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Home My WebLink About1781 SKIMMER CT; ; CBR2018-0077; RecyclePART 2 Complete before final Inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): I1NILS]WA 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. Z - O Ci77 Print Name ,4',qc,.c _ Address /)8(fl4,.a-c."i—_ Cr' 4L'$31 CA.Date 7-Z&-. Use this Final Log below to track loads of materials as they leave the job site. ©©SAVE RECEIPTS©© 71ndicat!e L quantities In tons for each material and save receipts and documents from facilities where material is taken. ionalProjectLogpagesare available if necessary.UseCity Conversion Table to convert volume to tons. A B C Date Material Type Actual Amt Reused or Actual Amt Recycled Actual Amt Disposed In Destination Facility (Name, Address, Phone) Salvaged Landfill Example: Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons Comma Real —(760) 603-0153 0 1/20 I __' &7Dt) O//LJ/zO MIX _ c4cI4SQ ______ ______ of OTOTAL s,Al fp j 65% Rate Achieved c9-5_f'1011 /_2..'-TOJ =_f._2 :5 65%fl 7DWMrsilon Total of columns A Total of columns A + B + C DIVERSION Contractor/Owner Signature - - Date Attach the following documentaji41CReport: Return completed form and documentation to: Original recycling weight tickets, !dlI weight tickets city of Carlsbad Original donation receipts witiTotos 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. 11/12/18 54 Ticket #: 2032698 PALO101AR- TRANS FER 5960 EL CAMINO REAL CARLSBAD, CA 92608 Weighmaster: reyesma3 (760)603-0153 In: January 23, 2020 9:12 am 000999 - CASH AND CHECK CUSTOMER Out: January 23, 2020 9:12 am ADDRESS carlsbad, CA 92008 Vehicle: A44498 Ref: Contract: RESI - GATE Yr. 2 BOL: GROSS 16,900 Scale In TARE 10,060 Tare Out INBOUND NET 6,840 CASH Tracking Qty: 0.00 Qty Unit Description Rate Extension Tax Total 3.42 TN MSW $75.30 $257.53 $0.00 $257.53 Origin: OCEANSIDE 100% Total $257.53 Paid $257.53 Change $0.00 .EDIT CARD-SCALE V Signature: SANCO Resource Recovery 6750 Federal Blvd. Lemon Grove, CA 91945 INVOICE (619) 287-7555 Customer: 0000 Ticket: 21785 In: 10:19 Truck: 0000 Date: 01/30/20 Out: 10:36 Container: Route: 02034 ADVANCE DEMO Origin: 020 SAN DIEGC Extended Commodity Units Rate Charge 34 CONSTRUCTION / DEMOL 7.05 68.00 per TON 479.40 [Gross(In) : 42,500. lbs Sc1#2 Tare 28,400. lbs Scl#2 Net: 14,100. lbs] PAID CREDIT CARD 479.40 Construction & Demolition Diversion Certificate -- Diversion Percentage 68% This certifies that the company listed above has utilized an EDCO 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. EDUARDO MEZA Driver SANCO Resource Recovery 6750 Federal Blvd. Lemon Grove, CA 91945 INVOICE (619) 287-7555 Customer: 0000 Ticket: 21946 In: 10:13 Truck: 0000 Date: 01/31/20 Out: 10:20 Container: Route: 02034 ADVANCE DEMO Origin: 020 SAN DIEGO Extended Commodity Units Rate Charge 34 CONSTRUCTION / DEMOL 6.35 68.00 per TON 431.80 [Gross(In) : 41,280. lbs Scl#2 Tare 28,580. lbs Scl#2 Net: 12,700. lbs] PAID CREDIT CARD 431.80 Construction & Demolition Diversion Certificate -- Diversion Percentage 68% This certifies that the company listed above has utilized an EDCO 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. EDUARDO MEZA Driver or MOODY'S EL CORAZON RECLAMATION P0 BOX 969 BONSALL, CA 92003 (760)433-3316' FAX (760) 433-6691 CITY OF ORIGIN JOB LOCATION PU TRAILER FLATBED BOBTAIL 110-WHEEL JENDDUMP T & T LOADC('UNT MATERIAL 'L.1 1 2 3 4 5 7 .5 9 10 #LOADS X PRICE OTHER CHARGES $ TOTAL SIGNATURE TRUCK# , ,, All bills due upon presentation unless otherwise MOODYS Is not responsible for damage to arranged In advance. Open accounts subject to vehicle while being loaded or unloaded In P C' 1 1/2% month, charge after 30 days unpaid yard. balance. dom COPY 267939 c- MOODY'S EL CORAZON RECLAMATION P0 BOX 969 BONSALL, CA 92003 (760)433-3316° FAX (760) 433-669] PU TRAILER FLATBED I BOBTAIL--*-"'10-WHEEL . LI END DUMP ITAT LOAD COUNT MATERIAL - 12 3 4 5 5 7 5 5 10 # LOADS X PRICE OTHER CHARGES .0 $ TOTAL SIGNATURE TRUCK# All bills due upon presentation unless otherwise MOODY'S is not responsible for damage to arranged In advance. Open accounts subject to vehicle while being loaded or unloaded In 11/2% month, charge after 30 days unpaid yard. balance. JOB COW 2678,80