Debris Box Service Request - ACI of San Ramon

City of San Ramon Debris Box Service Request

*= Required Information

To request Debris Box Service in the city of San Ramon please complete all the required information below and submit.

If you are unable to complete or submit this form, please call us at 925-380-9480.

I acknowledge that the services I am requesting are for an address in the CITY OF SAN RAMON. *

I acknowledge the above statement (please check box to continue).

If you need to request services for a location in another one of our collection areas, please do not use this form. Select the correct area. Thank you. ALAMEDA SAN LEANDRO CVSAN

PO# (if applicable):

Customer Name: *

First

Last

Email: *

Company / owner name:

Site Address: *

Address Line 1

City

State

Zip Code

Site phone number: *

Site email: *

Billing address: *

Address Line 1

City

State

Zip Code

Billing phone number: *

Billing email: *

What is the expected length of the project? *

Please be specific with start date and estimated end date.

Type of customer *

Residential
Commercial

How many employees/workers will be on site on a daily basis? *

California state ordinance SB1383 requires that divertible materials such as recyclables (bottles, cans, metals, paper, cardboard and glass) and organic materials (yard trimmings and food scraps) be separated from other municipal solid waste.

How will you ensure compliance with the ordinance(s) listed above? *

The project will utilize existing on-site recyclable and organics collection capacity.
The project will utilize recyclable and organics debris box(es).
The project will need to set up weekly recycling and organics collection service for the duration of the project.
The project will self-haul recyclable and organic material to appropriate recycling site(s)
The project will not be generating any recyclable or organic material.

PLEASE NOTE: If you choose that you will not be generating any recyclable or organics materials, you will be contacted by ACI to confirm status.

Note: No hazardous waste allowed in box. Material cannot be higher than edge of box. Do not overfill box. *

I acknowledge the above statement (please check box to continue).

Requested delivery date:

Debris Box size: *

7 yard debris box - for clean dirt, rock, brick, sod, and cement (PLEASE NOTE: dirt, rock, brick, sod, and cement cannot be combined with other Construction and Demolition materials and must be collected separately.)
20 yard debris box
30 yard debris box
40 yard debris box

If the recyclable material collected is a single type, please list the material:

Debris Box location: *

Street
Driveway
Other

Please list address / placement / other details here:

All debris box customers will be required to pay a pre-payment per box per pull. -Boxes up to 20 cubic yards will require a $500.00 deposit. -Boxes over 20 cubic yards will require a $1000.00 deposit. *

I acknowledge the above statement (please check box to continue).

Click here for Rate of Service .

I have read the billing and service guidelines. We will not be able to start your service until you acknowledge these guidelines. Billing includes: A placement fee, per pull charge and tonnage charge for each pick up. A trip fee is charged if the driver is unable to service the container (such as overloading, cannot access, etc.). If the container is not picked up within seven days, a demurrage charge will be applied each day unit service is scheduled. PLEASE NOTE: Highly contaminated boxes will be serviced as garbage or may not be serviced at all. *

I acknowledge the above statement (please check box to continue).

Click here Debris Box Billing and Service Guidelines .

I have read the list and will not dispose of any hazardous waste items in any ACI of San Ramon collection cart or bin. We will not be able to start your service until you acknowledge this notice. *

I acknowledge the above statement (please check box to continue).

Click here Hazardous Waste Policy Notice.

I have read the liability waiver. We will not be able to start your service until you acknowledge the liability waiver. *

I acknowledge the above statement (please check box to continue).

Click here for ACI of San Ramon Liability Waiver.

Liability waiver name: *

First

Last

Liability waiver site address:

Address Line 1

City

State

Zip Code

Your account will be charged the rate for loose garbage if the landfill determines your C&D load(s) are contaminated. *

I acknowledge the above statement (please check box to continue).

By having services and/or an account with ACI of San Ramon, you agree to our General Information, Terms, and Conditions. *

I acknowledge the above statement (please check box to continue).

Click here for our General Information, Terms, and Conditions.

Signature:

Clear Signature

Submission of this form must include a signature.

By submitting this form I acknowledge I have read all required guidelines and the liability waiver. *

I acknowledge the above statement (please check box to continue).

Phone