This form must be completed and signed by a responsible agent or officer of the Store or Shop confirming that the information provided on this form is accurate and complete. This form must be submitted no later than thirty (30) days following the end of the reporting quarter.Quarterly Report Form Click here to view the formScan and email completed and signed Quarterly Report Form to SRCRD@lacity.org or mail to: Sanitation/SRCRD 1149 S. Broadway, 5th Floor, Los Angeles CA 90015 or Fax: (213) 485-3671.