Residents of Rio Vista YOU ARE INVITED TO PARTICIPATE IN THIS ENVIRONMENTALLY IMPORTANT PROGRAM HOUSEHOLD HAZARDOUS WASTE EVENT WHO? Residents who receive and pay garbage invoices from Rio Vista Sanitation have been submitting Household Hazardous Waste fees in their payments and will not be charged additionally to make use of this temporary event. All other Rio Vista residents (multi-family housing residents and Unincorporated residents) shall be required to pay a minimum of $15 to dispose of their Household Hazardous Waste. WHAT? Household Hazardous Waste. There are many products around your house that contain hazardous components. Such products may include certain paints, cleaners, stains and varnishes, batteries (including automobile batteries), motor oil, pesticides, and fluorescent tubes. Residents of Rio Vista can conveniently dispose of household hazardous waste safely, and conveniently at the disposal center. WHEN? Saturday, May 7, 2011, from 9:00 a.m. to 12:00 p.m. or until filled to capacity WHERE? The disposal facility is located at the Public Works Corp Yard in Rio Vista at 789 St. Francis Way REGULATIONS State law limits the total amount you may transport in one vehicle to 125 pounds or 15 gallons. Wastes must be transported by a resident of the household which generated the waste and is limited to a single drop off per event. The City reserves the right to refuse waste beyond these limits. OKAY TO BRING Paint (stain, shellac, solvents, thinners, additives, oil based paint, latex paint); Adhesives (putty, caulk, epoxy, mortar, stucco, cement, wood glue); Auto (fuel, waxes, batteries, additives, motor oil, oil filters, antifreeze); Garden (sprays, fertilizers, ant trap, pesticides, herbicides, rat poison, gopher bait); Miscellaneous (propane, pool chemicals, photo chemicals, acids and caustics, household batteries, bleach and cleaners, fluorescent bulbs). NOT OKAY TO BRING E-Waste, explosives, ammunition, radioactives, pharmaceuticals, or bio-medical waste (Sharps). HOW DO I PACKAGE IT? For safety, we recommend residents to place the materials in a plastic tub or pail or a box lined with newspaper in your vehicle's trunk. Pack the materials so they will not slide, tip over, spill or break during transport. Once you are at our facility, Veolia staff will unload your wastes. Contact City Hall at 707-374-6451 with any questions that you may have regarding this event CITY OF RIO VISTA HOUSEHOLD HAZARDOUS WASTE - SPECIAL EVENT REGISTRATION LOCATION: 789 St. Francis Way, Rio Vista, CA 94571 PLEASE COMPLETE THIS FORM AND BRING IT WITH YOU TO THE EVENT Generator Information (please print) Name: ___________________________ Address: ______________________ Date: ______ City: ____________ Zip Code: _______ Are you (mark only one): □ Rio Vista Sanitation Customer □ Rio Vista Multi-family dwelling resident □ Rio Vista Unincorporated resident Multi-family dwelling and unincorporated residents will be charged a minimum fee of $15.00. Waste Information 1. Is the waste generated from your place of residence? Yes ___ No ___ Unsure ___ (Waste is not accepted at this event for businesses) 2. Is the waste marked with the name of the contents: Yes ___ No ___ Unsure ___ 3. Is the gross volume (or weight) of the waste greater Yes ____No ___ Unsure ___ than 15 gallons (or 125 pounds)? (If yes, please be aware that California Law allows a limit of 15 gallons or 125 pounds of hazardous waste that can be transported by a resident) GENERATOR SIGNATURE: ____________________________________ RESIDENCY CONFIRMED BY (INITIALS) __________ FEE COLLECTED (IF APPLICABLE-AMOUNT/INITIALS) _________