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HomeMy WebLinkAbout1346 BULRUSH CT; ; CBR2022-4771; RecycleCBR2022-4771 (cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov Applicable to ALL NEW CONS RUCTION, ADDITIONS AND AL TE RATIONS . 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 Waste Management at (442) 339-9400, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless ou are self- haulin roved haulers must be used for all construction ro·ects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. - Applicant Information Permit No. Project Title Iverson Project Address 1344 Bull rush Court APN 215-850-07-00 Iverson, Anne Owner Contractor Architect Other Applicant Name [l] □ □ □ last First Applicant Address 1344 Bull rush Court Phone 760 815-8545 E-mail Address aiverson@gmail.com --------------------- Applicant Mailing Address (if different than project address) 1344 Bullrush Court Project Type (check all that apply): Residential [Z] Commercial □ Public Building □ Brief Description N_e_w_a_tt_a_ch_e_d_A_D_U _____________________________ _ Project Size 1 '176 SF (square faotage) Please check the appropriate box: Estimated Cost of Project $ 144' O 12 • 96 ----------------- I ✓ I I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. DI plan on self-hauling to a certified recycling facility and will provide all receipts after construction. D This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. 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. Print Name Bart Smith Signature BoJL,\1\J\. S l"Y\tfh Date 12 /22/22 Page 1 of4 Rev. 04122 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: -..-.,:1-■111 • Permit No. Project Title Campbell Project Address 501 Stern Way APN 216-560-41-00 Applicant Name Campbell, Matthew Phone 858-382-2785 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 Parking 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: TOTAL ....... 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. 04122 ... DEBRIS RECYCLING REPORT (ACTUAL}: 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. C I 1L z-,z.1. • "fl+ Print Name Bart Smith Address ~13 ..... -t~~~-,s._c-_<._t.=,t._..,-C'-""-1'---'C."""4-7~•--------------Date 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 Exam le: 01/01/2020 Material Type Concrete (broken) ©>TOTAL Diversion Rate Achieved Attach the following documen Actual Amt Reused or Salvaged • Original recycling weight tickets, landfill weight tickets Actual Amt Recycled Stans Actual Amt Disposed in Landfill Ao otal of columns A + B + C Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 ~65%□ DIVERSION Return completed form and documentation to: City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report Page 3 of4 City of Carlsbad APR ~ 0 2024 BUILDING DIVISION IRev. 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 Tons[Unit Tons Mixed Debris Construction L? cy X 0.18 = I 0~ 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 = Ceil ing 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 = Page4of4 Rev. 041'22 ( City of Carlsbad RESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST Development Services Building Divi sion 1635 Faraday Avenue 760-602-2719 www.carlsbad ca.gov B-51 This form, signed and completed, and all receipts for the recycled materials shall be submitted to the Building Inspector prior to Final Inspection. Site Development 4.106.2 A plan is developed and implemented to manage storm water drainage during construction. 4.106.3 The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Energy Efficiency 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. Water Efficiency and Conservation Indoor Water Use 4.303.1 Indoor water use shall be reduced by at least 20 percent using one of the following methods: 1. Water saving fixtures or flow restrictors shall be used. 2. A 20 percent reduction in baseline water use shall be demonstrated. 4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not exceed maximum flow rates. 4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and shower heads) shall comply with specified performance requirements. Outdoor Water Use 4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather- based. Enhanced Durability and Reduced Maintenance 4.406.1 Joints and openings. Annular spaces around pipes, electric cables, conduits or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Management Plan 4.408.1 A minimum of 65 percent of the construction waste generated at the site is diverted to recycle or salvage. Recycled material receipts from approved recyclers must be attached to this form. 4.408.2 Where a local jurisdiction does not have a construction and demolition waste management ordinance, construction waste management plan, per form B-59, shall be submitted for approval to the enforcinq aqencv. Building Maintenance and Operation 4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. Environmental Quality Fireplaces 4.503.1 Any installed gas fireplace shall be a direct-vent sealed-combustion type. Any installed woodstove or pellet stove shall comply with US EPA Phase II emission limits where applicable. Woodstoves, pellet stoves and fireplaces shall also comply with aoolicarJ,Q.I",-.~I rv~"ln~~ -.J ECO ( 8-51 Page 1 of 2 ...,, .. , W'I _..,_., ,.._..,_,,.,, .. , APR _ 0 2 21; BUILDING DIVISION Mandatory (X ) {X ) (X ) (X ) 7/01/2011 (X ) 7/01/2011 (X) 7/01/2011 (X ) (X) (X) (X) (X) {X) Rev. 5/17 Pollutant Control 4.504.1 Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.1 Adhesive, sealants and caulks shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints, stains and other coatings shall be compliant with voe limits. 4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for ROC and other toxic compounds. 4.504.2.4 Documentation shall be provided to verify that compliant VOC limit finish materials have been used. 4.504.3 Carpet and carpet systems shall be compliant with VOC limits. 4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. 4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior finish s stems shall com I with low formaldeh de emission standards. Interior Moisture Control 4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. 4.505.3 Moisture content of building materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Exhaust fans which terminate outside the buildin Environmental Comfort 4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the fan is off. Covers or louvers shall have a minimum insulation value of R-4 .2. 4.507.2 Duct systems are sized, designed, and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. 2. Size duct systems according to ACCA 29-0 (Manual D) or equivalent 3. Select heatin and cool in e ui ment accordin to ACCA 36-S Manual S ore uivalent. Installer and Special Inspector Qualifications 702.1 HVAC system installers are trained and certified in the proper installation of HVAC systems. 702.2 Special inspectors employed by the owner must be qualified and able to demonstrate com etence in the disci line the are ins ectin . (X) {X) (X) (X) (X) (X) (X) (X) (X) (X) X (X) (X) (X) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: -1--4,.,,___..c....;...t _·'R---'v;.._L_~ __ s_~_-_v_~_r __ +- Print Name: ~ ~ 3:tl ·02--Signed: ....__--~--+-"-1----U-.........._----.,.'------ License Numbe~ q'f C,C, Y Date: C{ <{'-iy 8-51 Page 2 of 2 Rev. 5/17 County of San Diego, Planning & Development Services ~::g~~g ~g~~~iJv.J.::~~ c•~M Trrsbad BUILDING DIVISION I APR 1 O 2024 (2013 NEC} PLANNING & DEVELOPMENT SERVICES -BUILDING DIVISl~UILDING DIVISION THIS CARD MUST BE FILLED OUT AND AVAILABLBE AT THE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION Address: t \1.44 Q,. ,. a. .. --(' -·-·-Permit Number: Owner: b.. uu" I ._, ....... \ .. , jf_ .._., Phone: 7Lo .CA\C.. • •~'\~ PDS c..~~~a~C)..4~3 \ Contractor: Phone: Area in Sq. Ft. PANEL: S, ~ 21 • ! 111.~i,~ A.I.C. '~01~i::a VOLTS \ 0 WIRE LOCATION CKT BKR WIRE MISC LTG REC REC LTG MISC WIRE BKR CKT LOCATION SIZE SIZE TYPE SIZE TYPE SIZE t\ , .... ..,,,. 1 ".I.~ \ ')..o. Qi--~ '"" \ \')., o..... .... 'l.O 2 , ................. ") ,.~_....._ ___ 0 -- (."'·\.ii., ... ') 3 ..., w 4 ·. C.'\lt,,"''-111-••) M,• -t\.,.. ,~-0.---\ \ \ 'l.. .. a.,. __ ,. 'l.O ...... -_ .... "''"--"'·-5 J a.--, \ "-.J 6 ')..O \')..a \"">. -a.. -I\ ..... \,C,. -___ , 7 J ., 8 (.~~::~,:-,) "'·--.. ~ ., "l..O \'l... 4-t.. ... 'l.. \ \'1.-Q._ ~ "I. ... 9 J \'\ _J 10 (."''"'(.loll. ... ') L ,U --~-0-.A \ .,., \'\a L-.,.., lo \ Cl. •. ~--"'--· .,...,n U. 111\1 .... 0f.'(') ..... 11 ... J 12 (. 1, ... .-.... y') Y\AC. 'l.O ,-i.. .. o,_,_ \ \ \ti. tl---f.,_ 'n~--• • to \c. .r.•~J . 13 -~ "' 14 • ..., ,o \0. Q -... \ \ \ 0 .. ~---... ,,., \,, "1.0., w "'"~" .. 15 J .. 16 ,. C) \l',-0..-. --\ "l-'"'"' o. .. ..,. ... ... ,oi.: t"'ICC••"" '-"'".., ':.oi.,.'f~ I 17 J -18 (.l i"l.CII .. \'L. o.-, .. \ \ <\ \\t,& 0.---J \ c,. a .... a. __ .... 19 -'I -20 9._,..a,._. 'l.t"> I"'-• o..-.. .. .. 'I.. \ \ ').. 0,..-.... 'l..E> ~ ......... """ 21 .. y 22 A..-n_ ,~ '"' .. d --~ ' \ ,..,. "--·-"l.l'l " .. .,. .. ~ 23 .. 1. ol 24 t "'o"'IL f. -~ ..... ,_ ... ... ,., ,,._ .. °'-·-(. \ .... " a..__._ ,~ ft ... 111.c.,,.c. 25 \~ .. -26 I.., 11,. ..... ,..,c.. \ '"'" 0..-,,1' ~ ').o 1, "'-').. \ \.l .. 0,..-... \ '5 l.,~~,or.. 27 ., " 28 \.1 ........ .._ '\.O \').a. 10...-,.,. \ \ '"· a ...... ,. \ '5 ,o,,,,E. 29 -30 ... ..,. \ "'· 0...-~-\ '5 ')."0., 31 .. 32 33 34 35 36 37 38 39 40 41 42 MAIN:[11 'l.oo AMP BRK/FUSE O MLO AFCI Protected Circ. 210.12 BUS: igg AMP 11!1 Bed, Family, Dining, Living, Halls, and Similar Rooms. Service entrance or feeder conductors: Branch circuits required: A) Size: No. B) Type: D CU □AL A) Lighting Circuits 220.12 220.140) C) Insulation: D) Conduit Size: B) Two Small Appliance Circuits 210.11(c)(1) Service Grounding Electrode Conductor/Bond: CEC 250 C) Laundry Circuit 220.11 (c)(2) A) Size GEC: No. -l\"t B) Type Wire: [j) CU □AL D) Central Heating Equipment 422.12 Ii!! Concrete Encased (UFER) 250.52(3) E) Bathroom 210.52(d) D Ground Rod{s) 250.52(5) Remarks: ~H~ ~£v.t ~ 21!.r••"' 1 ~ ... ~-~~!,!ii,!., D i:111, Ml~~ D) Size Bond: No. E) Type Wire: 0 CU □ 0 Water Pipe 250.104(a) D Gas Pipe 250.104(b) I certify that all term/nations have been torqued in accordance with D manufacturer's instructions and that the work shown on this circuit card GFCI locations 210.8, 680.21(c) 680.22-23 680.56(a) represents the full extent of the work performed under this permit. (!J Bathroom{s) ii2) Kitchen/Other Sinks [!] Owner '!) ,.~ Cc:i.!lci.o::i: D Garage(s) D Pools/Hydromassage Tub D Contractor -I Gil Outdoors D Signed Z -~ /.. ~ _L / Date ~\-) • l,,\.\ , 5510 OVERLAND AVE, SUITE 110, SAN DIEGO, CA 92123 • (858) 565-6920 • (888) 336-7553 HTTP://WWW.SDCPDS.ORG PDS 184 REV.: 01/06/2015 PAGE 1 of 2 Sample 1 I WALLACE LABS 365 Corsi Circle .,s_·o_1_L_s_RE __ P_o_R_T ___ • ,Prir< o ... Dec. 19, 2023 El Segundo, CA 90245 Location Reques1er Bioswalc Dave, North County Supply ,.(.,J_l_O.,) a6=15_-0_t_J_6 _____ ~f-!!Jll-P_h_i,_int_,rp_"'_""_ion~: ' very lc,,v, "low, ••• moderate ammonium bicnrbonnte/DTP exirnctable -mg/kg soi.I f------S-am_p_.t, ID Numl,..- lntcrpretation of data Sample Df:lcrlptton low medium high 0 -7 8-15 over 15 0-60 60-120 121-180 0-4 4-10 over 10 0-0.5 0.6-I over 1 0-1 I -1.5 overl.5 0-0.2 0.3• 0.5 over 0.5 0-0.2 0.2-0.5 over I The followlng trace ~ements may be toxic The de{1'9• of toxicity depends upon the pH of the soil, soil texture, orgentc matter, tW'ld the concentrations of th• individual !llomonls <IS well as to their Interactions. elcmenh phosphorus: potasslum Iron manW,tneae line copper boron calcium magned.um sodium sulrur molybdenum ~~di.c! alu.ntlnum ancnlc barlu.m cadmium d1romlum cobalr lead urwuru mercury 1------------,selenlum The pl{ opllmwn depend• upon ~u org~mlc matter and day con1cn1- for day and loao1 soils: und<r 5.211 loo atldk silver strontium tin vanadium 6.5 lo 7 ls Ideal Saturation Exlract over 9 Is loo alkalloe pH wlue I The ECe ls a measure of ECe (mUU- lhc .. u sollblty: mho/cm) 1-2 affect• a row plants calcium 2-4 affects some pl1101s. magnesium > 4 affect1~uany plo .. s. sodium ._ __ _._~'--.... ---~JlO!asslum problems over 150 ppm loxlc over 800 cat1on sum chloride nitrate asN phoq,borus as P sulfaleasS anion sum lode over I for manv olants boron as B lnatuln& problftlls dart ti. 3 SAR c,t. o:vo,um requlremenl-lbs./per 1,000 square reel • • • •high,• • • • • vay hi&h 23-353-14 I ~ graphic 33.666 ••••• 294.858 .... . 47.582 .... .... 34. 777 ...... . 8.362 ... ... 2.873 ..... . 0.281 ••• 497.567 •••• 281835 ....... . 163.65 .. . 74.997 .. .. 0.042 ••• 0.334 • 1.02 1 "'** 0.208 • 0.828 • 0.067 • 0.067 • 0.369 • 1.471 •• 0.039 • <0.01 • 0.191 • <0.01 • 2.285 • < 0.01 • 0.424 • 6.82 ... l.73 ... 195.7 67.7 164.1 62.2 163 10 2.9 124.9 0.28 .. 2.6 .. 38.986 1.61 milliecy'I 9.8 5.6 7.1 1.6 24.I 4.6 0.7 0.1 7.8 13.2 calculated 1>ercolatlon rate Inches/hour soil to-lure gravelly sandy loom gravel > 2 mm ~and SIU LI rue (caldum carbon11tc) Totlll u1troee11 Total carbon atrbon:nltroeen ratJo oreanlc matter based on carbon ruobture content or !SOU hair saturaUon percenta2e Elements ar• •>epresNd a• mg/kg dry-son Of" mgA for saturation &xtract. pH and EC11 are meNurlld in a aaturetlon pasre extract. nd mean1ii n01 d11tecuw:t. Analytical dala determined on soil fraction passiOJ:J a 2 ,rm sieve. 0 70.7% 24.4% 16.0% gravel > 114 inch 13.3% 3.5% slight gravel> 1/2 inch 0.367% 0.0% 3.152% 8.6 6.30% 10.2% 24.4% R~ceive Date 23-353-14 I saturation extract 2.881 62.181 2.09 3.978 0.035 0.048 0.279 195.733 67.728 164.057 124.898 <0.01 0.015 <0.01 <0.01 0.182 <0.0 1 <0.01 <0.01 <0.01 <O.ot <0.01 <0.01 <0.01 < 0.01 <0.01 < 0.01 12/18123 City of Carlsb d APR ~ 0 Z 24 BUILDING DIVI I() EDCO WASTE & RECYCLING SER ICES , INC 224 S. LAS POSAS RD SAN MARCOS, CA 92078 (760) 744-2700 INVOICE Customer: 0000 Ticket: 299 11/03/2 3 In: 11:22 Truck : 0000 Date : Out: 11:24. Container: Route : 08045 CASH CUSTOM ER Origin: 080 SAN MARCO IVERSON Commodity 45 C & D MIX [Gross ( I n) : Units .43 8,36 0 . lbs .ccl#l Rate 9 8 .00 per TON Tare 7,500. lbs Man Wt Net : 860 . Extended Charge 70 .00 lbs] PAID CHECK# 2420 70.00 Construction & Demolition Dive,sion Certificate --Divers ion Percentage 72% This certifies that the company listed above t1as utilized an EDCO facility to divert construction demolition materials in accordance with LEED requirement. The diversion tonnage is based on an overall tonnage pe rcentage of the respective EDCO facility. City of C~rlsb3~J CRUZ Driver co APR ~ J ~~1', The City of SAN • DIEGOJi Transaction #: 13667930 Account#: 2/CASH ACCOUNT Fleet #: Tag#: Transaction Type: 02/RESIDENTS Payment Type: 05/CREDIT CARD BUI LDING DIVIS!O THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISP OSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SA DIEGO, CA 92123-1636 (858) 694-7000 Date: 2/28/2024 11 :48:00 Scale Operator: KBT lncomin Hauler Type: 02/RESIDENTS Vehicle Type: 001/TIER I (2 CY) Material Type: 001/REFUSE Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Monday, 05/27/2024 (Memorial Day). Amoun Tendered:$57.00 Change Due:$0 ES-072 (REV. 7-09) PW/PS-333 This information is available in alternative formats upon request. MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Remittance Number: 8801 Flat Rate Fee Tip Fee Spec Fee RCBus Tax Recycle Total SIGNATURE $ 48.03 $0 $0 $ 8.97 $ 57.00 The Cityo/ SAN• Dl~GOJi Transaction #: 13690215 Account#: 1/CASH ACCOUNT Fleet#: Tag#: THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Date: 3/20/2024 13:09:34 Scale Operator: AMI Incoming /FB 02 Transaction Type: 01 /BUS.--NON RESIDENTIAL Payment Type: 05/CREDIT CARD Hauler Type: 01/BUS.--NON RESIDENTIAL Veh icle Type: 001/TIER I (2 CY) Material Type: 001/REFUSE Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Monday, 05/27/2024 (Memorial Day). Amount Tendered:$57.00 Change Due:$0 ES-072 (REV. 7 -09) PW/PS-333 This information is available in alternative formats upon request. The Cityo,' SAN DIEG SAN DIEGO, CA 92111 (858) 694-7000 lr.ansaction 126970 Transaction#: 13700481 Account #: 2/CASH ACCOUNT Fleet#: Tag#: Transaction Type: 02/RESIDENTS Payment Type: 05/CREDIT CARD Hauler Type: 02/RES IDENTS THE CITY OF SAN DIEGO ,'IRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION .:HAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Date: 3/29/2024 11 :24:41 Scale Operator: RCH Incoming /FB 01 --~..,,..,..-~- Vehicle Type: 001/TIER I (2 CY) Material Type : 001 /REFUSE Origin: 001 /SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Monday, 05/27/2024 (Memorial Day). Amount Tendered:$57.00 Change Due:$0 ES-072 (REV. 7-09) PW/PS-333 This information is available in alternative formats upon request MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Remittance Number: 8801 Flat Rate Fee Tip Fee Spec Fee RCBus Tax Recycle Total SIGNATURE $ 42.00 $0 $ 6.00 $ 9.00 $ 57.00 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Remittance Number: 8801 Flat Rate Fee Tip Fee Spec Fee RCBus Tax Recycle Total SIGNATURE $ 48.03 $0 $0 $ 8.97 $ 57.00