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Florida Department of Environmental Protection
Waste Tire Collector Registration Notification
Expires April 1, 2018
Monday , July 10,2017
The Company listed below has registered with the Department as a Waste Tire Collector in
accordance with Chapter 62-711.520, F.A.C., and registration decals have been issued to the
vehicles listed below. These decals are valid until April 1, 2018 unless revoked. Decals must be
affixed to the assigned vehicle on the driver's side door of that vehicle. Decals are $35.00 each.
For further information call "Waste Tires" at 850-245-8756.
_______________________________________________________________________________________________________
WACS ID:
No
00097482
Decal #
Name:
YR
JOMAH TRADING, INC.
MAKE
TYPE
DBA:
GREEN TIRE DISPOSAL
VIN #
TAG #
ST
Owner #
_______________________________________________________________________________________________________
1
1740
1998
DODG
PK
3B7HC13Y1WG245895
EBYP57
FL
2
1741
1998
FORD
PK
2FTZX0763WCB04531
IAHX05
FL
3
1742
1999
MAZD
PK
4F4YR12C0XTM30357
HQBL12
FL
Florida Department of
Environmental Protection
Bob Martinez Center
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
DEP Form # 62-701.900(18), F.A.C.
Form Title Waste Tire Collector Registration
Application
Effective Date: January 6, 2010
DEP Application No.____________________________
(Completed by DEP)
WASTE TIRE COLLECTOR REGISTRATION APPLICATION
Pursuant to Rule 62-711.520, Florida Administrative Code, to obtain a waste tire collector registration number and
approval to transport waste tires, a collector shall submit the following information on this form to the Department.
□ For Hire Collector
Type of Collector:
□ Not For Hire
□ Registered with ICC
□ Government Entity
Part I- Business Information:
1.
JOMAH TRADING, INC.
Business name of collector:
WACS ID Number:
97482
(assigned by Department)
2.
Other business names of collector (DBA's):
3.
Mailing address of collector:
City
4.
18200 S Dixie Hwy
Miami
FL
State
Street address of collector:
City
GREEN TIRE DISPOSAL
Zip
33157
18200 S Dixie Hwy
Miami
County
Miami-Dade
(305) 278-4632
State
FL
Zip
33157
[email protected]
5.
Telephone number of collector:
6.
Federal Employer Identification number (FEID) of Collector:
7.
Have any enforcement actions been taken by the Department or other governmental agency against the applicant for
violation of Department rules relating to the collection or disposal of waste tires? This includes any Complaint, Notice of
Violation, revocation or suspension of a registration, as well as any Consent Order in which a violation of Department rules
is admitted. It does not include a Warning Letter, Warning Notice, Notice of Noncompliance, or other similar document
which does not constitute agency action.
□ Yes □
✔
No
Email address:
If yes, attach a history and description of the enforcement actions.
Part II- Person in charge of Waste Tire Collection Operations:
N/A
1.
Name of Person in charge of Waste Tire Collection Operations:
2.
Date of Birth of Person in charge of Waste Tire Collection Operations:
N/A
Corporations also complete Part III.
GREEN TIRE DISPOSAL
1.
Corporation Name:
2.
Corporation Filing Date:
3.
Corporation Officers:
4.
Florida Resident Agent of Corporation:
DEP FORM 62-701.900(18)
Effective January 6, 2010
06/28/2006
State of Incorporation:
N/A
JEAN PAUL COHEN
Page 1 of 2
FL
WACS ID:
Part IV- Collection and Disposal Information:
1.
List all known locations where you will be collecting waste tires (attach additional sheets if necessary)
Name
Address
City
State
See attached sheet.
2.
List all known locations where you will be delivering or depositing waste tires for recycling or disposal (attach additional
sheets if necessary):
Name
Address
City
State
See attached sheet.
Part V.- Vehicles to be Registered:
3
1.
Number of vehicles to be used:
2.
Vehicles registration information:
a. A legible copy of the current vehicle registration is required for each vehicle registered. The registration must show
State of registration, year, make, tag number, vehicle identification number, and registered owner.
b.
IF the vehicle is not owned by the collector, an authorization from the vehicle owner for the vehicle to be registered
for waste tire collection must be attached to this application.
c.
IF Common Carrier, list Interstate Commerce Commission (ICC) authority number for the company:
Part VI. Registration Fee Information
1.
Waste tire collector registration status: □ New
□✔ Renewal
If registration is a renewal, list previous registration number(s)
2.
N/A
Attach payment for registration fees pursuant to Rule 62-711.520(11), F.A.C.
Number of vehicles #
3
x $35 =
$
105
= Amount of Payment
Part VII. Certification
To the best of my knowledge and belief, I certify the information provided in this application is true, accurate, and correct. I have
attached all documents and/or authorizations that are required.
Kathy Cohen
Kathy Cohen
07/03/2017
Print Name of Authorized Agent
Signature of Authorized Agent
Date
Mail completed form to:
Florida Department of Environmental Protection
Division of Waste Management / Tires
2600 Blair Stone Road, MS 4550
Tallahassee, Florida 32399-2400
DEP FORM 62-701.900(18)
Effective January 6, 2010
Page 2 of 2
Florida Department of
Environmental Protection
Bob Martinez Center
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Rick Scott
Governor
Carlos Lopez-Cantera
Lt. Governor
Noah Valenstein
Secretary
Waste Tire Collector Registration
Collection and Disposal Locations Attachment
WACS ID: 97482
Collector Name: JOMAH TRADING, INC.
Year: 2016
Part IV - Collection and Disposal Information:
1. List all known locations where you will be collecting waste tires
Name
Mr goma tIRES
Mrgoma Tires
Address
3251 NW 27TH AVE
202825 nw 2nd Ave
City
MIAMI
miami
State
FL
fl
2. List all known locations where you will be delivering or depositing waste tires for recycling or
disposal
WACS ID
99254
Name & Details
AMERICAN TIRE RECYCLING GROUP, LLC ~ 3551 NW
116th St ~ Miami ~ 33167
State
Florida
D IVISION
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Profit Corporation
JOMAH TRADING, INC.
Filing Information
Document Number
P06000087539
FEI/EIN Number
20-5134381
Date Filed
06/28/2006
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
07/01/2014
Event Effective Date
NONE
Principal Address
18200 S DIXIE HWY
MIAMI, FL 33157
Changed: 04/29/2013
Mailing Address
18200 S DIXIE HWY
MIAMI, FL 33157
Changed: 04/29/2013
Registered Agent Name & Address
JEAN, COHEN P
18200 S DIXIE HWY
MIAMI, FL 33157
Name Changed: 04/08/2008
Address Changed: 04/29/2013
Officer/Director Detail
Name & Address
Title P
COHEN, JEAN P
18200 S DIXIE HWY
MIAMI, FL 33157
OF
C ORPORATIONS
Title S
COHEN, KATHERINE
18200 S DIXIE HWY
MIAMI, FL 33157
Annual Reports
Report Year
Filed Date
2015
02/09/2015
2016
03/28/2016
2017
04/17/2017
Document Images
04/17/2017 -- ANNUAL REPORT
View image in PDF format
03/28/2016 -- ANNUAL REPORT
View image in PDF format
02/09/2015 -- ANNUAL REPORT
View image in PDF format
07/01/2014 -- Amendment
View image in PDF format
04/30/2014 -- ANNUAL REPORT
View image in PDF format
08/08/2013 -- Amendment
View image in PDF format
04/29/2013 -- ANNUAL REPORT
View image in PDF format
04/10/2012 -- ANNUAL REPORT
View image in PDF format
07/12/2011 -- Amendment
View image in PDF format
04/29/2011 -- ANNUAL REPORT
View image in PDF format
03/24/2010 -- ANNUAL REPORT
View image in PDF format
08/31/2009 -- ANNUAL REPORT
View image in PDF format
07/14/2009 -- Amendment
View image in PDF format
04/08/2008 -- ANNUAL REPORT
View image in PDF format
05/14/2007 -- ANNUAL REPORT
View image in PDF format
06/28/2006 -- Domestic Profit
View image in PDF format
Florida Department of State, Division of Corporations
DEP Form # 62-701.900(22), F.A.C.
Florida Department of
Environmental Protection
Form Title:Waste Tire Collector Annual Report
Effective Date: January 6, 2010
DEP Application No.
_____________________
(Completed by DEP)
Bob Martinez Center
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
WASTE TIRE COLLECTOR ANNUAL REPORT
2016
(For Calendar Year Ending
)
Pursuant to Rule 62-711.520, Florida Administrative Code, waste tire collectors are required to submit the following
information to the Department by March 1 of each year. The annual report must be submitted along with the annual
registration renewal application and registration fee as a condition of holding a waste tire collector registration
number.
1. Business name:
JOMAH TRADING, INC.
2. Business mailing address:
WACS ID Number: 97482
(assigned by Department)
18200 S Dixie Hwy
City:
State:
3. Business street address:
State:
4. Business telephone:
Zip:
33157
Zip:
33157
18200 S Dixie Hwy
Miami
City:
FL
(305) 278-4632
FL
Email address:
[email protected]
5. Total quantity of waste tires, expressed in tons, collected or generated during the calendar year
3
(assume100 tires per ton or 10 tires per cubic yard):
tons tires
6. Describe how the waste tires collected were disposed of during the calendar year, reported in tons. (assume 100
passenger tires per ton, 20 truck tires per ton.)
A. List total quantity of waste tires sold as used tires.
A.
B. List quantity of waste tire casings sold.
B.
1
0
tons tires
tons tires
C. List quantity of waste tires hauled off by other Waste Tire Collectors. Attach additional sheets, if necessary.
Name of Other Collector
Collector Registration Number
Quantity in
tons
See attached sheet.
C.
D.
1
tons tires
List the facilities where waste tires were deposited for disposal or recycling and the quantity disposed at each
location. Attach additional sheets, if necessary.
Name of Facility
Address / City / State
Quantity in
tons
See attached sheet.
D.
TOTAL Tires sold or deposited for disposal or recycling
DEP FORM 62-701.900(22)
Effective January 6, 2010
Page 1 of 2
A+B+C+D
1
3
tons tires
tons tires
WACS ID: 97482
7. Explain any differences between Waste Tires Collected (item 5) and Waste Tires Deposited (item 6):
8. Waste tire collector registration number(s):
N/A
Jean Cohen
(305) 278-4632
9. Authorized person preparing report:
10. Telephone number of person preparing report:
11. Certification:
To the best of my knowledge and belief, I certify the information provided in this report is true, accurate and
correct.
Kathy Cohen
Kathy Cohen
Print Name of Authorized Agent
Signature of Authorized Agent
Mail completed form to:
Florida Department of Environmental Protection
Division of Waste Management / Tires
2600 Blair Stone Road, MS 4550
Tallahassee, Florida 32399-2400
DEP FORM 62-701.900(22)
Effective January 6, 2010
Page 2 of 2
07/03/2017
Date
Florida Department of
Environmental Protection
Bob Martinez Center
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Rick Scott
Governor
Carlos Lopez-Cantera
Lt. Governor
Noah Valenstein
Secretary
Wate Tire Collector Annual Report
Hauled & Disposal Locations Attachment
WACS ID: 97482
Collector Name: JOMAH TRADING, INC.
Year: 2016
6. Describe how the waste tires collected were disposed of during the calendar year, reported in tons.
Assume 100 passenger tires per ton, 20 truck tires per ton.)
C. List quantity of waste tires hauled off by other Waste Tire Collectors.
Name
WACS ID
YAQUELIN SANTANA DE
103461
ORTOLANI
County
Quantity
MIAMI-DADE
1
D. List the facilities where waste tires were deposited for disposal or recycling and the quantity disposed
at each location.
WACS ID
Name & Details
State
Quantity
AMERICAN TIRE RECYCLING GROUP, LLC ~
99254
Florida
1
3551 NW 116th St ~ Miami ~ 33167
Thigpen, Hope
From:
Sent:
To:
Subject:
Attachments:
[email protected]
Monday, July 3, 2017 11:36 AM
Waste Registration
Waste Tire Collector Registration - 97482
ca5cbcf9ae29b71234502ada6378786.pdf; e744bba36967a45d911ceae369d3948.pdf
Florida Department of
Environmental Protection
Bob Martinez Center
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Rick Scott
Governor
Carlos Lopez-Cantera
Lt. Governor
Noah Valenstein
Secretary
Waste Tire Collector Registration
Confirmation of Submission
July 03, 2017
Kathy Cohen has completed the registration process for the facility listed as:
WACS ID: 97482
JOMAH TRADING, INC.
18200 S Dixie Hwy
Miami, FL 33157
County: MIAMI‐DADE
Attached is a copy of the application and a copy of the annual report (if available).
They reported:
Tonnage Remaining: 0
Tonnage Collected: 3
Tonnage Disposed: 3
New Tonnage Remaining: 0
Copies of each vehicle registration uploaded are located at:
http://webapps.dep.state.fl.us/common/ESSA/uploads/205059/Vehicle_Information/COHEN_K_1_07‐03‐2017‐11‐
08‐46.pdf
1
http://webapps.dep.state.fl.us/common/ESSA/uploads/205059/Vehicle_Information/COHEN_K_1_07‐03‐2017‐11‐
11‐01.pdf
http://webapps.dep.state.fl.us/common/ESSA/uploads/205059/Vehicle_Information/COHEN_K_1_07‐03‐2017‐11‐
20‐25.pdf
2
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