Livermore Sanitation
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Handy Hauler Service Request
Handy Hauler Service Request
Handy Hauler Service Request
*Required
If you are unable to complete or submit this form, please call us at 925-449-7300.
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To request a 4-Cubic Yard Handy Hauler please complete all the required information below and submit.
Account number:
Customer name:
*
First
Last
Email
*
Company / Owner Name:
Service 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
Service phone number:
*
Requested delivery date:
*
Delivery and / or service times cannot be guaranteed. A pre-payment is required for each handy hauler. Please see handy hauler rates for delivery and removal fee / removal of full container with delivery of empty container.
*
I acknowledge the above statement (please check box to continue)
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 for 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 Handy Hauler Billing / 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 to submit LSI Credit Application
.
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 or 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 liability.
*
I acknowledge the above statement (please check box to continue)
Additional comment/questions:
Phone
Submit