Florida Department of Environmental Protection Waste Tire Collector Registration Notification Expires April 1, 2018 Tuesday, October 03,2017 The Company listed below has registered with the Department as a Waste Tire Collector in accordance with Chapter 62-711.520, F.A.C., and registration decals have been issued to the vehicles listed below. These decals are valid until April 1, 2018 unless revoked. Decals must be affixed to the assigned vehicle on the driver's side door of that vehicle. Decals are $35.00 each. For further information call "Waste Tires" at 850-245-8756. WACS ID: 00095678 Name: REPUBLIC SERVICES OF FL, LP DBA: EAST BAY SANITATION No Decal # YR MAKE TYPE VIN # TAG # ST Owner # 1 1824 2007 MACK TK 1M2AT13C87M002035 N1994K FL 521 2 1825 2009 MACK TK 1M2AX13C39M003097 N8615N FL 522 3 1826 2007 MACK TK 1M2AT13C67M002034 N1187R FL 520 4 1827 2006 MACK RO 1M2AG11C16M035447 N0077W FL 597
Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 DEP Form # 62-701.900(18), F.A.C. Form Title Waste Tire Collector Registration Application Effective Date: January 6, 2010 DEP Application No. (Completed by DEP) WASTE TIRE COLLECTOR REGISTRATION APPLICATION Pursuant to Rule 62-711.520, Florida Administrative Code, to obtain a waste tire collector registration number and approval to transport waste tires, a collector shall submit the following information on this form to the Department. Type of Collector: For Hire Collector Not For Hire Registered with ICC Government Entity Part I- Business Information: 1. Business name of collector: REPUBLIC SERVICES OF FL, LP WACS ID Number: 2. Other business names of collector (DBA's): EAST BAY SANITATION 95678 (assigned by Department) 3. Mailing address of collector: City State Zip 4. Street address of collector: City Tampa Tampa 5603 N 50th St 5603 N 50th St 5. Telephone number of collector: Email address: 6. Federal Employer Identification number (FEID) of Collector: County State Zip (813) 433-6046 Hillsborough 7. Have any enforcement actions been taken by the Department or other governmental agency against the applicant for violation of Department rules relating to the collection or disposal of waste tires? This includes any Complaint, Notice of Violation, revocation or suspension of a registration, as well as any Consent Order in which a violation of Department rules is admitted. It does not include a Warning Letter, Warning Notice, Notice of Noncompliance, or other similar document which does not constitute agency action. Yes No If yes, attach a history and description of the enforcement actions. FL FL jbishop2@republicservices.com 33610 33610 Part II- Person in charge of Waste Tire Collection Operations: 1. Name of Person in charge of Waste Tire Collection Operations: N/A 2. Date of Birth of Person in charge of Waste Tire Collection Operations: N/A Corporations also complete Part III. 1. Corporation Name: 2. Corporation Filing Date: State of Incorporation: 3. Corporation Officers: 12/27/1999 N/A 4. Florida Resident Agent of Corporation: EAST BAY SANITATION Jason Bishop DE DEP FORM 62-701.900(18) Page 1 of 2 Effective January 6, 2010
WACS ID: Part IV- Collection and Disposal Information: 1. List all known locations where you will be collecting waste tires (attach additional sheets if necessary) Name Address City State See attached sheet. 2. List all known locations where you will be delivering or depositing waste tires for recycling or disposal (attach additional sheets if necessary): See attached sheet. Name Address City State Part V.- Vehicles to be Registered: 1. Number of vehicles to be used: 4 2. Vehicles registration information: a. A legible copy of the current vehicle registration is required for each vehicle registered. The registration must show State of registration, year, make, tag number, vehicle identification number, and registered owner. b. IF the vehicle is not owned by the collector, an authorization from the vehicle owner for the vehicle to be registered for waste tire collection must be attached to this application. c. IF Common Carrier, list Interstate Commerce Commission (ICC) authority number for the company: Part VI. Registration Fee Information 1. Waste tire collector registration status: New Renewal If registration is a renewal, list previous registration number(s) N/A 2. Attach payment for registration fees pursuant to Rule 62-711.520(11), F.A.C. Number of vehicles # 4 x $35 = $ 140 = Amount of Payment Part VII. Certification To the best of my knowledge and belief, I certify the information provided in this application is true, accurate, and correct. I have attached all documents and/or authorizations that are required. Jason Bishop 08/07/2017 Jason Bishop Print Name of Authorized Agent Signature of Authorized Agent Date Mail completed form to: Florida Department of Environmental Protection Division of Waste Management / Tires 2600 Blair Stone Road, MS 4550 Tallahassee, Florida 32399-2400 DEP FORM 62-701.900(18) Page 2 of 2 Effective January 6, 2010
Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 Rick Scott Governor Carlos Lopez-Cantera Lt. Governor Noah Valenstein Secretary Waste Tire Collector Registration Collection and Disposal Locations Attachment WACS ID: 95678 Collector Name: REPUBLIC SERVICES OF FL, LP Year: 2015 Part IV - Collection and Disposal Information: 1. List all known locations where you will be collecting waste tires Name Address City State HillsboroCounty Public Schools 3838 N 50th St Tampa FL City of Oldsmar 300 Commerce Blvd. Oldsmar FL 2. List all known locations where you will be delivering or depositing waste tires for recycling or disposal WACS ID Name & Details State 47036 TOYTOWN SLF ~ ROOSEVELT BLVD & 16TH ST N ~ ST PETERSBURG ~ 33716 Florida 41416 MCKAY BAY REFUSE-TO-ENERGY PROJECT ~ 34TH ST & CLARK ST ~ TAMPA ~ 33605 Florida
Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 DEP Form # 62-701.900(22), F.A.C. Form Title:Waste Tire Collector Annual Report Effective Date: January 6, 2010 DEP Application No. (Completed by DEP) WASTE TIRE COLLECTOR ANNUAL REPORT (For Calendar Year Ending 2015 ) Pursuant to Rule 62-711.520, Florida Administrative Code, waste tire collectors are required to submit the following information to the Department by March 1 of each year. The annual report must be submitted along with the annual registration renewal application and registration fee as a condition of holding a waste tire collector registration number. 1. Business name: 2. Business mailing address: City: State: WACS ID Number: 95678 (assigned by Department) 3. Business street address: 5603 N 50th St Tampa City: State: FL Zip: 33610 4. Business telephone: (813) 433-6046 Email address: jbishop2@republicservices.com 5. Total quantity of waste tires, expressed in tons, collected or generated during the calendar year (assume100 tires per ton or 10 tires per cubic yard): 15. tons tires 6. Describe how the waste tires collected were disposed of during the calendar year, reported in tons. (assume 100 passenger tires per ton, 20 truck tires per ton.) A. List total quantity of waste tires sold as used tires. A. tons tires B. List quantity of waste tire casings sold. B. tons tires C. List quantity of waste tires hauled off by other Waste Tire Collectors. Attach additional sheets, if necessary. See attached sheet. REPUBLIC SERVICES OF FL, LP 5603 N 50th St FL Name of Other Collector Collector Registration Number Quantity in tons Zip: 33610 0 0 C. tons tires D. List the facilities where waste tires were deposited for disposal or recycling and the quantity disposed at each location. Attach additional sheets, if necessary. See attached sheet. Name of Facility Address / City / State Quantity in tons D. tons tires TOTAL Tires sold or deposited for disposal or recycling A + B + C + D tons tires 15 15 DEP FORM 62-701.900(22) Page 1 of 2 Effective January 6, 2010
DEP FORM 62-701.900(22) Page 2 of 2 Effective January 6, 2010 WACS ID: 95678 7. Explain any differences between Waste Tires Collected (item 5) and Waste Tires Deposited (item 6): 8. Waste tire collector registration number(s): N/A 9. Authorized person preparing report: 10. Telephone number of person preparing report: 11. Certification: Jason Bishop (813) 433-6046 To the best of my knowledge and belief, I certify the information provided in this report is true, accurate and correct. 08/07/2017 Jason Bishop Jason Bishop Print Name of Authorized Agent Signature of Authorized Agent Date Mail completed form to: Florida Department of Environmental Protection Division of Waste Management / Tires 2600 Blair Stone Road, MS 4550 Tallahassee, Florida 32399-2400
Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 Rick Scott Governor Carlos Lopez-Cantera Lt. Governor Noah Valenstein Secretary Wate Tire Collector Annual Report Hauled & Disposal Locations Attachment WACS ID: 95678 Collector Name: REPUBLIC SERVICES OF FL, LP Year: 2015 6. Describe how the waste tires collected were disposed of during the calendar year, reported in tons. Assume 100 passenger tires per ton, 20 truck tires per ton.) D. List the facilities where waste tires were deposited for disposal or recycling and the quantity disposed at each location. WACS ID Name & Details State Quantity 47036 TOYTOWN SLF ~ ROOSEVELT BLVD & 16TH ST N ~ ST PETERSBURG ~ 33716 Florida 5 41416 MCKAY BAY REFUSE-TO-ENERGY PROJECT ~ 34TH ST & CLARK ST ~ TAMPA ~ 33605 Florida 10
DIVISION OF CORPORATIONS Department of State Division of Corporations Search Records Detail By Document Number Detail by Entity Name Foreign Profit Corporation REPUBLIC SERVICES, INC. Filing Information Document Number FEI/EIN Number Date Filed State Status F98000003900 65-0716904 07/09/1998 DE ACTIVE Principal Address Changed: 04/22/2015 Mailing Address Changed: 04/22/2015 Registered Agent Name & Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Officer/Director Detail Name & Address Title Chairman of the Board, Director Kadre, Manuel 5345 Hammock Drive Coral Gables, FL 33156 Collins, Tomago c/o Kroenke Sports & Entertainment 1000 Chopper Circle Denver, CO 80204
Crownover, James W. Two Houston Center 909 Fannin Suite #3675 Houston, TX 77010 Dunwoody, Ann E. c/o Republic Services, Inc. Phoenix, AZ 85382 Flynn, William J. c/o Atlas Air, Inc. 2000 Westchester Avenue Purchase, NY 10577 Handley, Thomas W. c/o Ecolab, Inc. 370 Wabasha Street North St. Paul, MN 55102 Kirk, Jennifer M. c/o Occidental Petroleum Corporation 5 Greenway Plaza, Suite 110 Houston, TX 77046 Larson, Michael c/o Cascade Investments LLC 2365 Carillon Point Kirkland, WA 98033 Nutter, W. Lee c/o Republic Services, Inc.
Rodriguez, Ramon A. c/o Republic Services, Inc., President, CEO Slager, Donald W. Trani, John M. c/o John M. Trani, LLC 30 Stanford Drive Farmington, CT 06032 Volpe, Sandra M. 1000 FedEx Drive Moon Township, PA 15708 Title Executive Vice President, Chief Development Officer Bales, Brian A. Title Executive Vice President, Chief Legal Officer, Secretary Ellingsen, Catharine D. Title Executive Vice President, Chief Administrative Officer Hughes, Jeffrey A. Title Executive Vice President, CFO Serianni, Charles F. Title Senior Vice President, Controller
Clark, Jerry S. Title Senior Vice President, Finance DelGhiaccio, Brian M. Title VP, Tax Focazio, Lawrence Title VP, Chief Accounting Officer Goebel, Brian A. Title Treasurer, VP Lacy, Marsha A. Title VP, Assistant Secretary Sweet, Andrew J. Title VP, Assistant Secretary Kort, Myndi M. Title VP, Assistant Secretary Wilhoit, Adrienne W. Title Assistant Secretary Schuler, Eileen B.
Annual Reports Report Year Filed Date 2015 04/22/2015 2016 04/12/2016 2017 04/20/2017 Document Images 04/20/2017 -- ANNUAL REPORT View image in PDF format 04/12/2016 -- ANNUAL REPORT View image in PDF format 04/22/2015 -- ANNUAL REPORT View image in PDF format 04/16/2014 -- ANNUAL REPORT View image in PDF format 04/03/2013 -- ANNUAL REPORT View image in PDF format 04/28/2012 -- ANNUAL REPORT View image in PDF format 04/05/2011 -- ANNUAL REPORT View image in PDF format 04/08/2010 -- ANNUAL REPORT View image in PDF format 04/11/2009 -- ANNUAL REPORT View image in PDF format 04/28/2008 -- ANNUAL REPORT View image in PDF format 04/16/2007 -- ANNUAL REPORT View image in PDF format 02/27/2006 -- ANNUAL REPORT View image in PDF format 01/25/2005 -- ANNUAL REPORT View image in PDF format 02/10/2004 -- ANNUAL REPORT View image in PDF format 02/28/2003 -- ANNUAL REPORT View image in PDF format 03/20/2002 -- ANNUAL REPORT View image in PDF format 01/24/2001 -- ANNUAL REPORT View image in PDF format 01/27/2000 -- ANNUAL REPORT View image in PDF format 02/25/1999 -- ANNUAL REPORT View image in PDF format 07/09/1998 -- Foreign Profit View image in PDF format Florida Department of State, Division of Corporations
Thigpen, Hope From: no-reply@dep.state.fl.us Sent: Monday, August 7, 2017 8:34 AM To: Waste Registration Subject: Waste Tire Collector Registration - 95678 Attachments: 9eb962f1105e6459fb8f0d176eaa81a.pdf; eb6af035cdf5d8b0e026cca07050edae.pdf Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 Rick Scott Governor Carlos Lopez-Cantera Lt. Governor Noah Valenstein Secretary Waste Tire Collector Registration Confirmation of Submission August 07, 2017 Jason Bishop has completed the registration process for the facility listed as: WACS ID: 95678 REPUBLIC SERVICES OF FL, LP 5603 N 50th St Tampa, FL 33610 County: HILLSBOROUGH Attached is a copy of the application and a copy of the annual report (if available). They reported: Tonnage Remaining: 0 Tonnage Collected: 15. Tonnage Disposed: 15 New Tonnage Remaining: 0 Copies of each vehicle registration uploaded are located at: http://webapps.dep.state.fl.us/common/essa/uploads/211714/vehicle_information/bishop_j_3_08 07 2017 07 57 44.pdf 1
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