DEBRIS RECOVERYPLAN Pre-Demolition/ Pre-Construction

Project Address: City, Zip:

Date: Contractor:

Contact: Title:

Phone: Email:

Project Type:____ SF Residential-New ____ SF Residential-Remodel ___ Commercial-New ___ Commercial-TI ___ Multifamily

Specify whether materials will be reused, recycled or disposed by completing the table below. You must recycle at least 50% of all waste generated. Check the designated box and provide the name of each facility or service provider to be used. If the materials are to be reused on site, describe under the facilities/service providers column. For example, wood waste chipped on site for mulch in plant beds. Salvaged materials from deconstruction should be designated as reuse.

Material / Reuse / Recycle / Dispose / Facility/Service Provider to be used*
Asphalt
Brick
Cardboard
Carpet
Concrete
Dirt/Clean Fill
Dry Wall
Metal
Pallets
Plant Debris
Plastics
Roofing – asphalt composition shingle, tile, wood shake, tar or gravel
Wood - clean
Wood - treated
Other
Other

For assistance in recovering materials at the jobsite, visit the following websites for a Builders Guide to Reuse and Recycling.

AlamedaCounty877/Stopwaste

Contra Costa County 925/335-1225

Marin County415/499-6647

NapaCounty707/257-9292

San FranciscoCounty 415/554-7329

San MateoCounty888/442-2666

Santa ClaraCounty 408/924-5453

SolanoCounty 707/421-6765

SonomaCounty707/565-3375

DEBRIS RECOVERY STATEMENT – Post Demolition/Construction

Project Address: City, Zip:

Date: Contractor:

Contact: Title:

Phone: Email:

Project Type:____ SF Residential-New ____ SF Residential-Remodel ___ Commercial-New ___ Commercial-TI ___ Multifamily

Identify which materials were reused, recycled or disposed by completing the table below. Check the designated box and provide the name of each facility or service provider and weight of materials. If the materials were reused on site, describe the reuse application under the facilities/service providers column. Salvaged materials from deconstruction should be designated as reuse. Attach copies of receipts, gate tags, or other verifying documentation.

Material / Reuse / Recycle / Dispose / Facility/Service Provider / Weight (tons)
Asphalt
Brick
Cardboard
Carpet
Concrete
Dirt/Clean Fill
Dry Wall
Metal
Pallets
Plastics
Plant Debris
Roofing - asphalt composition shingle, tile, wood shake, tar or gravel
Wood - clean
Wood - treated
Other ______
Other ______

MATERIAL GENERATION SYNOPSIS

A. Total tons of materials generated for the project:

B. Total tons of materials disposed (not recycled):

C. Total tons of materials salvaged, reused, or recycled:

D. Percentage of materials recycled/reused (divide C by A): %