Registration is required for all businesses in the City of Torrance who intend to self-haul organic waste (i.e., green materials, yard waste, and food scraps) or recyclables. Businesses not subscribing to ALL three levels of service (trash, recyclables, and organic waste) are required to manage material by self-hauling, pursuant to Torrance Municipal Code 43.9.080. Self-haulers are subject to audits and potential fees for non-compliance.

1

Date

Date

2

Business or Company Name

Business or Company Name

3

Goods or Services Provided by Your Business

Goods or Services Provided by Your Business

4

Applicant Name

Applicant Name

5

Business or Property Physical Address

Business or Property Physical Address

Street Address Line 1

Street Address Line 2

City

State/Province

Postal/Zip Code

6

Phone Number

Please enter a valid phone numberext.

7

Email

Email

8

Secondary Email (If Applicable)

Secondary Email (If Applicable)

9

Type of Materials my Business Plans to Self-Haul

Type of Materials my Business Plans to Self-Haul

Green Waste

Food Scraps

Recyclables

All the Above

None of the Above

10

Does your business subscribe to a collection service through a City of Torrance Permitted Hauler? Check all that apply

Does your business subscribe to a collection service through a City of Torrance Permitted Hauler? Check all that apply

Yes, my business subscribes to a trash collection service

Yes, my business subscribes to organic waste collection services (e.g., yard waste, brush, landscaping debris)

Yes, my business subscribes to an organic waste collection service (e.g., food scraps/waste)

Yes, my business subscribes to a recyclables collection service

No, my business does not subscribe to any collection service through a City of Torrance Permitted Hauler

11

If subscribing to any level of service, please provide the name of the Contractor serving your business

If subscribing to any level of service, please provide the name of the Contractor serving your business

AAA Rubbish

Athens Services

CR&R

EDCO Disposal

Haul-Away Rubbish

Key Disposal

Patriot Services

Republic Services

Serv-Wel Disposal

Universal Waste Systems (UWS)

Ware Disposal

Waste Management (WM)

Waste Resources

12

Please indicate the facility where recyclable materials and/or organic materials are taken:

Please indicate the facility where recyclable materials and/or organic materials are taken:

Name of Facility:

Address:

Telephone:

13

Please acknowledge and agree to the terms of being a Registered Self-Hauler in the City of Torrance (check ALL)

 *

Please acknowledge and agree to the terms of being a Registered Self-Hauler in the City of Torrance (check ALL)

New state regulations effective January 1, 2022, require all commercial self-haulers to maintain specific records. (CCR Title 14, Chapter 12, Article 3, Section 18984.9)

The records commercial businesses that self-haul must keep are delivery receipts and weight tickets from each entity receiving self-hauled materials. Records must be available upon request from the City.

If the material is transported to a site that does not have scales or that employs scales incapable of weighing the waste received, the self-hauler is not required to record the weight of the material. However, the self-hauler must maintain a record of the entity that received the material.

Annual hauling records must be made available to the City at the time of audit. Inadequate hauling records could result in monetary penalties. If, at any time, a self-hauler fails to meet these requirements, they must immediately make arrangements for the collection of this waste by a permitted hauler.

14

I agree and understand that by signing this City of Torrance Self-Hauler Registration electronically, my electronic signature is the legal equivalent of my manual/handwritten signature, and I consent to be legally bound to all statements in this City of Torrance Self-Hauler Registration. I further agree that my signature on this document is as valid as if I signed the document in writing.

I agree and understand that by signing this City of Torrance Self-Hauler Registration electronically, my electronic signature is the legal equivalent of my manual/handwritten signature, and I consent to be legally bound to all statements in this City of Torrance Self-Hauler Registration. I further agree that my signature on this document is as valid as if I signed the document in writing.

First Name

Last Name

Page 1 / 1