City Of Glendale 2019 Application for Annual Solid Waste Services Permit

City Of Glendale 2019 Application for Annual Solid Waste Services Permit

INSTRUCTIONS: Submit completed application form online via the submit button. Payments for the Private Hauler fee ($1,376) should be made out to "City of Glendale" and mailed to the Public Works Integrated Waste Management Division, 548 W. Chevy Chase Drive, Glendale, CA 91204. In return, you will be permitted to provide collection services in Glendale, and shall receive two permit decals for each solid waste and/or recycling collection vehicle indicated on the application. Haulers are also required to include their Quarterly Reporting Forms: AB 341 (Mandatory Commercial Recycling - MCR) and AB 1826 (Mandatory Organics Recycling - MORe) outreach and customer participation information, and four quarterly AB 939 Fee Payments. Information submitted will be placed on the City’s website annually. In addition, all solid waste haulers must include with this permit application a copy of the MCR and MORe outreach sent to applicable customers in 2019.

Location(s) where vehicles will be kept:


In the table below, please list all solid waste and recycling collection vehicles operated in Glendale. Required information for each vehicle includes: license plate number, collection service provided, collection method fuel type, primary landfill, recycling processor, and/or transfer station. Attach additional copies of this page if necessary via the upload input below.

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By completing this application for a City of Glendale Solid Waste Services Permit, the aforementioned firm indemnifies and holds harmless the City of Glendale, its officers and employees from any and all losses, costs, damages, and expenses of liability which may result from or arise out of granting the Solid Waste Services Permit, including liability under the Comprehensive Environmental Response Compensation and Liability Act.

In addition, the aforementioned firm hereby states that it understands its obligations as a holder of a Solid Waste Services Permit, and that it will comply with the terms and conditions of the applicable provisions in the Glendale Municipal Code. I certify under penalty of perjury that the information on this form is true and correct to the best of my knowledge.