Commercial Bin & Cart Service Request

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

I acknowledge they 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 CVSAN SAN RAMON

am I County

Requested delivery date:

Account number:

Name:

First

Last

Email:

Company 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:

Note: Deposit equal to one month’s service is required AND IS NOT BILLABLE. This is required for each bin depending upon amount of service. Deposit is refundable when account is closed and balance paid. We accept company check, money order, credit card (Visa, American Express, MasterCard & Discover) or cash (no third-party checks).

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

Commercial garbage collection BIN size:

Commercial garbage collection CART size:

32-gallon cart
64-gallon cart
96-gallon cart
None - I am requesting GARBAGE BIN service

Garbage collection service frequency:

Collection service must be provided at least weekly. Note that basic mixed recyclables and organics collection service will be provided for no additional charge to commercial customers with adequate garbage service. Basic service includes weekly service of up to 96-gallons of mixed recyclables and up to 96-gallons of organics free of charge. Additional carts, larger recyclable bins and up to five days of collection are available for a charge. Please note that recycling is mandatory in Alameda County. If recyclables and organics service is not already in place, we invite you to contact us today and get started.

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

Commercial mixed recyclables collection CART size:

Commercial mixed recyclables collection BIN size:

Commercial mixed recyclables collection service frequency:

Commercial organics (food/yard waste) collection CART size:

Commercial organics (food/yard waste) collection BIN size:

Commercial organics collection service frequency:

I have read the rate sheet / misc. rate sheet and acknowledge the rate for this service. I understand that service cannot begin without acknowledgement of the applicable service rate.

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

Click here for Rate of Service

IF THE DRIVER DOES NOT HAVE DIRECT ACCESS TO YOUR BIN(S), PLEASE FILL IN THE FOLLOWING REQUIRED INFORMATION:

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

PUSH/PULL* This includes bringing the container to the curb and returning the container back to your property. LINEAR FEET:

(Distance from location that driver will dump bin, to location where bin is stored).

PUSH* This includes bringing the container to the curb after servicing. LINEAR FEET:

(Distance from location that driver will dump bin, to location where bin is stored).

PULL* This includes returning the container from the curb to your property after servicing. LINEAR FEET:

(Distance from location that driver will dump bin, to location where bin is stored).

*PLEASE CLICK HERE FOR RATE SHEET FOR FEES ON ABOVE SERVICES. NOTE THAT PUSH/PULL DISTANCE WILL BE VERIFIED BY AN ACI SUPERVISOR. ALSO, NOTE THAT THERE IS NO CHARGE FOR ON-PREMISE SERVICE OF CARTS.

I have read the rate sheet / misc. rate sheet and acknowledge the rate for this service. I understand that service cannot begin without acknowledgement of the applicable service rate.

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.

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

Click here for Commercial Service Guidelines

I have read the list and will not dispose of any hazardous waste items in any Alameda County Industries 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 for 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 Liability Waiver

Liability waiver name:

First

Last

Liability waiver address:

Address Line 1

City

State

Zip Code

By having services and/or an account with ACI, 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).

Additional comment / questions:

City of San Leandro Commercial Bin & Cart Service Request

* = Required Information