Instructions for Form CalRecycle911-DOR-SV "Scrap Value Purchases Survey" - California

This document contains official instructions for Form CalRecycle911-DOR-SV, Scrap Value Purchases Survey - a form released and collected by the California Department of Resources Recycling and Recovery. An up-to-date fillable Form CalRecycle911-DOR-SV is available for download through this link.

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Download Instructions for Form CalRecycle911-DOR-SV "Scrap Value Purchases Survey" - California

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Monthly Scrap Value Purchases Survey Reporting Requirements
CalRecycle 911-DOR-SV (Rev. 2/18)
A. Definitions
“Authorized Representative” means the person authorized by the certified processor to submit
data for the organization as complete, accurate, and verifiable.
“Beneficiating Processor” (PR BP) means the certified processor who sells beneficiated cullet
generally to a glass container or fiberglass manufacturer. Cullet sold by PR BPs meets ASTM
standards for furnace ready glass or is substantially free of all non-glass contaminates and is
crushed to a consistent size.
“Bimetal” means a beverage container which consists of one or more metals and which is
composed primarily of steel (PRC Section 14506.3).
“Entity Type Purchased From” means the type of certified or non-certified entity type for
each container material type from which the processor purchased material, including:
RC, RV = Certified Recycling Center or Reverse Vending Machine
CS = Registered Curbside
SP = Community Service Program
CP = Drop-off or Collection Program
Non-Cert = Non-certified entity
PR = Certified Processor
Internal = An entity that is owned or managed in common with the purchasing
processor and any entity delivering curbside generated beverage container material mixed
with other material types.
For Reporting glass scrap value purchases only
PR-BP = Certified Beneficiating Processor
PR Non-BP = Certified Non-Beneficiating Processor
“Glass” means a beverage container or food or drink container, whose principal component part
or parts consist of virgin, postfilled glass, or any combination of both, in which any beverage,
food, or drink are sold. Glass does not include plate glass, automobile glass, ornamental glass,
vision ware, corning ware etc.
“Non-Beneficiating Processor” (PR Non-BP) means any person, including a scrap dealer,
certified by the Department who purchases empty beverage containers from more than one entity
type and is responsible for canceling empty beverage containers.
“Plastic Beverage Container” means a beverage container which has a body consisting
primarily of plastic (PRC Section 14517). A plastic beverage container may be in resins #1 - #7.
“Scrap Value” means the price paid for container material types subject to the California
Beverage Container Recycling and Litter Reduction Act (Act), after shipping and handling costs
are deducted.
Monthly Scrap Value Purchases Survey Reporting Requirements
CalRecycle 911-DOR-SV (Rev. 2/18)
A. Definitions
“Authorized Representative” means the person authorized by the certified processor to submit
data for the organization as complete, accurate, and verifiable.
“Beneficiating Processor” (PR BP) means the certified processor who sells beneficiated cullet
generally to a glass container or fiberglass manufacturer. Cullet sold by PR BPs meets ASTM
standards for furnace ready glass or is substantially free of all non-glass contaminates and is
crushed to a consistent size.
“Bimetal” means a beverage container which consists of one or more metals and which is
composed primarily of steel (PRC Section 14506.3).
“Entity Type Purchased From” means the type of certified or non-certified entity type for
each container material type from which the processor purchased material, including:
RC, RV = Certified Recycling Center or Reverse Vending Machine
CS = Registered Curbside
SP = Community Service Program
CP = Drop-off or Collection Program
Non-Cert = Non-certified entity
PR = Certified Processor
Internal = An entity that is owned or managed in common with the purchasing
processor and any entity delivering curbside generated beverage container material mixed
with other material types.
For Reporting glass scrap value purchases only
PR-BP = Certified Beneficiating Processor
PR Non-BP = Certified Non-Beneficiating Processor
“Glass” means a beverage container or food or drink container, whose principal component part
or parts consist of virgin, postfilled glass, or any combination of both, in which any beverage,
food, or drink are sold. Glass does not include plate glass, automobile glass, ornamental glass,
vision ware, corning ware etc.
“Non-Beneficiating Processor” (PR Non-BP) means any person, including a scrap dealer,
certified by the Department who purchases empty beverage containers from more than one entity
type and is responsible for canceling empty beverage containers.
“Plastic Beverage Container” means a beverage container which has a body consisting
primarily of plastic (PRC Section 14517). A plastic beverage container may be in resins #1 - #7.
“Scrap Value” means the price paid for container material types subject to the California
Beverage Container Recycling and Litter Reduction Act (Act), after shipping and handling costs
are deducted.
B. Certified Processor Scrap Value Purchases Operating and Recordkeeping Procedures
The Division conducts scrap value reporting verification site visits to compare reported monthly
scrap value data and original processor records. All aggregate monthly scrap value data reported
by entity type should be consistent with the sum of all received weight documented on individual
Shipping Reports (DR6s) and weight tickets for the same time period.
This manual is a step-by-step reference manual for certified recycling centers and processors to
use when completing applicable shipping reports, processor invoices and Scrap Value Purchases
Survey Forms (Survey Forms). This manual does not cover the various operating, record
keeping, and accounting requirements with which certified recycling centers and processors must
comply (e.g. load inspections, receipts/logs preparation, daily summary preparation, etc.). Please
refer to Title 14 of the California Code of Regulations.
NOTE: If you have any questions concerning completion of the Survey Form, please contact the
Operations Branch, Market Information Section at (916) 327-3044.
C. Procedures for Completing Scrap Value Purchases Survey Form
th
Survey Forms shall be submitted to the Division no later than the 10
day of the month,
th
following the month of the report (February report due by March 10
). Completed surveys may
be faxed to the Operations Branch at (916) 445-0645 or mailed to Department of Resources
Recycling and Recovery (CalRecycle), Division of Recycling, Market Information Section Attn:
Scrap Value Survey, 801 K Street, MS #17-15, Sacramento, CA 95814.
Survey Forms must be submitted regardless of whether or not purchases occurred in the
applicable time period. If no purchases were made, the Survey Form shall be completed and sent
with zeros in all applicable areas or marked nothing to report.
The following is a step-by-step procedure for completing Survey Forms. An itemized copy of a
Survey Form described in the procedures below is attached.
Processor Name – Name of processor as it appears on the certificate issued by
Item 1:
the Division.
Item 2:
Certification Number - Processor certification number, as it appears on the
certificate issued by the Division.
Survey Month - Applicable month, for example, all purchases by the processor
Item 3:
during the month of April are reported during the survey month of April.
Item 4:
Address - Facility address, city and zip code exactly as it appears on the
certificate issued by the Division.
Phone - Area code and phone number of the authorized representative signing
Item 5:
the Survey Form.
Email Address – Email address of authorized representative.
Item 6:
Date Prepared - Date Survey Form was prepared.
Item 7:
Print Name – Printed name of authorized representative signing the Survey
Item 8:
Form.
Signature – Signature of authorized representative, by which signing the Survey
Item 9:
Form represents the information submitted is complete, accurate and verifiable.
Total Weight Purchased (Tons) – Total sum of received weight in tons
Item 10:
purchased in that month of any recyclable container material consisting of the
same material type from shippers of the same entity type, to a maximum of two
decimal points. In the case where the volume is less than one ton, (Bimetal or #3
- #7 plastics) the weight in tons should be carried to the fourth decimal point.
Total Net Payment – Total sum of dollars paid to shippers (customers) of the
Item 11:
same entity type. The Total Net Payment is the Scrap Value after shipping,
freight, administration fees, sorting or handling charges, refund value and
processing payments are deducted. The Total Net Payment may be a positive,
zero, or negative dollar amount.
For Reporting Glass Scrap Value Purchases Only
Monthly total weight (tons) by color – The total received weight by color of
Item 12:
each of the factions of glass purchased. The total of flint, amber, green and
mixed glass must equal the sum of the total received weight purchased from RC,
CS, SP, CP, Non-Cert and Internal entities.
For Reporting Processor to Processor Glass Scrap Value Purchases Only
Monthly total weight (tons) – The total received weight of Color-Sorted and
Item 13:
Mixed-Color (Mixed) glass purchased. The sum of the total weight in tons of
Color-Sorted and Mixed-Color glass must equal the sum of the total received
weight purchased from PR BP and PR Non-BP (#9 and #10) for processor to
processor transactions.
Bimetal and plastic beverage containers are reported as previously described except that separate
reporting is not required by color or for processor to processor transactions, as in case of glass
container material.
Plastic beverage containers resins #1 - #7 are empty beverage container materials (CRV) and
Non-CRV materials in each of the corresponding resin types: # 1 PET (polyethylene
terephthalate), # 2 HDPE (high density polyethylene), # 3 V (Vinyl), # 4 LDPE (low density
polyethylene), # 5 PP (polypropylene), # 6 PS (polystyrene) and # 7 OTHER. #7 OTHER
includes any container made from a material that is not #1 through #6 or is made from more than
one type of plastic (multilayered). Each plastic resin type must be recorded in the appropriate
boxes.
ITEMIZED SAMPLE - Scrap Value Purchases Survey Form
SCRAP VALUE PURCHASES SURVEY FORM
State of California
Department of Resource Recycling & Recovery
Market Information Unit, 801 K Street, 17th Floor, MS 17-24, Sacramento, CA 95814
Phone: (916) 323-5778 Fax: (916) 552-4913
Confidential
Bimetal:
1
Processor Name:
10
11
Entity Type
Total Weight
Total Net
2
Payment
Purchased From
Purchased (Tons)
Certification Number:
3
1. RC, RV
Survey Month:
4
2. CS
Address:
5
3. SP
Phone:
4. CP
6
E-mail Address:
5. Non-Cert
7
Date Prepared:
6. PR
To the best of my knowledge the information
submitted on this scrap value survey form is
7. Internal
complete, accurate and verifiable.
8
PETE Plastic:
Print Name:
(polyethylene terephthalate)
10
11
9
Entity Type
Total Weight
Total Net
Signature:
Purchased From
Purchased (Tons)
Payment
Glass:
1. RC, RV
10
11
Total Weight
Total Net
Entity Type
2. CS
Purchased From
Purchased (Tons)
Payment
3. SP
1. RC, RV
4. CP
2. CS
5. Non-Cert
3. SP
6. PR
4. CP
7. Internal
5. Non-Cert
6. Internal
HDPE Plastic:
(high density polyethylene)
10
11
12
Total Weight
Total Net
Entity Type
Monthly Total weight (tons) by color:
Purchased From
Purchased (Tons)
Payment
Flint:
Green:
1. RC, RV
Amber:
Mixed:
2. CS
Processor to Processor Transactions:
3. SP
10
11
Total Weight
Total Net
Entity Type
Payment
Purchased From
Purchased (Tons)
4. CP
7. PR BP
5. Non-Cert
8. PR Non-PB
6. PR
7. Internal
13
Monthly total weight (tons):
Color Sorted:
Mixed:
CalRecycle 911-DOR-SV (Rev. 2/18)
(Page 1)
SCRAP VALUE PURCHASES SURVEY FORM
Market Information Unit, 801 K Street, 17th Floor, MS 17-24, Sacramento, CA 95814
Phone: (916) 323-5778 Fax: (916) 552-4913
Confidential
PP:
(polypropylene)
1
Processor Name:
10
11
Total Weight
Total Net
Entity Type
2
Purchased From
Purchased (Tons)
Payment
Certification Number:
3
1. RC, RV
Survey Month:
2. CS
3. SP
4. CP
5. Non-Cert
6. PR
7. Internal
.
V:
PS:
(vinyl)
(polystyrene)
10
10
11
11
Total Weight
Total Net
Total Weight
Total Net
Entity Type
Entity Type
Purchased From
Payment
Purchased (Tons)
Purchased From
Purchased (Tons)
Payment
1. RC, RV
1. RC, RV
2. CS
2. CS
3. SP
3. SP
4. CP
4. CP
5. Non-Cert
5. Non-Cert
6. PR
6. PR
7. Internal
7. Internal
OTHER:
LDPE:
(low density polyethylene)
(includes multilayer)
10
11
10
11
Total Net
Entity Type
Total Weight
Total Net
Entity Type
Total Weight
Purchased From
Purchased From
Purchased (Tons)
Payment
Payment
Purchased (Tons)
1. RC, RV
1. RC, RV
2. CS
2. CS
3. SP
3. SP
4. CP
4. CP
5. Non-Cert
5. Non-Cert
6. PR
6. PR
7. Internal
7. Internal
CalRecycle 911-DOR-SV (Rev. 2/18)
(Page 2)