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2. FOOD RECYCLING SELF-REPORTING
                            Please return via mail, email, or online at:
   Mail: City of Anaheim, Recycling Coordinator
   400 E. Vermont Ave., Anaheim, CA 92805
   Email: organics@anaheim.net
   Online: https://www.anaheim.net/FormCenter/Public-   Works-5/Food-Recycling-SelfReporting-2019-170

4. Business Name:
6. Business Address:
8. Contact Person:
9. Phone #:
11. Email:

13. Is your business located in a Plaza/Business Center? If YES, please indicate the name and contact information.

15. Name of Plaza/Business Center:
17. Contact Name:
18. Title:
20. Email:
21. Phone #:
23. 1. What is the status of your food scraps recycling program?

    1. Active: Our business currently diverts food scraps from the landfill.
    2. No program: Our business currently does not have a food scraps recycling program. If you do not currently have a food scraps recycling program, please explain why below:
25. If you do not currently have a food scraps recycling program, please explain why below:
27. 2. Food Scrap materials generated at your business include (check all that apply):

    1. Pre-consumer food scraps (i.e., vegetable trimmings, spoiled produce, etc.)
    2. Post-consumer food scraps (i.e., plate scrapings, employee/customer discarded food)
    3. Edible but excess or expired foods
    4. Landscaping/green waste
    5. Other—Please describe:
29. Other-Please describe:
31. If you marked your program as “active” under question 1, then indicate below how your business recycles food scraps:

    1. Food donation - Food pantry/food bank collects food donations.
    2. Backhauling and/or self-hauling - Food Scraps are taken to a central location for composting, recycling, and/or used for animal feed.
    3. Landscaping - Trimmings are collected by a landscaping company
    4. Other - Vendor collects and recycles food scraps (i.e., agricultural reuse, fat renderer).
33. Food Donation Business Name:
34. Food Donation City:
35. Food Donation Phone:
37. Backhauling and/or self-hauling Facility Name:
38. Backhauling and/or self-hauling City:
39. Backhauling and/or self-haulingPhone:
41. Landscaping Business Name:
42. Landscaping City:
43. Landscaping Phone:
45. Other Vendor Name:
46. Other Vendor City:
47. Other Vendor Phone:
49. Additional Comments:
51. Name:
52. Title:
54. Signature:
55. Date:
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

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