* Also known as the Sonoma County Waste Management Agency (SCWMA)
Form continues on the back.
EXEMPTION REQUEST FOR A BUSINESS, NON-PROFIT, OR MULTIFAMILY
Information on this report will not be disclosed except as required under the law
This request pertains to (select one):
AB 341 (Recycling)
AB 1826 (Organics)
Both
General information (must be filled out completely):
Property name:
Business
Non-profit
Multifamily complex (Please list # of units _______________ )
Street address (No P.O. Boxes):
City:
Zip:
Mailing address (if different):
City:
Zip:
Contact name:
Phone number:
Email address:
Reasons for exemption (Use all that apply and attach additional documentation as necessary):
1. We use a drop-off or buy-back facility for Recyclables Organics
Please provide a description of the material, the amount generated each week (weight in pounds), as
well as a contact name and phone number at the facility.
2. Our regional distribution center disposes of our Recyclables Organics
Please provide a description of the material, the amount generated each week (weight in pounds), as
well as a contact name and phone number at the center.
3. A person or organization collects, at no cost, our Recyclables Organics
This includes food donations to people or animals. Please provide a description of the material, the
amount generated each week (weight in pounds), the name and contact info of the collector, and
any other documentation that may support your case.
4. We use a shared container for our Recyclables Organics
Please describe the sharing arrangement/parties involved, description of the material, container
size(s), and container location(s).
5. There is insuf
ficient space for storage or service of containers for Recyclables Organics
Please describe the set-up, reasons for lack of space, and attach pictures that may support your case.
Follow-up and/or site visits may be required before an exemption is granted.
6. We and/or our landscaping contractor(s) haul away our organic material for composting.
Please provide a description of the material, the amount generated each week (weight in pounds),
the contractor name and contact info (if applicable), and any other documentation that may support
your case (e.g., compost facility receipt or landscaping contract).
7. We compost our organic material on-site.
Please provide information on the type of materials being composted, a description of the compost
pile location, the approximate amount of material added to the pile every week, and attach pictures
to this form.
8. The amount of organic material generated per week is less than a ½ cubic yard.
Please provide an explanation or description of the material generated if the majority is not
compostable (e.g., steel, medical waste). A site-visit and/or follow-up may be required before an
exemption is granted.
I declare that I, the owner or property manager or their designee, have read this document and that the
facts stated herein are true to the best of my knowledge. I understand that by submitting this form, I am
subject to an annual site visit from City or County staff to confirm the facts provided above.
Signature (digital ID accepted) Date
Please submit completed forms by email or postal mail to:
Zero Waste Sonoma ATTN Xinci Tan
xinci.tan@sonoma-county.org
2300 County Center Drive STE B-100, Santa Rosa, CA 95403
click to sign
signature
click to edit