PLASTIC BAG QUARTERLY REPORT SUBMISSION FORM

    

* * * FOR CALABASAS STORES USE ONLY * * *

Quarterly Reports:

All stores must report the following information to the Environmental Services Division on a quarterly basis:

  • Total number of paper carryout bags provided
    (including those provided free of charge to EBT, WIC, and/or SNAP customers)

  • Total amount of monies collected for providing paper carryout bags

  • Summary of any efforts undertaken to promote the use of reusable bags by customers in the prior quarter

Such reporting must be done on a form prescribed by the Environmental Services Division, and must be signed by a responsible agent or officer of the store confirming that the information provided on the form is accurate and complete for the following quarterly periods:

  • January 1 through March 31

  • April 1 through June 30

  • July 1 through September 30

  • October 1 through December 31

Reports must be submitted no later than 30 days after the end of each quarter. Late submission of quarterly reports shall be subject to the fines set forth in the ordinance.

 

Report Submission:

Quarterly Reports may be submitted by email, fax, or postal mail using the following form:

Fillable PDF:

 

Quarterly Report Form
Please email the completed form to Alex Farassati

Fax:   (818) 225-7338
Postal Mail:  

City of Calabasas Environmental Services Division
Attn: Carryout Bag Ordinance
100 Civic Center Way
Calabasas, CA 91302

 *Please save copies of all of your reports for your records

City of Calabasas 2014