
Transaction #: 14099393
Account#: 8133613/CAPACITY CONSTR Date: 4/9/2025 13:48:20
Decal#: 63675, 0, O Scale Operator: ZRO
Fleet#: Tag #: CG83R94 lncomin /F_s_o_s,__
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01-/BUS.--NON RESIDENTIAL ~,......~ ...... ~
Vehicle Type: 070/MEDIUM HEAVY _ ~ ".:Q"_ ) . .
Material Type, 001/REFUSE 26.50% of Sfflnd remains
Special Fees: 1~
Origl~: 001/SAN DIEGO CITY ~~ . .,1•• '
v
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
ES-072 (REV. 10-24) PW/PS.333
This Information Is available In alternative formats upon request.
.. ...
LBS TONS
'
Gross Weight 21980.00 10.99
Tare Weight 17660.00 8.83
Net Weight 4320.00 2.16
Tip Fee $160.00
Spec Fee $0
RCBus Tax $17.00
Recycle $ 28.00
Total $ 205.00
SIGNATURE
ARCOS,\
CRUSHED CONCRETE
DATE:
DISPO,SAL TICKET
8354 Nel■on lfay 760-205-1797 -
Escondido CA 92026 TICKET NO:E07~
DISPOSAL RECEIPT
CUSTOMER: 12169630-CAPACITY CONSTRUCTION INC
TRUCK NO. 92269Y2
COMMODITY: 10 WHEEL LOAD MIXED
PO: CARLSBAD
CUST JOB:
COMMENTS: CAPACITY CONST. #105 MARTIN CORDOVA
Per Load Energy Surcharge Fee
lll!IGHMASTER R..ve,...,
DRIVERS SIGNATURE
EnergySurcharge-LA
ffl:IGIIHMTIIRR•· (1y,
GROSS:
TARE:
NET:
Illli.S
0.00
14.63 *
0.00
* P. T.
D~TE• 4/3/2025
TIM!:: 11: 44: 31AM
10 WheE
Other
Total
150.00
5.00
155.00
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 24,140 Scale In
TARE
NET
17,420 Tare Out
6,720
Tracking Qty: 0.00
Qty
3.36
Unit Description
TN MSW
54 Ticket #: 2825997
Weighmaster: marticy
In: April 03, 2025
Out: April 03, 2025
Vehicle: A106133
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101.2) $340.07
Tax
$0.00
Origin: CARLSBAD 100%
11: 08 am
11: 08 am
Total
$340.07
The Cityo/
SAN• DIEGO])
THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERv'ICE5 DIVISION
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction#: 14074337
Account#: 8133613/CAPACITY CONSTR
LBS
Decal#: 62120, 0, 0 Gross Weight 23160.00
Tare W eight 18520.00
Net Weight 4640.00
Tip Fee
Spec Fee
TONS
11.58
9.26
2.32
$ 172.00
$0
RCBus Tax $ 19.00
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
ES-072 (REV. 10-24) PW/PS-333
I ..,
Recycle
Total
This information is av<illable in alternative formats upon request. SIGNATURE
$ 30.00
$ 221.00
···-·-----~~---------------------
PALOMAR TRANSFER
5960 EL CAMI NO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr . 200
GROSS 23,380 Scale In
TARE 17,420 Tare Out
NET 5,960
Tracking Qty: 0.00
Qty Unit Description
2.98 TN MSW
54 Ticket #: 2819702
We i ghmaster: marticy
In: March 19, 2025
Out: March 19, 2025
Vehicl e: Al 06133
Ref:
BOL:
INBOUND
INVOICE
Rate Extensi on
$101. 2) $301. 61
Tax
$0.00
Origin: CARLSBAD 100%
10:11 am
10 : 11 am
Total
$301 .61
EDCO WASTE & RECYCLING SERVICES, INC
224 S. LAS POSAS RD
SAN MARCOS, CA 92078
(760) 744-2700
Customer: 0003 Ticket:
Date:
CAPACITY CONSTRUCTION
TRUCK# 118 ~
Commodity Units
45 C & D MIX 4 .-32
(Gross ( In) : 27,080. lbs Man Wt
6062
03/03/25
In: 10: 44
Out: 10:47
Q
°:)f},l~ S J9
Rate
108.00 per TON
Tare i8,440 . lbs Man Wt
Truck:
Container:
Route:
Origin:
INVOICE
1242/12'42
08045
080 SAN MARCO
Extended
Charge
466.56
Net: 8,640. lbs]
. TOTAL DUE 466 .56
Construction & Demolition Diversion Certificate •· Diversion Percentage 76%
This certifies that the company listed above has·utllized an EDCd facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage Is based on an overall tonnage percentage of the respective EDCO facility.
CRUZ Driver
; .
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 23,760 Scale In
TARE 17,760 Tare Out
NET 6,000
Tracking Qty: 0.00
Qty Unit Description
3.00 TN MSW
Origin: CARLSBAD 100%
54 Ticket #: 2815380
Weighmaster: aceveos
In: March 07, 2025
Out: March 07, 2025
Vehicle: a61866
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $303. 63
Tax
$0.00
10:50 am
10:50 am
Total
$303.63
Construction & Demo • •
Received at~ INLAND PACIFIC RESOU
Proceed at:
Project:
Total Yards Receive
Signature:
ercentage: 100%
This certifies that the company fisted above hos utlllzed a Certified f Illy to divert construction demolltton motertols In accordance
with LEED requirements. The diversion yardage Is based on an overall ordage percentage of the respective green waste faclHty .
..
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760) 603-0-153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE
GROSS
TARE
NET
Tracking Qty:
Yr. 200
21 ,860
17,420
4,440
0.00
Qty Unit Description
2. 22 TN MSW
Scale In
Tare Out
54 Ticket #: 2812396
Weighmaster: marticy
In: February 28, 2025
Out: February 28, 2025
Vehicle: Al06133
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $224. 69
Tax
$0.00
Origin: CARLSBAD 100%
9:19 a m
9:19 am
Total
$224.69
,:
Construction & l)em.o .
Received at: INLAND PACIFIC RESO.U
Project:
Total Yards Receive arcentage: 100%
Signature:
This certlfles that the company listed above hos utilized a Certified f Illy to divert constr:uotlon demolltton motel1ols In accordance
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste foclHty.
·Construction & Demo
Received at: INLAND PACIFIC RE$OU
Proceed at:
Project:
Total Yards Receive
Signature:
ersion Certyicate(. 31? 8 9 4
C Date: v\t:)') \L-\
This certllles that the company llsted abo hos utilized a Certified I Illy to divert construction dernollllon materials ln accordance
with LEED requirements. The diversion yardage Is based on on overall orddge percentage of the respective green waste·rocillty.
' I
' .... ,.
i
J
-------------------------·--------
Construction & Demo
Received at: INLAND PACIFIC RESOU
Project:
Total Yards Receive
Signature:
ercentage: 100%
This certifies that the company listed obqve· t:i,a, utilized a Certified f llty to divert construction demolition moterfQls ·I~ ciccO(i:lonce
with LEED requlrements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste facility.
I I . J
f'
The City of
SAN • DIEGO]J
Transaction#: 14039431
THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Account#: 8133613/CAPACITY CONSTR Date: 2/4/2025 13:53:3°7
Decal#: 62129, O, O Scale Operator: KBT
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 9211 l
LBS TONS
Fleet#: Tag#: 72968F3 Incoming IF __ B,..0-:5--. Gross Weight 22940.00 11.47
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE .
Hauler Type: 01/BUS.--NON RESIDENTIAL ·• .. ••
Vehicle Type: 080/HEAVY . ~~-, _
Material Type: 001/REFUSE 52.11 % of Surety Bond remains
Origin: 001/SAN DIEGO CITY • ·'~•-
Special Fees: l~~
...
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
ES-072 (REV. 10-24) PW/PS-333
The City of THE CITY OF SAN DIEGO
ENVIRONMENTAL.SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
Tare Weight 18140.00 9.07
Net Weight 4800.00 2.40
Tip Fee $ 178.00
Spec Fee $0
RCBus Tax $ 19.00
Recycle $ 31 .00
Total $ 228.00
c:u:t..lATI toe
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111 SAN • DIEGO]J 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction #: 14040858
Account#: 8133613/CAPACITY CONSTR Date: 2/5/2025 14:02:22
Scale Operator: DAM Decal#: 65939,0,0
Fleet#: Tag#: 87741C3 • Incoming /F....,B,.0_5 _ _,
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01 /CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL j . -
070/MEDIUM HEAVY . ~-nc) •' .
001/REFUSE 50.32% of S~nd remains
001/SAN DIEGO CITY \_;~ iii" . _-~--'
't✓. ..
Vehicle Type:
Material Type:
Origin:
Special Fees:
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Dayf
r
:==~·-:ir c In c}S
....._,,,
LBS TONS
Gross Weight 21780.00 10.89
Tare Weight 17700.00 8.85
Net Weight 4080.00 2.04
Tip Fee $151.00
Spec Fee $0
RCBus Tax $ 16.00
Recycle $ 27.00
Total $194.00
Construction & Demo
Received at: INLAND PACIFIC RESOU
Project:
Total Yards Receive
Signature:
cat __ ~!)866
Date:-'\,--\---------
ercentage: 100%
This certifies tho! the company listed above hos utilized o Certlfted I Illy to divert construction demolition moter1ols In accordance
with LEED requirements. The diversion yardage Is based on an overall ardoge percentage of the respective green waste laclllty.
J''
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 20,220 Scale In
TARE 17,420 Tare Out
NET 2,800
Tracking Qty: 0.00
Qty
1. 40
Unit Description
TN MSW
54 Ticket #: 2801499
Weighmaster: marticy
In: January 30, 2025
Out: January 30, 2025
Vehicle: A106133
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $141. 69
Tax
$0.00
Origin: CARLSBAD 100%
Escondido Resource Recovery
1021 W Mission Ave
Escondido. CA 92025 INVOICE
(760) 745-3203
Customer: 0104 Ticket: 96652 Date: 01/31/25
In: 15:19 Truck: 9999/9999 Out: 15:29 Container: Route: 01611
CAPACITY CONSTRUCTION Origin: 016 Escondido
P.O. BOX 420040
SAN DIEGO. CA. 92142
Rate Corrmodity Units
11 SELFHAUL REFUSE 1.46
[Gross(In): 21.500. lbs Scl#5
125.00 per TON
Tare 18,580. lbs Scl#5
Extended
Charge
182.50
Net: 2.920. lbs]
TOTAL DUE 182.50
VINCE Driver
1:53 pm
1:53 pm
Total
$141. 69
.... ·--····---
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
Project:
Total Yards Receive
Signature:
• ersion Celf catf 310856
C Date: 'l...,C)\~
ercentage: 100%
This certifies that the company n d above has utilized a Certified I Illy to divert construction demolition materials In accordance
with LEED requirements. The diversion yardpge Is based on an overall ardage percentage of the respective green waste laclHty.
J' '
The Cityo/ THE CITY _OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
.MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111 SAN• DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction#: 14016518
Account#: 8133613/CAPACITY CONSTR Date: 1f13/2025 14:08:05
Decal #: 65332, 0, 0 Scale Operator: ARR
Fleet#: Tag#: 41658N3 lncomin
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL ~ : •
Vehicle Type: 070/MEDIUM HEAVY . ~ "'.;_G'_ ""') ..
Mater;aI Type, 001/REFUSE 43.51 % of Smond remains
Special Fees: ~ w.
Origin: 001/SAN DIEGO CITY ,w_ ii' . -.!!ii '
'<. z The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
ES-072 (REV. 10.-24) PW/PS-333
The Cityo/
CA p II
THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
LBS TONS
Gross Weight 21040.00 10.52
Tare Weight 17560.00 8.78
Net Weight 3480.00 1.74
Tip Fee $ 129.00
Spec Fee $0
RCBus Tax $ 14.00
Recycle $ 23.00
Total $166.00
•• , -:~Ti Oil
CJ.C.OUA.:I:Ll.O C
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111 SAN • DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction#: 1401776~
Account#: 8133613/CAPACITJ'r' CONSTR Date: 1/14/2025 13:49:10
Decal #: 63675, O, O i Scale Operator: SMA
Fleet#: Tag#: caa3R94 Incoming /F_B_.0-..5--,
Transaction Type: 01/BUS.--~ON RESIDENTIAL
Payment Type: 01/CHARGE ••
Hauler Type: 01/BUS.--~ON RESIDENTIAL :;
Vehicle Type:
Material Type:
Origin:
Special Fees:
070/MEDl0M HEAVY
001/REFUpE
001/SAN DIEGO .CITY
i
The Miramar Landfill will be dosed on Monday,
05/26/2025 (Memorial Day). (
ES-072 (REV. 10·24) PW/PS-333
-~> .. 41.92% of nd remains . '
.<>
LBS TONS
Gross Weight 20260.00 10.13
Tare Weight 17660.00 8.83
Net Weight 2600.00 1.30
Tip Fee $ 96.00
Spec Fee $0
RCBus Tax $ 10.00
Recycle $ 17.00
Total $123.00
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
Total Yards Receive
Signature:
• ersion Ce,cate 3 i O 8 41
C Date: l sjt:'s: '-\
. ercentage: 100%
This certifies that the company listed above hos utilized a Certified f Illy to divert construction demolition materials In accordance
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste facility.
J' •