City of Vacaville Commercial Waste Assessment Form

For SB 1383 Covered Generators

California law (Senate Bill 1383) requires all businesses and multifamily dwellings to recycle organic waste. Organic waste is defined as food waste, green waste, landscape and pruning waste, non-hazardous wood waste, and food-soiled paper waste that is mixed in with food waste.

This form is intended to collect data about commercial business waste streams and current recycling programs in place. The information provided will be used to determine eligibility for cost-saving, optimized waste collection services for businesses impacted by SB 1383 and/or to identify those that may be exempt* and will not be used for any other purpose. Completion of this form is necessary to be considered for an exemption from the requirements of SB 1383.

*In accordance with CalRecycle regulations, businesses that have total waste services of less than or equal to 2 cubic yards and produce less than 10 gallons of organic waste per week or businesses that have total waste services of more than 2 cubic yards and produce less than 20 gallons of organic waste per week may be exempt from the requirements of SB 1383.

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* 1. Please fill out business information:

Business Name

Contact Name and Title

Physical Address (Vacaville Location)

Mailing Address

Mailing City/Town

Mailing State/Province

Mailing ZIP/Postal Code

Email Address

Phone Number

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* 2. Type of Business:

Apartment / Multi Family Dwelling

Commercial Business (not located within a plaza)

Commercial Business within a Commercial/Shopping Plaza*

*Plaza Name, if applicable:

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* 3. Does this business share a trash or recycling container with other businesses (Ex. Businesses in a commercial plaza)?

Yes

No - Skip to Question 5

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* 4. If known, please list facilities/property manager contact information below.

Facilities/Properties Manager Name & Title

Company Name

Telephone

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* 5. Is the trash/recycling container or enclosure locked to prevent unauthorized access?

Yes

Unknown

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* 6. What is the estimated percentage of materials your business produces to your total waste flow?

	0%	1%-25%	26%-50%	51%-75%	76%-100%
Cardboard	Cardboard 0%	Cardboard 1%-25%	Cardboard 26%-50%	Cardboard 51%-75%	Cardboard 76%-100%
Food/Organics	Food/Organics 0%	Food/Organics 1%-25%	Food/Organics 26%-50%	Food/Organics 51%-75%	Food/Organics 76%-100%
Glass/Jars	Glass/Jars 0%	Glass/Jars 1%-25%	Glass/Jars 26%-50%	Glass/Jars 51%-75%	Glass/Jars 76%-100%
Lumber / Clean Wood / Pallets	Lumber / Clean Wood / Pallets 0%	Lumber / Clean Wood / Pallets 1%-25%	Lumber / Clean Wood / Pallets 26%-50%	Lumber / Clean Wood / Pallets 51%-75%	Lumber / Clean Wood / Pallets 76%-100%
Metals	Metals 0%	Metals 1%-25%	Metals 26%-50%	Metals 51%-75%	Metals 76%-100%
Mixed Materials (C&D)	Mixed Materials (C&D) 0%	Mixed Materials (C&D) 1%-25%	Mixed Materials (C&D) 26%-50%	Mixed Materials (C&D) 51%-75%	Mixed Materials (C&D) 76%-100%
Paper	Paper 0%	Paper 1%-25%	Paper 26%-50%	Paper 51%-75%	Paper 76%-100%
Plastics	Plastics 0%	Plastics 1%-25%	Plastics 26%-50%	Plastics 51%-75%	Plastics 76%-100%
Salvaged Items	Salvaged Items 0%	Salvaged Items 1%-25%	Salvaged Items 26%-50%	Salvaged Items 51%-75%	Salvaged Items 76%-100%
Textiles	Textiles 0%	Textiles 1%-25%	Textiles 26%-50%	Textiles 51%-75%	Textiles 76%-100%
Trash/Landfill	Trash/Landfill 0%	Trash/Landfill 1%-25%	Trash/Landfill 26%-50%	Trash/Landfill 51%-75%	Trash/Landfill 76%-100%

Other (please specify material & percentage)

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* 7. Please describe all recycling & organics diversion programs already in place.

List all material types recycled such as food waste, green waste, cardboard, bottles/cans, plastic film, plastic/wood pallets, food donations, etc., if applicable. Responses must include: Material Type, Method of Transportation (pickup from site or self-haul to another location), and Destination of Donated/Recycled Materials.

Example: “Beverage Containers are self-hauled to Recycle Zone (Fairfield, CA) where it is sold back at CRV rate.”