Edible Food Recovery Annual Reporting Form

Complete this form no later than March 15, 2024. Please reference 14 CCR Section 18991.4 for record keeping requirements. For more information regarding Edible Food Recovery visit our website at lagunabeachcity.net/EdibleFood

SB 1383 Edible Food Recovery Program

Senate Bill (SB 1383) requires that by 2025, the State of California recover and redistribute 20 percent of edible food that would have otherwise been sent to landfills. The goal is to divert the maximum amount of edible food to charitable organizations where it may be redistributed to those in need.

SB1383 requires certain food generating businesses to establish written agreements with charitable food organizations to donate surplus food. The law phases food donors in under two tiers based on business type and size. The first tier is required to donate starting in 2022. The second tier is required to donate starting in 2024.

Additional resources for businesses and model food donation agreements can be found on CalRecycle’s Edible Food Recovery Website

General Information

Organization Information

Please complete the following fields about your organization.

Organization Name*

Organization Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Primary Contact

Primary Business Contact*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Please indicate the types of food your organization can recover:

	Check Mark
Non-Perishable Food (Shelf stable packaged food (canned, boxed, packaged food)
Perishable Food (Fresh Produce)
Perishable Food (Dairy - milk, cheese, yogurt and eggs)
Perishable Food (Meat, Seafood)
tPerishable Food (Bread, baked goods)
Perishable Food (Beverages - sparkling water, juice, coffee, soda)
Prepared Food (Hot)
Prepared Food (Cold)
Prepared Food (Frozen)
Other

If you selected other, please describe:

Food Recovery Logistics

Approximately how much food can be recovered per week?

	Currently being Recovered (Range in Pounds)	Additional Available Capacity (Range in Pounds)
Non-Perishable Food
Perishable Food
Prepared Food
Other
Total (If capacity per category is not known, please still provide total estimate capacity)

If you selected other, please describe:

Food will be recovered via:

On-site Pick-Ups: Your organization will travel to the Commerical Edible Food Generator site, pick-up the food, and transport it back for distributionSelf-Haul: The Commerical Edible Food Generator will transport and deliver the food to our organization.Drop Off: Accepts food delivered by other Food Recovery Organizations and ServicesAs needed pick-up Requests: Food Generator can make impromptu requests for pick-upOther

Please indicate the possible days and times that food can be recovered from the Commercial Edible Food Generator. If your organization is open to recovering food through an on-call basis, indicate the days and times you are available for on-call donations.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Regular Pickup Times (e.g. 9-3 pm)
Current Available Pickup Times (e.g. 10-11 am)
On-Call Availability (e.g. 9-12 pm)
Facility Receiving Hours (e.g. 8 am-5 pm)

Please specify any restrictions in distance you are willing to travel:

Total pounds of food per month collected from all Commercial Edible Food Generators will be reported back to the Generators on a monthly basis via:

EmailOther

Food Recovery Resources

Please indicate which of the following food recovery resources your organization already uses, and which items are an organizational need.*

	In Use	Need	Potential increase in Capacity (lbs)
Cold Storage (refrigerators)
Cold Storage (freezers)
Vehicles/Trucks (refrigerated)
Vehicles/Trucks (not refrigerated)
Forklift/Pallet Jacks
Food Recovery Supplies (boxes/crates/tote bags)
Food Packaging Supplies
Food Preserving Supplies
Technology (computer, tablet, software, etc.)
Admin Staff
Collection/Distribution Staff
Other

If you selected other, please describe:

For the resources identified as being used by your organization: Please select all that apply.

Owned by our organizationRented/borrowed from another organizationOther

For the resources identified as needed by your organization, what are some of the barriers that make them hard to acquire? Select all that apply.

Finances (we don't have funding to purchase or rent certain equipment)Storage (we don't have space to keep them)Maintenance (we don't have the resources to keep up with the maintenance required)Other

Does the organization or service want to be contacted directly by new donors?

YesNo

If Yes, complete the following organization information for city's public listing:

Printed Name

Website

Email

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Signature

I hereby certify that the information provided in this Food Recovery Questionnaire is true and correct to the best of my knowledge.*

Edible Food Recovery Organization Annual Questionnaire

SB 1383 Edible Food Recovery Program

General Information

Organization Information

Please complete the following fields about your organization.

Primary Contact

Food Recovery Logistics

Food Recovery Resources

Signature