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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' •