Occupancy Report
City of Oxnard
C&D Environmental Resources Management & Recycling
Occupancy Report: Form Must Be Filed Annually
Date Submitted:_______
_____Approved
_____Further Information Needed
_____Denied
Staff Initials:___________
Applicant:
Project Name:
Project Number:
Job Site:
Total Square Footage of Project:
Street Address:
City, State, Zip:
Project Manager:
Signature of Person Completing Form:
Phone:
Fax:
Cell Phone:
Quantity of Material Diverted (reused, recycled):
Email:
From
through
From
through
(See Other Side for Occupancy Report Worksheet)
Quantity of Material Disposed (landfilled):
(See Other Side for Occupancy Report Worksheet)
The California Integrated Waste Management Act of 1989, Assembly Bill 939, requires the City to divert
50% of waste generated from the landfills. Occupants generate a significant amount of material that
can be recycled. In order to comply with AB939, the City requires Occupant to minimize materials
being landfilled by at least 50% through implementation of waste reduction and recycling efforts.
Occupants shall prepare an Environmental Resources Management & Recycling Occupancy
Report by completing the attached worksheet for materials generated during occupancy. The goal of
the Occupancy Report shall be to identify the amount of materials being disposed and the amount
being diverted through waste reduction and recycling efforts.
Occupant shall include the following information: material type recycled, reused, salvaged or disposed;
quantities; management method; destination of material including the hauler name and facility location.
The attached Environmental Resources Management & Recycling Occupancy Report worksheet or
similar format shall be used. Additional pages may be added as needed.
The Report shall include legible copies of weigh tickets, receipts, or invoices for materials sent to
disposal or reuse/recycling facilities. For other discarded or salvaged materials, Applicant must provide
documentation, on letterhead, identifying where the materials were taken, type of materials, and tons or
cubic yards disposed, recycled or reused, and identify the project generating the discarded materials.
The Environmental Resources Management & Recycling Occupancy Report shall be submitted
annually.
For additional information contact: Jay Duncan (805) 385-8059; fax 487-3860; jay.duncan@ci.oxnard.ca.us
C&D Recycling Plan Form 07/08
ENVIRONMENTAL RESOURCES MANAGEMENT & RECYCLING OCCUPANCY REPORT
Period Covered:___________ through ___________ OCCUPANCY REPORT
Environmental Resources Management & Recycling Methods
Project Name___________________________________________________
1.
2.
3.
4.
Collection in mixed recycling bin & hauled to recycling facility
5. Not enough generated to recycle
Re-used on site
6. Landfilled/Disposed
Other on-site reuse: Grasscycling, mulching, chipping of greenwaste, etc.
7. Other (Specify) or Hazardous Waste hauler
Source Separation of materials (i.e. cardboard, landscape trimmings) hauled to recycling, composting, salvage, or other reuse facility
Materials
Generated
Example:
Mixed
Recycling
Example: Trash
Mixed Recycling (bottles,
Method #
(See Above)
Hauler/Self-Haul
(N/A if reused on site)
Destination
Facility/Location
Quantities
Tons
Cubic Yd.
1
City of Oxnard
Del Norte Recycling/Oxnard
8yd/week
6
City of Oxnard
Del Norte Transfer Station
4yd/week
Units
Number of Refuse &
Recycling Bins Used
(two) 4 yard recycle
bins/week
(one)4 yard refuse bin/week
cans, paper, newspaper,
catalogs, phone books,
magazines, office paper,
paper bags, cardboard, etc.)
Cardboard
Carpet/Foam/Padding
Concrete
Construction/Demolition
material
Dirt (clean)
Food
Glass/Plate/Window
Grass Clippings
Green Waste: Leaves,
Landscape Trimmings,
Trees, Stumps, etc.
Metals (Specify)
Wood/Lumber/Pallets
Plastic/FilmWrap/Other
Produce Trimmings
Salvage Material
Textiles
Appliances/Electronics
(computers, water heaters, air
conditioners, etc.)
HazardousWaste/Paint
Batteries
Tires
Mixed Trash
Other (describe)
Add Additional Pages If Needed
TOTAL
For additional information contact: Jay Duncan (805) 385-8059; fax 487-3860; jay.duncan@ci.oxnard.ca.us
C&D Recycling Plan Form 07/08