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2. Mandatory Recycling & Organics Waiver Application
4. Business Name*
6. Business Address*
8. Contact Name*
9. Phone Number*
13. Completion of this form does not guarantee exemption.

    The application will be reviewed to determine eligibility under SB 1383, AB 1826, and/or AB 341.  Select all that apply below.

15. Minimal Generation Exemption
    -- Select One --Total solid waste is 2 cubic yards or more per week and organic waste is less than 20 gallons per week.Total solid waste is less than 2 cubic yards per week and organic waste is less than 10 gallons per week.
17. Physical Space Exemption

    Property does not have adequate space on the premises for containers as required.  Select all options used to attempt to accommodate adding organic waste:

    1. Relocation
    2. Rearrangement
    3. Expansion of the storage area
    4. Pursued sharing with neighboring properties
    5. Contacted City or Waste Management for assistance
    6. Other
19. Date
20. Explanation
22. Diversion Exemption

    Property is currently implementing actions (e.g. food donation) that result in the recycling of a significant portion of organic waste.  Provide explanation above.

24. Recycling Exemption

    Majority of waste generated is contaminated or unable to be recycled through traditional methods, due to the nature of the activity on the property (e.g. pest control company disposing of termite infested wood.)  Provide explanation above.

28. APPLICANT ACKNOWLEDGEMENT

    I, as the property owner, manager, or their designee, affirm that I have reviewed this document and declare the facts stated herein are true and correct.  I acknowledge that the City, hauler staff, or designees, may conduct periodic site visits to verify the information provided.  Additionally, I understand that I may be required to provide further documentation upon request.

30. Name*
31. Title*
32. Date*
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field