Attachment 2- Debris Recovery Statement.pdf

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Attached to
Amendment 0001 - Installation of Equipment- 13 Water Bottle Filling (W91QF426BA010)
Solicitation number
W91QF426BA010
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This is a Debris Recovery Statement template for post-demolition and construction projects in Monterey County, California. The form requires contractors to document and track the disposition of all waste materials generated during project execution, with a mandatory minimum recycling/reuse rate of 60 percent.

The statement requires contractors to complete a detailed materials table identifying each waste stream (asphalt, brick, cardboard, carpet, concrete, dirt/clean fill, drywall, metal, pallets, plastics, plant debris, roofing materials, clean wood, treated wood, and other materials) and designating whether each material category was reused, recycled, or disposed. For each material, contractors must identify the specific facility or service provider receiving the materials and document the weight in tons. Materials reused on-site must include a description of the reuse application, and salvaged materials from deconstruction should be designated as reuse. The form requires contractors to attach copies of receipts, gate tags, or other verifying documentation to support all reported dispositions. The Material Generation Synopsis section requires calculation of total tons generated, total tons disposed, total tons salvaged/reused/recycled, and the percentage of materials recycled or reused. Supporting resources are available through the County of Monterey's Builders Guide to Reuse and Recycling website.

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SOW - 9

Form Rev: 10 February 2021

DEBRIS RECOVERY STATEMENT – Post Demolition/Construction

Project Address: _____________________________________ Contractor: _________________________________________ Date: ______________________________________________ Contact: ____________________________________________ Phone: _____________________________________ ________ Email: _____________________________________________ Project: ____________________________________________

Identify which materials were reused, recycled or disposed by completing the table below. You must recycle at least 60% of all waste generated. 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 provider 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):_____________ %

For assistance in recovering materials at the jobsite, visit the following website for a Builders Guide to Reuse and Recycling for the County of Monterey, California.

https://www.co.monterey.ca.us/government/departments-a-h/health/environmental-health/recycling/construction-and-demolition-recycling

Project Address:
Contractor:
Date:
Contact:
Phone:
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Project:
Other_2:
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 recycledreused divide C by A:
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