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D Divisionu[ OF - - - - - C Funding RegFest :Form <br /> e f- CONSERVATION <br /> ® 99/2000 <br /> 40 Recyc <br /> City or County Name Eligible Funding Amount Funding Cycle <br /> San Leandro $22,039 FY 1999/2000 <br /> Entity Submitting this form (i.e. City, Lead Jurisdiction or JPA) Mailing Address City State Zip <br /> City of San Leandro 835 E. 14th St San ,Panrirn r•n 94577 <br /> Contact Person Telephone Fax No. <br /> Michael Bakaldin, Environmental Services (510) 577 - 3331 (510 ) 577 - 6019 <br /> Recycling and/or Litter Reduction Activities: <br /> To qualify to receive funds. each activity listed below must meet one or more of the following criteria: <br /> (1) Primary emphasis is collection and recycling of beverage containers at large venues; public areas, residential communities or <br /> schools. <br /> (2) Primary emphasis is public education promoting beverage container recycling and /or litter prevention. <br /> (3) Primary emphasis is beverage container/litter abatement in public places including community clean -up projects or other related <br /> activities involving the recycling of beverage containers. <br /> Please list/describe each beverage container recycling and/or litter reduction activity for which the funds will <br /> be expended: <br /> Funds will be used primarily for public education to promote new <br /> changes to the Art. Prmmntinn wi 1 1 inrlirie hit not ha 1imired tn• <br /> billboard -type signs for both refuse and recycling collPeti on vehirl PS• <br /> mail -outs; ads in community newspaper. <br /> Funds will also be used for litter prevention literature and activities <br /> related to annual San Leandro Creek Watershed Festival. <br /> • Has your city /county prohibited the siting of a supermarket site recycling center? ❑ YES j( NO <br /> • Has your city /county caused a supermarket site recycling center to close its business? ❑ YES ;12 NO <br /> • Has your city /county adopted a land use policy that restricts or prohibits the siting of a supermarket site <br /> • recycling center within its jurisdiction? ❑ YES g NO <br /> • Has your city /county received funding from the Department of Conservation, Division of Recycling's Grant <br /> Program? ❑ YES 1. NO If yes, which year? wl/3 <br /> THE SUBMISSION OF FALSE INFORMATION WITH INTENT TO DEFRAUD IS A CRIME PUNISHABLE BY SUBSTANTIAL <br /> FINES, UP TO THREE YEARS IMPRISONMENT, OR BOTH. KNOWING THIS, I CERTIFY UNDER PENALTY OF PERJURY <br /> THAT THE FACTSREPRESENTED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. <br /> Signature ofRepresentat■ve orized to pend Funds (Named on Resolution): Date <br /> / / / /� /2000 <br /> Na md = <br /> City or County Name` <br /> City of San Leandro <br /> Return this form by May 31, 2000 to: Division of Recycling, Industry Services Branch, City /County Payments, <br /> 801 K Street, MS 15 -59, Sacramento, CA 95814. <br /> Page 1 of 2 <br />