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HomeMy WebLinkAbout1825 ASTON AVE; ; CBC2023-0402; RecycleDocusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D I PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. Failure to provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may render the Project non-compliant and the responsible parties subject to code enforcement. Permit No. _C_B_C_2_0_2_3_-0_4_0_2 ______ ProjectTitle Tl Dempsey Construction Project Address 1825 Aston Avenue APN 212-120-13 Applicant Name Dempsey Construction Phone 760-918-6900 Last First SECTION B Use this Final Log below to track loads of materials as they leave the job site. @@SAVE RECEIPTS@@ Indicate FINAL quantities in t ons 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Date Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Exame.Je: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -(760) 603-0153 5/23/2024 Concrete 3.52 0 EDCO Transfer, 619-234-0848 8/20/2024 Concrete 13.79 3.6 Amswede Recycling, 619-425-9450 8/22/2024 Commercial Debris 27.65 50.59 Palomar Transfer, 760-603-0153 8/23/2024 Commercial Refuse 0 1.14 EDCO Transfer, 619-234-0848 0 @TOTAL 44.96 0 55.33 SECTION C Diversion Rate Achieved _4_4_.9_6 _____ ___,;_5_5_.3_3 ________ =_8_1_.2_5 __ % Total of columns A + B Total of columns A + B + C DIVERSION Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report SECTION D City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 I certify under penalty of perjury under the laws of the State of California that the information provided in and with t his 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. Applicant Signature __ a ..... V"1c.u.l ..... ·IA~,'"tl,.,,ab ..... ·+-'r-------------Date 10/24/2024 Page 3 of 4 rev 4/24 Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7014D EDCO Transfer Station 3660 Dalbergia St . San Diego, CA 92136 (61 9 ) 234-0848 Customer: 0000 SOCAL DEMOLITION Commodity 20 Commercial [Gro:c::cfT . Ticket: 29242 Date: 08/23/24 In: Out: TON .ons INVOICE 13:12 Truck: 10168 13:12 Container: Route: 02020 Origin:· 020 SAN DIEG Extende, Charge 142.50 Man Wt Net: 1.14 tons] PAID CREDIT CARD 142 .50 Driver Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D PAt r ' T~ififER :;r .m ~ -L CAMINO REAL CARLSBAD, CA 112008 OS 2220;:4 CREDIT CAJ<D 1a,d;; Chp Ca'd: AID: VISA COMPLETED SALE XXXXXXXMX6+l6 CHASE VISA A0000000031010 SEQ :i: ORIG PRE·AUTH ~EQ ;;; 3atch If: !NVOICE w oval Code: :nby MedKXf. ·lode: ·ax Amount. 20 S0!H 10e om Cont.le' T ~CK CUSTOMER E Yr . 2 12,240 Scale In 8 , 680 Scale Out 3 ,560 0 .00 :ription 54 TickE t : 2737196 Weighmaster: cisneadl In: August 22 , 2024 Out : August 22, 2024 Vehicle : CD Ref: 12,240 BO1: INBOUND CASH Rate Extension $101. 2] $180 . 15 200cc Tax $0 .00 10:10 am 10 :23 am Total $180.15 100% Alf AMOUNT ~180.15 Signature : ~ APPROVED BY ~ ~ @ ENTERED C5i-.- JOB# 'L '--1.3 ~ - CODE---~~~~-- Total Paid Change .EDIT CARD-SCALE $180 .15 $180 .15 $0 .00 V Docusign Envelope ID: 627DO85A-0906-435B-AC7C-47F504E7D14D 1(> , '/¾( 0PAL6°FlAR 1 RAtJmR 51 AT! 5%0 EL CAMINO REAL CARLSBAD. Cli 92008 ~8 20 21)2-l CREDIT CARD :CK CUSTOMER (al(J;; Chljl Caict MD tlat,h ~ 1111,u!CE Apnioval COl.k Eiltr1 MttllOd MO<le l a1 Amoo1t v!SA SftU xxxxxm,. CHA< AOOOOOOOO.) I IJ H : Yr . 2 I' 31 ,580 L3 ,880 .,. 17,700 01219( O. 00 Lonlatki' L~llt:I iption $(10 Scale In Tare Out ,,., 'l'icker : LI Juv, v Weighmaster : macaral In : August 20 , 2024 Ou t : August 20 , 2024 Vehicle : a666 Ref : BOL : INBOUND CAS H Rate Extension $101 .2) $895.71 Tax $0.00 100% SALE AMOUNT CUSTOMER COPY Signature : APPROVED BY {( §ENTERED ~ JOB # ----1.<_'"\1..1.~L.--\~ CODE ____ &____:q~OO()~_ Total Paid Change EDI T CAR D-SCALE 8 :20 am 8 :20 am Total $895 .71 $895 .71 $895 .71 $0 .00 V Docusign Envelope ID: 627OO85A-0906-4358-AC7C-47F504E7O14D I .f-f' IC) PALOMAR lRAtl)f-ER ~ 1 All 5%0 El CAMlMO REAL CARLSBAD CA 92008 CREDIT GIRD 11 ., -· v15A SAl[ ::CK CUSTOMER Caid:: Chip Caid AID 5f11 Batch :: UIVOICE Approval Code Enby Mctliod Mode laA l\niolrtt 'f..XXXXXXXX CHASE VI AOOOOuOOO 3 l O 1 s. : Yr. 2 32 ,240 Ollt &~ 13,880 18 ,360 0 .00 iption Scale In Tar e Out • Ticke1 : '-1 .. H>L.:.Jo Weighmaster : diazadl In: August 20 , 2024 Out: August 20, 2024 Vehicle : a666 Ref : C&D contaminated B01: I NBOUND CASH Rate Extension Tax $101.2] $929 .11 $0 .00 11:56 am 11 :56 am Total $929 .11 SAlE AMOUNT 100% CUSTOMER COPY Signature : f•1 APPROVED BY __ __,../.___. 0ENTERED ijZ JOB # ___ .:...1 _1 _.;·;;:;;.._l ___ \ ~=-l..__l CODE ___ ~S~C~f_o_o~t_~ __ Total Paid Change EDIT CARD-SCALE $929 .11 $929 .11 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D ·r,t;t l\t kcoi ,xlc Tt.At l~H:R ~ 1 A Tl I& 19 20!l 5%0 EL tAMlNO REAL CARl SBAD CA 92008 CREDIT CARD VlSA COMPl1 TFD SALE ,.xxxxxx \2·\7'3- •.iOC CairJ - Cht Caid CHASE V!Si AID 11.00000000 31 '" rfi, OR!u PKt Alll H '>EQ ; llatJ; •• ltlvOICE Appioval Code 00 Eno y J.\ctl11,J Chip Rn Mooe ls: Tax Am0l11t ~l S~LE AMOUNT ~791 CUSTOMER COPY Signature : ECK CUSTOMER :; Yr . 2 29,560 Scale 13,880 Scale 15,680 0 .00 iption 54 Ticke : 2735753 Weigh.master: IN -gomezda OUT -martios In Out 100% In: August 19, 202 4 Out: August 19, 2024 Vehicle: CD Ref: 29560/400CC BOL : INBOUND CASH Rate Extension $101.2] $793 .49 Tax $0.00 APPROVED BY u_ ~/ MENTEREO~------ JOB # t '\.) '\ CODE ~l\_«i()t) Total Paid Change .EDIT CARD-SCALE 12:03 pm 12:16 pm Total $793.49 $793.49 $793.49 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D •.,..J Ticket 2735850 -r ~[OMAR TRANSFER srAn 5%0 EL CAMJNO REAL CARLSfi111'CTA9200B 08...\.9 20?4 HO! CREDIT CARD VISA SALE Cijd:; Chp Card AID xxxxxxxxx CHASE VIS A000000003101 SEQ . Sat(h ::: UIVOICE Apprnval Code Enbt Mett10d Mooe fax M10tu1t SALE AMOUNT CUSTOMER COPY Signature : ll ll 05605 Lontadt~i !SSUcl ~O Ol .CK CUSTOMER Yr-2 ~8 I 380 Scale In .3,880 Tare Out l4 ,500 0 .00 iption Weighmaster : diazadl In : August 19 , 2024 Out : Augus t 19, 2024 Vehicle: a666 Ref: BOL: INBOUND CAS H Rate Extension $101.2] $733 .77 Tax $0.00 100% Total l?a id Change .EDIT CARD-SCALE 2 :08 pm 2 :08 pm Total $733 .77 $733 .77 $733 .77 $0 .00 V Oocusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14O • PALUMAk TRANiER Sf;;T[ rf ,L_, "'{ .7 '4 5960 Et C.aMINO REAL 4 Ticke : 2734539 f.Altl C:Qill' ~ 92008 lb 2U24 06 su·S! CREDIT CARD IISA COMPLETED SALE lid ~ XXXX't:>.>..X A.4b~O( lip C&d CHASE VISt 'D A000000003 IO 1( 1, ( ~JG PRf·AUl H SEQ :; 100 tt:h :: i. !VOICE 21 ~OVdl Cod€ 01/ 16l 1by Metl11xJ Lo11laltc,· Xk l~~llel ~ Am!Llll ~0.U( \lE AMOUNT CUSTOMER COl'Y Si gnature : !ECK CUSTOMER ~E Yr . 2 14,440 Scale 11,300 Scale 3,140 0 .00 :;ription In Out Weighmaster : IN -macaral In: Augu.st 1 6, 2024 Out : August 1 6, 2024 Vehicle : CD Ref : 14 , 440-220cc BOL : INBOUND CASH OUT -gomezda 8:30 am 8 :50 am Rate Extension $101 .2) $158 .90 Tax $0.00 Total $158.90 100% Total Paid Change .EDIT CARD-SCALE $158 .90 $158 .90 $0 .00 V I Docusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14D PALOMAR TRAIJSfER STAT! ~)-V\ 7 \ 5960 El CAMmo REAL CARLSBAD CA 92008 0816 202-l 1156~( CREDIT (ARD ~LE Ca1d, Chp Card· AID SEQ Batdl ~ IIIVOICE A/JI) o, al Code E11trv Mctt1od Mode faL~momt. ~~xxx.mk ~ll'.G ,O, CHASE VI5t A000000003!01( :Jl 7. ~: 091ti6( Con~tb· Is~tlc! ~u.Ot :K CUSTOMER Yr . 2 5 ,180 1 , 300 3 ,880 0 .00 iption Scale In Tare Out ,--1 Ticket 2734705 Weighmaster : macaral In: August 16, 2024 Out : August 16, 2024 Vehic le : a666 Re f: BOL : INBOUND CASH Rate Extension $101 .2] $196 .35 Tax $0 .00 ~AlE AMOUNT $l96J 100% CUSTOMER COPY Signature : Total Paid Change .EDIT CARD-SCALE 11 :56 am 11 : 56 am Total $196 .35 $196.35 $196 .35 $0 -00 V • I ID· 627DD85A-0906-435B-AC7C-47F504E7D14D Docus1gn Enve ope • ~ ESCONDIDO RESOURCE RECOV t.scandi do RE 1044 W WASHINGTON A VE 1021 W Miss· ESCONDIDO, CA 92026-167 Escondido. 1 ' ... ( 760) 7 45 -3 760-745-3203 Customer: FORCE SALE In: 14:52 Trui Out: 15:09 Cont.ain6 Rout NEMORIO TO REF#; 00000087 Ori gi r, Batch #: 260 05/23/24 15:09:48 Commodity APPR CODE: 065217 e Trace: 87 11 SELFHAL VISA DO per TON [Gross(In ) Contactless 29.200. 1bs Sc1#5 Net: 3.52 ~ ••............ 1432 .. , ... AMOUNT $202.40 PAID CREDIT CAR APPROVED Dnver YOU Docusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14O PALOM,\~. ·1 ~tiU~•r j ' ;"""A·i 5%•) :1. :.t,Mllf. \,1:AL CAR'.SBAD en'.·, )OB \· l I:' ·om-1 c~mr W\C• IJ15~ C)1·•P1.El ct1 '.i \,.E. _,,·1. ·_ ~ i( ~:E-AUTt• ~I (i ::· t 10:h ;; l/(!C: : ~.irnv,1 Code: c ,ly M:o'!Od H<lt \ 11 M\Wt: Signature: :,:{• '.}J..)XXX:-."t " 0-IASf: ,r,, i 100( OOOil:l n I l :ti'. ',)\ l 91 I .I! ii \'Hi (011:,1 .k-1 l ~l :. , :.1., I ::CK CUSTOMER ,-Yr . 2 .1 ,640 Scale .1,300 Scale 340 0 .00 .pt ion 54 Tick #: 2 681598 Weighmaster : IN -diazadl OUT In Out 100% In : April 1 0 , 2024 Out : April 10, 2024 Vehicle: CD Ref : 11640/140cc BOL : INBOUND CASH Rate Extension $96 .28 $55.0 0 Tax $0.00 Total Paid Change .EDIT CARD-SCALE -aceveos 1:57 pm 2 :10 pm Total $55.00 $55.00 $55.00 $0.00 V Docusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14O 54 TickE \: 2677877 Weighma s ter : martios3 vALOMAF HAN~~. f ;· fl -/ 5961) :. U,Mf!,,:, ~l:AL ,{) CAU31l(I ca : ; )08 .I )I nl-1 l· -•i~ I In: April 01 , 2024 ' ,j : 10 ad !!). : n:h;; J/C,[(: ! : :rc.v, I Code ,11yM!tl'iOd· ((~' 31 /Im lUll: C~EIJ' C~~C m~SA.L ',CK CUSTOMER Out: April 01, 2024 :, <, rn xxx.:~ ,! 1 rHA5F ·I'. :.i J illOCOOOI I ' '.) I I ~ Yr. 2 18 ,460 i.! 13,480 .I 4 ,980 (,~ (l•,tj Cein:01.b, 0 .00 Scal e In Tar e Out Vehicle : Ref : BOL: INBOOND CASH a666 ription Rate Extension Tax $0 .00 $96 .28 100% CU iT .!MER •'. 0~ APPROVED BY_ ~ 0°ENTEREO ~ JOB# c_ Lf .3 '-/-- CODE ~lf tJ<>:; ------... ..__ .. ___ S239 .74 I - Total Paid Change .EDIT CARD-SCALE Signatur e: 2 :48 pm 2 : 48 pm Tot al $239 .74 $239 .7 4 $239.7 4 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D PAlOH~F ·1 V1Ns:J ;--n 5960 : _ ::/!.MI ~ :, 1;_1 ·J\L CARt_S81l[l (11 ! ; .JB :1 i1 m-1 r ·· CRECF C,!,( mASA..[ CK CUSTOME R :11 p :ad !,[ ), :1:;, : lJil ~ : 1/C!C : 1 re ·1,i Code iy 1-1 ·tl'kld :•:<• :wxxx::~ ·, 1 CHASE •: o1 ~ lllOCOOOIIJI Ul J Yr . 2 ~5 ,040 :l.! .3, 480 '' •1 Ll , 560 i j I;',,; l !,l I :. ).L1 0 .00 iption Scale In Tare Out S4 Ticket : 2677803 Weighmaster : martios3 In: Ap r i l 01 , 2024 Out: Vehicle : Ref : BOL : April 01 , 2024 Al05118 INBOUND CASH Rate S96 .28 Extension $556.50 Tax $0 .00 TY 100% APPROVED BY __ ~~ 0 ENTERED ?~- JOB# 1. '{.) '( CODE S-ffooo Signature : Tota l Paid Change EDIT CARD-SCALE 1 :34 pm 1 :34 pm Total $556 .50 $556 .50 $556 .50 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D '?At.OMAR 1RANSFER ST A TI 5960 EL CAMINO REAL CARLSBAD, CA 92008 H/05/202~ 08:46:56 :ard ;; :t,~ Card: \ID: iEQ Ii: latch ii: :NVOICE l.pproval Code: :ntry Mett!Od, CREDIT CARD VISA SALE XXXXXXXXXXXX4 223 CHASE VISA A00000000310 I 0 10 9-13 10 09705G ~: rax Arrrult: /jzlf1 '( Con tactless Issuer $0.00 SCK CUSTOMER :: Yr . 2 17,140 13,480 3 ,660 0 .00 ription Scale In Tare Out c,,1 Tickt \#: 2679490 Weighmaster : macaral In: April 05 , 2024 Out: April 05 , 2024 Vehicle: Al05118 Ref: BOL : INBOUND CASH Rate Extension $96 .28 $176 .19 Tax $0.00 ;ALE AMOUNT $176.19 100% CUSTOMER COPY Signature: Total Paid Change EDIT CARD-SCALE 8 : 4 6 am 8:46 am Total $176.19 $176 .19 $176 .19 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D r PALOMAR TRANSFER ST AT! 5960 EL CAMINO REAL CARLSBAD, CA 92008 H 05 2024 07:37:20 :crd ;; :hp C.Jd: \IO: :EQ r,; .atch ;:; NVOICE pproval Code: ntry Method. lode: ax An1olrt: CREDIT CARD VISA SALf XXX~4223 CHASE VISA A0000000031010 4 943 4 01608G contactless Issuer $0.00 E:CK CUSTOMER E Yr . 2 19,760 13 ,480 6 ,280 0 .00 ription Scale In Tare Out · Tickl #: 2679456 Weighmaster : macaral In : April 05, 2024 Out : April 05 , 2024 Vehicle: Al05118 Ref: B01 : INBOUND CASH Rate Extension $96 .28 $302 .32 Tax $0 .00 AlE AMOUNT $302.32 100% dt-1'C{1 '{ CUSTOMER COPY Signature : t Total Paid Change EDIT CARD-SCALE 7 :37 am 7 :37 am Total $302 .32 $302 .32 $302.32 $0 .00 V Docusign Envelope ID: 6270D85A-0906-435B-AC7C-47F504E7D14D PAL9M~~-·1 VITTS1·( f I n 596,) :_ :·~Ml f .1 ,; :AL CAU3,lD C.~ ~; ,108 t: 11:J I )',2a24 C~EClT GX ~m.sH SCK CUSTOMER ;;(, '.)'J..)tl.'l..:(~12 I CHASE 11 ·.11 ) 11l!OC 000113\ 0 I l ; l . :•:! I. :nb:; [11/C!C: _ _2'fJy :,i.;nml Lode : ,1y M!troo· ''( cit· IHtmwt. : Yr . 2 9i : L6 , 460 'J I .3, 480 2 ,980 l2 IJ'ili (Cl),JI :k·, I I !1..:· '.I).\) 0 .00 i.ption Scale In Tare Out 54 Ticke : 2679637 Weighmaster : martios3 In : April 05 , 2024 Out : April 05 , 2024 Vehicle : a666 Ref: BOL : INBOUND CASH Rate Extension $96 .28 $143 .46 Tax $0 .00 ~ 1t.E ,\MOUN"! 100% Si gnature : Total Paid Change EDIT CARD-SCALE 12 :13 pm 12 :13 pm Total $143 .46 $143 .46 $143 .46 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D Cad 1r Chip ~d· MD: ;~~ 1NVOlCE ApjXO~al Code: EnllV Me\ttod: Mode: 1ai ~~\ VISA SALE Y.:t:J-'l.:t.Y:J.XY:JXJ.mJ CHASE VISA r..0000000011010 CUS1OMER COP~ ·H 9·\l .;G 09127G Ch\> Read Issuer $0.00 Signature : :K CUSTOMER {r . 2 , 7 60 Scale In . 4 80 Tare Out .280 0 .00 :ion 100% ~,4 Tick, #: 2678770 Weighmaster : aceveos In: April 03 , 2024 Out : April 03, 2024 Vehicle : A105118 Ref: BOL : INBOUND CASH Rate Extension $96 .28 $254.18 Tax $0 .00 Total Paid Change .EDIT CARD-SCAL E 1 :32 pm 1:32 pm Total $254 .18 $254.18 $254 .18 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D .-,,,.., PALOMAR TRANSFER STATI 5960 EL CAMINO REAL CARLSBAD, CA 92008 ¼ Oi.2024 12:59:57 ard;; h~ Card: ID: EQ R: CREDIT CARD VISA SALE XXXXXX'tf...XXXX·t223 CHASE VISA A0000000031010 51 912 52 08729G ContacUess ~CK CUSTOMER ~ Yr. 2 17,820 13 ,480 4 ,340 0 .00 Scale In Tare Out atch 11: ~VOICE ppwval Code· ,try Me&IOd: ode: a~ Amount: Issuer c ipt ion $0.00 S 1 TickE \ t : 2679223 Weighmaster: macaral In : April 04 , 2024 Out : April 04 , 2024 Vehicle : Al05118 Ref : B01 : INBOUND CASH Rate Extension $96.28 $208 .93 Tax $0.00 AlE AMOUNT $200.93 100% CUSTOMER COPY Signature: I Total Paid Change .EDIT CARD-SCALE 12:59 pm 12 :59 pm Total $208 .93 $208 .93 $208 .93 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D PALOMAR TRANSFER STAT! 5960 EL CAMINO REAL CARLSBAD, CA 92008 ().I ().12021 10:19:33 :hp Ca'd: ij0: iEQ ;i: !at.ch ;i: 'NVOICE CREDIT CARD VISA SALE XXXXXXXXX'AXXi223 CHASE VISA A0000000031010 2-1 9-12 lpproval Code: IL,,,., t 14 :nlry Mclrod. 1F (Ji 7"J 4ode: 2-1 0799-IG Contact less Issuer $0.00 ·ax Amowlt' ~CK CUSTOMER :: Yr. 2 19,740 Scale In 13,480 Tare Out 6,260 0 .00 ription :111 Tick, #: 2679069 Weighmaster: macaral I n : April 04 , 2024 Out: April 04 , 2024 Vehicle: Al05118 Ref : BOL : INBOUND CASH Rate Extension Tax $96.28 $301 .36 $0 .00 ;AlE AMOUNT $30136 100% CUSTOMER COPY Signature : Total Paid Change .EDIT CARD-SCALE 10: 19 am 10 :19 am Total $301.36 $301 .36 $301.36 $0.00 V Oocusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D PALOHAK TRANSFER STATI 5960 EL CAMINO REAL CARLSBAD, CA 92008 1H 1H 2024 08: 17:H Card ;; Chp C'.a'd 410: iEQ 11: ~tch ;;: CREDIT CARD VISA SALE XXXXXXXXXXXX1223 CHASE VISA A0000000031010 11 NVOICE 1/t~ 3'< lpjXoval Code: 912 II 02229G Contactless Issuer $0.00 :ntry Melrod. 1ode: ·a~ Arrwlt· :CK CUSTOMER ~ Yr . 2 18 ,880 13,480 5 ,400 0 .00 ription Scale In Tare Out , 1 Tick• #: 2678996 Weighmaster : macaral In: April 04 , 2024 Out: April 04 , 2024 Vehicle : A105118 Ref: 801: INBOUND CASH Rate Extension $96.28 $259 .96 Tax $0.00 ,AlE AMOUNT $259.96 100% CUSTOMER COPY Signature: Total Paid Change .EDIT CARD-SCALE 8:17 am 8 :17 am Total $259 .96 $259.96 $259.96 $0.00 V Docusign Envelope ID: 627DO85A-0906-435B-AC7C-47F504E7D14D PALOMAR I RANSFtR1STATI mo R CA~UNO REAL CARLSBAD, CA 92008 l4 02'202~ 09:56:29 CREDIT CARD VISA SALE ~CK CUSTOMER :ard ,; XXXXXXXXXXXX➔223 :h~ Card: CHASE VISA \ID: A0000000031010 ~ Yr . 2 iEQ 11: 19 18,540 latch 11: 940 Scale In NVOICE 19 13,480 Tare Out wovalCode. 08867G 5 ,060 :n1ry Methx!: -/f'l}i 1\{ Contactless 0 .00 1ode: Issuer ·ai Aroou1t: $0.00 ription iALE AMOUNT $243.59 100% CUSTOMER COPY Signature: \ r,4 Tick, #: 2678105 Weighrna5ter: martio53 In: April 02 , 2024 Out : April 02 , 2024 Vehicle: a666 Ref : BOL: INBOUND CASH Rate Extension $96 .28 $243 .59 Tax $0.00 Total Paid Change .EDIT CARD-SCALE 9 :56 am 9 :56 am Total $243.59 $243.59 $243.59 $0.00 V Oocusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14O PALOMA!nAAl~5~ STAT! 5960 EL CAMINO REAL CARLSBAD, CA 92008 ~,02,202-l 13:09:28 ard 11 1~ Ca.rd: (0: :Q #: ;tdi #: NOICE CREDIT CARD VISA SALE -W.XXXXtfJl.-1223 CHASE VISA AOOOOOO0O31O1O -10 9-10 ;µoval Code: ./):i'(J"f 1try MettlOd: -12 078-16G Cootactless Issuer $0.00 ode: ALE AMOUNT $185.82 CUSTOMER COPY Signature : ~CK CUSTOMER ~ Yr. 2 17,340 Scale In 13,480 Tare Out 3 ,860 0 .00 ription 100% S4 Tick( ~: 2678272 Weighmaster: martios3 In : April 02 , 2024 Out: April 02 , 2024 Vehicle : a666 Ref: B01: INBOUND CASH Rate Extension Tax $96.28 $185.82 $0 .00 Total Paid Change EDIT CARD-SCALE 1:09 pm 1:09 pm Total $185.82 $185.82 $185.82 $0 .00 V Docusign Envelope ID: 627OO85A-0906-435B-AC7C-47F504E7O14O PALOMAR TRANSFER ST AT! CARLSBAD, CA 92008 +'03202'! 11 :46:58 .ard ;i h~ txd: 10: EQ R: atch 1t: WOICE pproval Code: nlry Melhod: lode: ax Amount: CREDIT CARD VISA SALE xxxxxxxxx.ft<m3 CHASE VISA A0000000031010 35 941 37 jJ ?UJil 09762G <fl" en -, Ch~ Read Issuer $0,00 ~CK CUSTOMER :: Yr. 2 21 ,060 13,480 7 ,580 0 .00 ription Scale In Tare Out 5'1 Ticke : 2678697 ~li~~i~~,~~I j~~~~~r In : April 03 I Out: April 03 , Vehicle: A105118 Ref : BO1 : INBOUND CASH Rate $96.28 Extension $364.90 2024 2024 Tax SO.DO ,AlE AMOUNT 100% CUSTOMER COPY Signature : Total Paid Change .EDIT CARD-SCALE 11 :46 am 11:46 am Total $364.90 $364.90 $364 .90 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D ' PALQ[•JAR I RANSrER ST A Tl 5960 EL CAMINO REAL CARLSBAD, CA 92008 04 03 202-1 08:18:21 Card;; Ch~ Ccid: AID: SEQ 11: Batch 11: INVOICE .&wroval Code· Entry Method: Mode: Tax Amomt: CREDIT CARD VISA SALE ~xmm CHASE VISA A0000000031010 9 9-U 9 J-VG~ 046-1-IG a,~ Read Issuer $0.00 :CK CUSTOMER ; Yr . 2 20 ,600 l3,480 7,120 0.00 ·iption Scale In Tare Out c,4 Ticl #: 2678537 Weighmaster: aceveos In : April 03, 2024 Out: April 03 , 2024 Vehicle: Al05118 Ref: B01 : INBOUND CASH Rate Extension $96.28 $342.76 Tax $0.00 SALE AMOUNT $342.76 100% CUSTOMER COPY Signature : C Total Paid Change .EDIT CARD-SCALE 8:17 am 8:17 am Total $342.76 $342.76 $342.76 $0 .00 V Oocusign Envelope ID: 6270085A-0906-435B-AC7C-47F504E7O14O ""PALOMAR I RANSfER S1 .\ Tl 5960 EL CAMINO REAL CARLSBAD, CA 92008 05:20i.+ 13:35:25 ard 1i h'1 Ccrd. JD· EQ i;; akh z;: WO!CE pp-oval Code· ,try MettlOd. ode: ax Amoo1t. CREDIT CARO VISA SALE 'IJJJ.,'/JJ.X'h.XXrm CHASE VISA A00000000310 I 0 36 9·B 36 05752G Ca,tactless Issuer $0.00 :CK CUSTOMER : Yr . 2 14 ,420 Scale In L3 , 4 80 Tare Out 940 0 .00 :iption r , Tick€. I : 2679694 Weighmaster : macaral In: April 05 , 2024 Out : April 05 , 2024 Vehicle : A105118 Ref : B01 : INBOUND CASH Rate Extension $96 .28 $55 .00 Tax $0 .00 ALE AMOUNT #-Jv 3'1'>55.00 100% CUSTOMER COPY Signature : Total Paid Change .EDIT CARD-SCALE 1 :35 pm 1 :35 pm Total $55 .00 $55 .00 $55 .00 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7O14D /PALOM1\~. HANSFc~ ;:n I 5961) :L ::hMI1f1 ~fAL CAR1.5 B~D C~ ~: )38 I ). 202➔ I· 11: I I mmG,% WiASA.E CK CUSTOMER ( l tJ ; l''P :ad: .. :·,; .. ' t l'J:li ii WCIC: :-;,mJ'1cl Code: t 1b y M ·tnod: Mc~· li1Pm,mt: CHASE 1G .,1 J 1(1Q(OQQ1l310 [1) Yr . 2 .5, 300 91 ! .3, 480 (2-i l•Hi Con.at :rt,,; L:~I :· '..(I.() 1 ,820 0 .00 ·iption Scale I n Tare Out 54 Ti ck€ \: 267 9721 Weighmaster : martios3 In : Ap ril 05, 2024 Out : April 05 , 2024 Vehicle : Ref : SOL : INBOUND CASH A105118 Rate Extension $96 .28 $87 .61 Tax S0 .00 100% I Signature : Total Paid Chang e EDIT CARD-SCALE 2 :13 pm 2 :13 pm Total $87 .61 $87 .61 $87 .61 $0 .00 V Docusign Envelope ID: 627DD85A-0906-435B-AC7C-47F504E7D14D , • Ticke : 2680805 PALOMAR TAANSFER STATl 5960 EL CAMINO REAL CARLSSAD, CA 92008 I 0912024 07:31:36 CREDlT CARD ard ;; h~ Card· 11D: iEQ 11: 3atm 11: [NVOlCE ,wroval Code Enby Mctl1vd Mode· TaA AmOUnt 'IISA SALE ~6HG CHASE VISA A0000000031010 1 947 l M089G Contact.less ls~ $0.00 SALE ~MOUNT $111.ffi CUSTOMF" Signature : Weighmaster : macaral In: April 09, 2024 SCK CUSTOMER Out : April 09 , 2024 Vehicle: A105118 Ref : : Yr . 2 BOL: l5, 800 Scale In ~3 , 480 Tare Out INBOUND CASH 2 ,320 0.00 iption - Rate Extension S96 .28 $111 .68 100% APPROVED BY_.;..>...,;C:a--__ 0ENTERED ~ JOB# Z '('S '-/ CODE 5?t4> EDIT Tax S0.00 Total Paid Change CARD-SCALE 7 :31 am 7 :31 am Total S111. 68 $111. 68 $111 .68 $0.00 V Docusign Envelope ID: 627OO85A-0906-435B-AC7C--47F504E7014D AMSWED INC 149 REED CT A VISTA, CA. 91911-5 619-425-9450 SALE REF#: 00000075 15:34:39 093418 ice: 75 Manual CP MOUNT APPROVED THAtf< YOU CUSTot-'ER COPY .r-\uu.. ....... ~. Aill(Uf [0( IlCGJO]jnr 149 Reed Court Chula Vista, Ca 91911 Office Phone: (619) 425-9450 State Permit# 37-AA-0952 tificate of Recycled Materials hat Ip. 'JI tons \ loads of ~ has been diverted at our faci lity ~ of Recycling \Q() % ~inated from : ---------------------- City : ------------------------ St ate: _________ _,__ ______ _:__ _____ _ Zip: ______ _ The material was brought in by ~ OR..'\'{\() Date: \o\\e,,3-\ra-'Ji -~~~_..:=._ __ Diversion Rates: Concrete/ Asphalt: Dirt: Green Waste: Wood Waste: LING -~,_... T Signature of Receiver: __ __:....-1-:,,,-~~=-:~=-1_9_1_1 ____ _ 100% 100% 100% Docusign Envelope ID: 627OO85A-0906-4358-AC7C-47F504E7O14O U 'tf .:..-t;7 l \ 61S-42~S450 SALE lch #: 446 20124 PR CODE: 032618 ice: 72 ,A MOUNT REF#: 00000072 15:26:53 Manual C .. , .. $415.or Amswede RecycHng 149 Reed Court Chula Vista, Ca 91911 Office Phone: (619) 425-9450 State Permit# 37-AA-0952 1ificate of Recycled Materials APPROVED that ~tons \ loads of ('~ has been dive11ed at our facility e of ltecycl ing \ L() % THANK YOU COPY /-\UUI c;:,:,, ginated from: ---------------------- City: ----------------------- St ate: ----------------------- Zip: ______ _ The material was brought in by ~ c~ ~ Date: {2)\ioThJ\ -~~~-- ~ AMSW60E RECYCLING 149 REED COURT Signature of Receiver: CHULA VISTA, CA 91911 ---""llsror,0:9-4~2:5Jr.-~94~5,\:Qf--------- Diversion Rates: 65% APPROVED BY (( -0 ENTERED~ : 100% _) --JOB# I'"\~~ Red Brick: 100% Dirt: 100% CODE -5 '\ti(\) • Green Waste: 100% Wood Waste: 100% Docusign Envelope 10: 627OO8SA-0906-435B-AC7C-47FS04E7O14O ' AM~D INC • 149 REED CT A VISTA, CA 91911-5 OR-1,rtt~ SALE REF#: 00000085 ttch tt. 446 V20I24 PPR CODE: 013919 ·ace· 85 SA tUH• U • •9402 16:39·41 Manual Cl $465.0', APPROVED Amswede Recycling 149 Reed Court Chula Vista, Ca 91911 Office Phone: (619) 425-9450 State Permit# 37-AA-0952 tificate of Recycled Materials hat 3 • \a tons e of Recycling \ loads of cf)\ has been diverted at our facility (of:)% THANK YOU ginated from: ~ ....... u.-......... ---------------------- City: ------------------------ St ate: ----------------------- Zip: ______ _ The material was brought in by Date: ~ --~~~~-=-R-EC_Y_CL-IN-G - O COURT , CA 91911 Signature of Receiver: ., 25-9450 ----:~....:....S..u...l..:::!..!:.~....:.=...:=---------- (( on Debris lnerl: 65% APPROVED BY 0ENTERED~ Concrete/ Asphalt: 100% Red Brick: 100% JOB# (_ ~-~,\ Dirt: 100% CODE S C\«1 0 Green Waste: 100% Wood Waste: 100%