Livermore Sanitation
Provider of recyclables, organics and garbage collection services.
Residential Service
Services & Rates
On-Call Cleanup
Collection Tips and FAQs
Hazardous / E-Waste
Service Forms
Publications & Resources
Multi-Family Service
Services & Rates
Annual Clean Up
Collection Tips & FAQs
Hazardous / E-Waste
Service Forms
Publications & Resources
Commercial Service
Services & Rates
Collection Tips & FAQs
Hazardous / E-Waste
Service Forms
Publications & Resources
Unincorporated Service Areas
Federal Facilities
Federal Facilities Debris Box Request
Federal Facilities Cart and Bin Request
Contact Us
Home
Federal Facilities
Federal Facilities Debris Box Request
Federal Facilities Debris Box Request
Federal Facilities Debris Box Request
*Required
If you are unable to complete or submit this form, please call us at 925-449-7300.
Please enable JavaScript in your browser to complete this form.
To request Federal Facilities Debris Box Service please complete all the required information below and submit.
PO#:
Customer name:
*
First
Last
Email
*
Company / Owner Name:
Site address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Site phone number:
*
Site email
*
Billing address:
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Billing phone number:
*
Billing email:
*
Type of customer:
*
Residential
Commercial
Note: E-waste, mattresses, and appliances are prohibited. If these items are found in our boxes or bins, you will be charged an extra fee. We no longer provide bins for stable waste. All debris box customers will be required to pay a pre-payment per box per pull. The pre-payment is $500.00, $1,000.00, $1,500.00, or $2000.00 per box per pull.
*
I acknowledge the above statement (please check box to continue)
Requested delivery date:
*
Debris box size:
*
6 yard debris box - for clean dirt, rock, brick and cement
15 yard debris box
20 yard debris box
30 yard debris box
40 yard debris box
Debris box material (choose all that apply):
*
Garbage
Wood
Dirt
Construction & demolition (c&d) - permit required
Concrete - no rebar
Recyclables - mixed
Recyclables - single stream
Yard waste / compostable
If recyclables single - stream selected please list type:
Debris box location:
*
Street
Driveway
Other
Please list address / placement / other details here:
There is a debris box placement fee of $65.80. 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 Rates for Service
.
Unincorporated county commercial rate based on distance from office, please contact LSI for appropriate rate.
*
I acknowledge the above statement (please check box to continue)
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 or attempt to pick up. If the container is not picked up within seven days, a demurrage charge will be applied each day unit service is scheduled.
*
I acknowledge the above statement (please check box to continue)
Click here for Debris Box Billing and Service Guidelines
.
I have read the list and will not dispose of any hazardous waste items in any Livermore Sanitation 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 Liability Waiver
.
Liability waiver name:
*
Liability waiver site address:
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you have a completed LSI credit application on file?:
*
Yes - acknowledge and submit
No - click link below
If you do not have a LSI Credit Application on file, please fill-out request form and submit.
click here
.
Debris box material construction and demolition?:
Yes (continue to following)
No (form can be submitted at the bottom of the page
I have read the construction and demolition survey notes. We will not be able to start your service until you acknowledge the construction and demolition survey notes.
I acknowledge the above statement (please check box to continue)
Click here for Construction and Demolition Survey
.
Does your project fit the municipal code's definition? (City of Livermore municipal code chapter 15.28 listed above):
Yes
No
Do you have a permit with the city of Livermore?:
Yes (list permit number below)
No
Permit number:
Describe your project:
By having services and/or an account with LSI, 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.
Please type your name as your 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)
Name
Submit