Application for a Group of Recyclable Food Service Packaging Items

Contact Information

Contact Name *

First

Last

Contact Title *

Company/Organization Name *

Contact Phone *

Phone Extension (if applicable)

Contact Email *

Company/Organization Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Physical address checkbox

Physical address different than mailing address

Company/Organization Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Item 1: Information

Item 1: Are you the manufacturer of this item? *

Yes - Continue to product information
No - Enter the manufacturer name

Item 1: Manufacturer Name

Item 1: Type *

Item 1: Type other

Item 1: Name (as you would like this item to appear on the List) *

Item 1: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue): See “Certification Regarding Confidentiality” at the end of application.

Item1: Additional documentation may be uploaded here

Enter the dimensions of the item in the following fields. If a dimension is not applicable, enter “0.”

Item 1: Length (inches) *

Item 1: Width (inches) *

Item 1: Height (inches) *

Item 1: Volume (ounces) *

Item 1: Material(s) Information

CalRecycle does not intend this section to require disclosure of confidential or proprietary information. If you believe that completing this section would disclose information you believe to be confidential or proprietary, contact the department at SB1335@calrecycle.ca.gov, and do not submit this form.

Item 1: If this item is comprised of a single material determined by the department to meet the requirements of subsection 17989.4(a)(3)(A), select the material from the list below. If this item or group of items contains any materials that are not identified on the list below, select “Other” and describe each such material in the text field (e.g., PET): *

Item 1: Material other

Item 1: List any identifying characteristics of the material that the item of group of items is comprised of (e.g., thermoform):

Item 1: Toxics in Packaging Prevention Act Information

Item 1: Does this item contain a metal currently regulated under the Toxics in Packaging Prevention Act (e.g., lead, mercury, cadmium, or hexavalent chromium)? Upload documentation demonstrating that the item does not contain the regulated metal in an amount that exceeds 100 parts per million (ppm) by weight. *

Yes
No

Item 1: Upload Toxics in Packaging Prevention Act documentation: *

Item 1: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 1: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets *

Yes
No

Item 1: Proposition 65 Chemicals Information

Item 1: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). If the item contains chemicals that are not identified on the list below, select “Other” and describe each chemical in the text field: Access the full Proposition 65 list here.

Item 1: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). *

Item 1: Proposition 65 list other

Item 1: Does the Proposition 65 chemicals information contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 1: Is the Proposition 65 chemicals information confidential or proprietary (see “Certification Regarding Confidentiality” at end of application)? *

Yes
No

Item 1: Is a Proposition 65 warning required for this item due to the exposure of chemicals included on the Proposition 65 list from the use of the item? *

Yes
No

Item 1: Does this item contain any additives that initiate or accelerate fragmentation? *

Yes
No

Item 1: Total Fluorine Test Information

Item 1: Is this item made from plastic or fiber materials? If yes, upload this item’s total fluorine test results. *

Yes
No

Item 1: Upload documentation of the item’s total fluorine test results:

Item 1: Enter the date the total fluorine test was completed:

Item 1: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 1: Is information regarding the total fluorine test (documentation and date) confidential or proprietary *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 1: Enter the accreditation number for the ISO/IEC 17025:2017 accredited laboratory used to perform the total fluorine test:

Item 1: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 1: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary ? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 1: If these test results are representative of a group of items, explain how the test results are representative of the group:

Item 1: Is the analytical method used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 1: Is the analytical method used to perform the total fluorine test confidential or proprietary ? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 1: Information Related to the Recyclable Criteria

Item 1: A recyclable food service packaging item must meet one of the following requirements, as established by the regulations, to demonstrate that it is regularly recycled in the state:

A. The material comprising the item is included on the list of materials in the “Material(s) Information” section above.
B. Documentation demonstrating the item is comprised of materials that are collected by at least 60 percent of recycling programs statewide, have sufficient commercial value to be marketed for recycling, and are sorted and aggregated into defined streams by at least 60 percent of large volume transfer/processing facilities in the state.
C. Documentation demonstrating the item is, or will be, included in a takeback program that on an annual basis, recovers at least 60 percent of the food service packaging items in the program that are distributed at food service facilities.

Item 1: If B or C was selected, upload recyclable criteria documentation: See “Certification Regarding Confidentiality” at the end of application.

Item 1: If B or C was selected, upload recyclable criteria documentation :

Item 1: Would you like to add an item? *

Yes
No

Item 2: Information

Item 2: Are you the manufacturer of this item? *

Yes - Continue to product information
No - Enter the manufacturer name

Item 2: Manufacturer Name

Item 2: Type *

Item 2: Type other

Item 2: Name (as you would like this item to appear on the List) *

Item 2: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue): See “Certification Regarding Confidentiality” at the end of application.

Item 2: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue) (see “Certification Regarding Confidentiality” at the end of application):

Enter the dimensions of the item in the following fields. If a dimension is not applicable, enter “0.”

Item 2: Height (inches) *

Item 2: Width (inches) *

Item 2: Length (inches) *

Item 2: Volume (inches) *

Item 2: Material(s) Information

CalRecycle does not intend this section to require disclosure of confidential or proprietary information. If you believe that completing this section would disclose information you believe to be confidential or proprietary, contact the department at SB1335@calrecycle.ca.gov, and do not submit this form.

Item 2: If this item is comprised of a single material determined by the department to meet the requirements of subsection 17989.4(a)(3)(A), select the material from the list below. If this item or group of items contains any materials that are not identified on the list below, select “Other” and describe each such material in the text field (e.g., PET): *

Item 2: Material other

Item 2: List any identifying characteristics of the material that the item of group of items is comprised of (e.g., thermoform):

Item 2: Toxics in Packaging Prevention Act Information

Item 2: Does this item contain a metal currently regulated under the Toxics in Packaging Prevention Act (e.g., lead, mercury, cadmium, or hexavalent chromium)? Upload documentation demonstrating that the item does not contain the regulated metal in an amount that exceeds 100 parts per million (ppm) by weight. *

Yes
No

Item 2: Upload Toxics in Packaging Prevention Act documentation: *

Item 2: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 2: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets *

Yes
No

Item 2: Proposition 65 Chemicals Information

Item 2: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). If the item contains chemicals that are not identified on the list below, select “Other” and describe each chemical in the text field: Access the full Proposition 65 list here.

Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item *

Item 2: Proposition 65 chemical list other

Item 2: Does the Proposition 65 chemicals information contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 2: Does the Proposition 65 chemicals information contain trade secrets *

Yes
No

Item 2: Is a Proposition 65 warning required for this item due to the exposure of chemicals included on the Proposition 65 list from the use of the item? *

Yes
No

Item 2: Does this item contain any additives that initiate or accelerate fragmentation? *

Yes
No

Item 2: Total Fluorine Test Information

Item 2: Is this item made from plastic or fiber materials? If yes, upload this item’s total fluorine test results. *

Yes
No

Item 2: Upload documentation of the item’s total fluorine test results:

Item 2: Enter the date the total fluorine test was completed:

Item 2: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 2: Is information regarding the total fluorine test (documentation and date) confidential or proprietary *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 2: : Enter the accreditation number for the ISO/IEC 17025:2017 accredited laboratory used to perform the total fluorine test:

Item 2: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 2: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 2: If these test results are representative of a group of items, explain how the test results are representative of the group:

Item 2: Is the analytical method used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 2: Is the analytical method used to perform the total fluorine test confidential or proprietary ? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 2: Information Related to the Recyclable Criteria

Item 2: A recyclable food service packaging item must meet one of the following requirements, as established by the regulations, to demonstrate that it is regularly recycled in the state:ements, as established by the regulations, to demonstrate that it is regularly composted in the state: *

A. The material comprising the item is included on the list of materials in the “Material(s) Information” section above.
B. Documentation demonstrating the item is comprised of materials that are collected by at least 60 percent of recycling programs statewide, have sufficient commercial value to be marketed for recycling, and are sorted and aggregated into defined streams by at least 60 percent of large volume transfer/processing facilities in the state.
C. Documentation demonstrating the item is, or will be, included in a takeback program that on an annual basis, recovers at least 60 percent of the food service packaging items in the program that are distributed at food service facilities.

Item 2: If B or C was selected, upload recyclable criteria documentation: See “Certification Regarding Confidentiality” at the end of application.

Item 2: If B or C was selected, upload recyclable criteria documentation:

Item 2: Would you like to add an item? *

Yes
No

Item 3: Information

Item 3: Are you the manufacturer of this item? *

Yes - Continue to product information
No - Enter the manufacturer name

Item 3: Manufacturer name

Item 3: Type *

Item 3: Type (other)

Item 3: Name (as you would like this item to appear on the List) *

Item 3: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue): See “Certification Regarding Confidentiality” at the end of application.

Item 3: Additional documentation may be uploaded here

Enter the dimensions of the item in the following fields. If a dimension is not applicable, enter “0.”

Item 3: Height (inches) *

Item 3: Width (inches) *

Item 3: Length (inches) *

Item 3: Volume (ounces) *

Item 3: Material(s) Information

CalRecycle does not intend this section to require disclosure of confidential or proprietary information. If you believe that completing this section would disclose information you believe to be confidential or proprietary, contact the department at SB1335@calrecycle.ca.gov, and do not submit this form.

Item 3: If this item is comprised of a single material determined by the department to meet the requirements of subsection 17989.4(a)(3)(A), select the material from the list below. If this item or group of items contains any materials that are not identified on the list below, select “Other” and describe each such material in the text field (e.g., PET): *

Item 3: Material other

Item 3: List any identifying characteristics of the material that the item of group of items is comprised of (e.g., thermoform):

Item 3: Toxics in Packaging Prevention Act Information

Item 3: Does this item contain a metal currently regulated under the Toxics in Packaging Prevention Act (e.g., lead, mercury, cadmium, or hexavalent chromium)? Upload documentation demonstrating that the item does not contain the regulated metal in an amount that exceeds 100 parts per million (ppm) by weight. *

Yes
No

Item 3: Upload Toxics in Packaging Prevention Act documentation: *

Item 3: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 3:Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets *

Yes
No

Item 3: Proposition 65 Chemicals Information

Item 3: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). If the item contains chemicals that are not identified on the list below, select “Other” and describe each chemical in the text field: Access the full Proposition 65 list here.

Item 3: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item *

Item 3: Proposition list other

Item 3: Does the Proposition 65 chemicals information contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 3: Does the Proposition 65 chemicals information contain trade secrets *

Yes
No

Item 3: Is a Proposition 65 warning required for this item due to the exposure of chemicals included on the Proposition 65 list from the use of the item? *

Yes
No

Item 3: Does this item contain any additives that initiate or accelerate fragmentation? *

Yes
No

Item 3: Total Fluorine Test Information

Item 3: Is this item made from plastic or fiber materials? If yes, upload this item’s total fluorine test results. *

Yes
No

Item 3: Upload documentation of the item’s total fluorine test results

Item 3: Enter the date the total fluorine test was completed:

Item 3: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 3: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials

Item 3: Enter the accreditation number for the ISO/IEC 17025:2017 accredited laboratory used to perform the total fluorine test:

Item 3: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 3: Is the information regarding the laboratory used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 3: If these test results are representative of a group of items, explain how the test results are representative of the group:

Item 3: Is the analytical method used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 3: Is the analytical method used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 3: Information Related to the Recyclable Criteria

Item 3: A recyclable food service packaging item must meet one of the following requirements, as established by the regulations, to demonstrate that it is regularly recycled in the state: *

A. The material comprising the item is included on the list of materials in the “Material(s) Information” section above.
B. Documentation demonstrating the item is comprised of materials that are collected by at least 60 percent of recycling programs statewide, have sufficient commercial value to be marketed for recycling, and are sorted and aggregated into defined streams by at least 60 percent of large volume transfer/processing facilities in the state.
C. Documentation demonstrating the item is, or will be, included in a takeback program that on an annual basis, recovers at least 60 percent of the food service packaging items in the program that are distributed at food service facilities.

Item 3: If B or C was selected, upload recyclable criteria documentation: See “Certification Regarding Confidentiality” at the end of application.

Item 3: If B or C was selected, upload recyclable criteria documentation:

Item 3: Would you like to add an item? *

Yes
No

Item 4: Information

Item 4: Are you the manufacturer of this item? *

Yes - Continue to product information
No - Enter the manufacturer name

Item 4: Manufacturer Name

Item 4: Type *

Item 4: Type (other)

Item 4: Name (as you would like this item to appear on the List) *

Item 4: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue): See “Certification Regarding Confidentiality” at the end of application.

Item 4: Additional documentation may be uploaded here

Enter the dimensions of the item in the following fields. If a dimension is not applicable, enter “0.”

Item 4: Height (inches) *

Item 4: Width (inches) *

Item 4: Length (inches) *

Item 4: Volume (ounces) *

Item 4: Material(s) Information

CalRecycle does not intend this section to require disclosure of confidential or proprietary information. If you believe that completing this section would disclose information you believe to be confidential or proprietary, contact the department at SB1335@calrecycle.ca.gov, and do not submit this form.

Item 4: If this item is comprised of a single material determined by the department to meet the requirements of subsection 17989.4(a)(3)(A), select the material from the list below. If this item or group of items contains any materials that are not identified on the list below, select “Other” and describe each such material in the text field (e.g., PET):

Item 4: Material other

Item 4: List any identifying characteristics of the material that the item of group of items is comprised of (e.g., thermoform):

Item 4: Toxics in Packaging Prevention Act Information

Item 4: Does this item contain a metal currently regulated under the Toxics in Packaging Prevention Act (e.g., lead, mercury, cadmium, or hexavalent chromium)? Upload documentation demonstrating that the item does not contain the regulated metal in an amount that exceeds 100 parts per million (ppm) by weight. *

Yes
No

Item 4: Upload Toxics in Packaging Prevention Act documentation: *

Item 4: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 4: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? *

Yes
No

Item 4: Proposition 65 Chemicals Information

Item 4: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). If the item contains chemicals that are not identified on the list below, select “Other” and describe each chemical in the text field: Access the full Proposition 65 list here.

Item 4: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (copy) *

Item 4: Proposition 65 list other

Item 4: Does the Proposition 65 chemicals information contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 4: Does the Proposition 65 chemicals information contain trade secrets *

Yes
No

Item 4: Is a Proposition 65 warning required for this item due to the exposure of chemicals included on the Proposition 65 list from the use of the item? *

Yes
No

Item 4: Does this item contain any additives that initiate or accelerate fragmentation? *

Yes
No

Item 4: Total Fluorine Test Information

Item 4: Is this item made from plastic or fiber materials? If yes, upload this item’s total fluorine test results. *

Yes
No

Item 4: Upload documentation of the item’s total fluorine test results:

Item 4: Enter the date the total fluorine test was completed:

Item 4: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 4: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 4: Enter the accreditation number for the ISO/IEC 17025:2017 accredited laboratory used to perform the total fluorine test:

Item 4: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 4: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 4: If these test results are representative of a group of items, explain how the test results are representative of the group:

Item 4: Is the analytical method used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 4: Is the analytical method used to perform the total fluorine test confidential or proprietary ? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 4: Information Related to the Recyclable Criteria

Item 4: A recyclable food service packaging item must meet one of the following requirements, as established by the regulations, to demonstrate that it is regularly recycled in the state: *

A. The material comprising the item is included on the list of materials in the “Material(s) Information” section above.
B. Documentation demonstrating the item is comprised of materials that are collected by at least 60 percent of recycling programs statewide, have sufficient commercial value to be marketed for recycling, and are sorted and aggregated into defined streams by at least 60 percent of large volume transfer/processing facilities in the state.
C. Documentation demonstrating the item is, or will be, included in a takeback program that on an annual basis, recovers at least 60 percent of the food service packaging items in the program that are distributed at food service facilities.

Item 4: If B or C was selected, upload recyclable criteria documentation: See “Certification Regarding Confidentiality” at the end of application.

Item 4: If B or C was selected, upload recyclable criteria documentation:

Item 4: Would you like to add an item? *

Yes
No

Item 5: Information

Item 5: Are you the manufacturer of this item? *

Yes - Continue to product information
No - Enter the manufacturer name

Item 5: Manufacturer name

Item 5: Type *

Item 5: Type (other)

Item 5: Name (as you would like this item to appear on the List) *

Item 5: Additional documentation may be uploaded here (e.g., a photograph or picture of the item as it would appear in a catalogue): See “Certification Regarding Confidentiality” at the end of application.

Item 5: Additional documentation may be uploaded here

Enter the dimensions of the item in the following fields. If a dimension is not applicable, enter “0.”

Item 5: Height (inches) *

Item 5: Width (inches) *

Item 5: Length (inches) *

Item 5: Volume (ounces) *

Item 5: Material(s) Information

CalRecycle does not intend this section to require disclosure of confidential or proprietary information. If you believe that completing this section would disclose information you believe to be confidential or proprietary, contact the department at SB1335@calrecycle.ca.gov, and do not submit this form.

Item 5: If this item is comprised of a single material determined by the department to meet the requirements of subsection 17989.4(a)(3)(A), select the material from the list below. If this item or group of items contains any materials that are not identified on the list below, select “Other” and describe each such material in the text field (e.g., PET): *

Item 5: Material other

Item 5: List any identifying characteristics of the material that the item of group of items is comprised of (e.g., thermoform):

Item 5: Toxics in Packaging Prevention Act Information

Item 5: Does this item contain a metal currently regulated under the Toxics in Packaging Prevention Act (e.g., lead, mercury, cadmium, or hexavalent chromium)? Upload documentation demonstrating that the item does not contain the regulated metal in an amount that exceeds 100 parts per million (ppm) by weight. *

Yes
No

Item 5: Upload Toxics in Packaging Prevention Act documentation: *

Item 5: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets? 'See “Certification Regarding Confidentiality” at the end of application.

Item 5: Does the Toxics in Packaging Prevention Act information and documentation contain trade secrets (see “Certification Regarding Confidentiality” at end of application)? *

Yes
No

Item 5: Proposition 65 Chemicals Information

Item 5: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item (this list includes chemicals commonly used in food service packaging). If the item contains chemicals that are not identified on the list below, select “Other” and describe each chemical in the text field: Access the full Proposition 65 list here.

Item 5: Select from the list below the chemical names and Chemical Abstract Service Registry Numbers (CASRNs) for all chemicals included on the Proposition 65 list that are used in the manufacturing of this item *

Item 5: Proposition 65 list other

Item 5: Does the Proposition 65 chemicals information contain trade secrets? See “Certification Regarding Confidentiality” at the end of application.

Item 5: Does the Proposition 65 chemicals information contain trade secrets *

Yes
No

Item 5: Is a Proposition 65 warning required for this item due to the exposure of chemicals included on the Proposition 65 list from the use of the item? *

Yes
No

Item 5: Does this item contain any additives that initiate or accelerate fragmentation? *

Yes
No

Item 5: Total Fluorine Test Information

Item 5: Is this item made from plastic or fiber materials? If yes, upload this item’s total fluorine test results. *

Yes
No

Item 5: Upload documentation of the item’s total fluorine test results

Item 5: Enter the date the total fluorine test was completed:

Item 5: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 5: Is information regarding the total fluorine test (documentation and date) confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials

Item 5: Enter the accreditation number for the ISO/IEC 17025:2017 accredited laboratory used to perform the total fluorine test:

Item 5: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 5: Is information regarding the laboratory used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 5: If these test results are representative of a group of items, explain how the test results are representative of the group:

Item 5: Is the analytical method used to perform the total fluorine test confidential or proprietary? See “Certification Regarding Confidentiality” at the end of application.

Item 5: Is the analytical method used to perform the total fluorine test confidential or proprietary? *

Yes
No
N/A (the item is not made from plastic or fiber materials)

Item 5: Information Related to the Recyclable Criteria

Item 5: A recyclable food service packaging item must meet one of the following requirements, as established by the regulations, to demonstrate that it is regularly recycled in the state: *

A. The material comprising the item is included on the list of materials in the “Material(s) Information” section above.
B. Documentation demonstrating the item is comprised of materials that are collected by at least 60 percent of recycling programs statewide, have sufficient commercial value to be marketed for recycling, and are sorted and aggregated into defined streams by at least 60 percent of large volume transfer/processing facilities in the state.
C. Documentation demonstrating the item is, or will be, included in a takeback program that on an annual basis, recovers at least 60 percent of the food service packaging items in the program that are distributed at food service facilities.

Item 5: If B or C was selected, upload recyclable criteria documentation: See “Certification Regarding Confidentiality” at the end of application.

Item 5: If B or C was selected, upload recyclable criteria documentation

I declare under penalty of perjury under the laws of the State of California that the information provided above is true and correct. *

I declare under penalty of perjury under the laws of the State of California that the information provided above is true and correct. *

Certification Regarding Confidentiality

This application and all documents submitted as part of it are public documents, except that the portions labeled or identified as confidential, proprietary, or trade secret will be withheld from disclosure to the extent required by the California Public Records Act (Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code), Section 40062 of the Public Resources Code, and Article 4 of Chapter 1 of Division 7 of Title 14 of the California Code of Regulations (commencing with Section 17041). (See also 14 CCR Section 17989.6(b), (f)(3).) While the Public Records Act specifically exempts trade secrets from disclosure, there is no categorical exemption for information that is claimed to be “confidential” or “proprietary” but does not qualify as a trade secret. Unless some other express exemption applies, such information may be withheld from disclosure only where the need for confidentiality clearly outweighs the public interest in disclosure (see Government Code section 6255). “Trade secret” is defined at section 3426.1 of the Civil Code. IMPORTANT: This application asks whether certain uploads contain trade secrets. For those uploads, a “yes” response does not label or identify the uploaded document as confidential in its entirety; you must still label or identify the specific portions that you claim to be exempt from disclosure. This may be done directly within documents or through any other means that clearly communicate what is claimed to be exempt from disclosure. Only material expressly labeled or identified as “trade secret” (as opposed to merely “confidential” or “proprietary”) will be treated as such for purposes of Public Records Act request.

By checking this box, you certify that: *

By checking this box, you certify that: *

(1) you are aware that this application and all documents submitted as part of it are public records, except that the portions labeled or identified as confidential, proprietary, or trade secret information will be withheld from public disclosure to the extent required by law (see above); (2) you understand that information that does not constitute a trade secret is not necessarily exempt from disclosure and may be withheld only in extraordinary circumstances (see, e.g., Government Code section 6255); and

(2) you understand that information that does not constitute a trade secret is not necessarily exempt from disclosure and may be withheld only in extraordinary circumstances (see, e.g., Government Code section 6255); and

(3) you have labeled or identified as “confidential,” “proprietary,” or “trade secret,” as applicable, all portions of this application (including all uploaded documentation) that you claim are exempt from disclosure and understand that all other portions will be disclosed in response to Public Records Act requests.

Item 1: If different from the contact information provided at the beginning of this application, provide the name, address, and telephone number of the individual to be contacted if CalRecycle receives a request for disclosure of data contained in your application that you claim to be confidential (see 14 CCR Section 17045):