Weight or Volume Summary Worksheet - CW 4
Project Name: Date:
Insert Totals Below Compliance Method (check only one box)
Worksheets by page # Diverted (Disposed) Volume Weight
Worksheet 1 Notes:
Step 1 - Insert totals from Weight or Volume worksheets in Column C and/or D.
Step 2 - Add each Column down and enter grand totals in the boxes provided.
If Column C is larger than Column D Compliance with the 50% waste reduction requirement is achieved.
The signature below represents that the information provided on this form is true and correct and certifies that I have tracked construction
waste during the course of this project and that a minimum of 50% of the total waste has been diverted for either reuse or recycling.
Company Name: (general contractor, subcontractor, or homeowner)
Responsible Person's Name: Responsible Person's Signature:
CSLB License: Date Signed: Position with Company or Title: