Solid Waste Information Form

I authorize Leed Environmental Inc. and EWA to gather information from my current solid waste hauler in order to develop a potential cost savings strategy.
Authorization Signature (typed):	*

Name of Establishment:	*
Establishment Address:	*

City:	*
State:
Zip:
Contact Person:	*
Phone Number:	*
Email Address:	*
Date:	*
Number of Dumpsters (if more than one dumpster please provide type and size of each dumpster in comment box below):
Comment:
Type of Dumpster (click at the bottom of this page for details and measurements):
Size of Dumpster (i.e. 6 cubic yards):
Name of Current Hauler:	*
Monthly Rate ($):	*
Frequency of Pickups (per month):
Do you use a compactor?
Do you use rolloff containers?
If yes please give the container size (in cubic yards):	*
Do you have more than 1 location?
Do you have a current contract?
If yes when does it expire?	*
Please estimate how full your dumpster is each day of the week:
Monday (%):	*
Tuesday (%):	*
Wednesday (%):	*
Thursday (%):	*
Friday (%):	*
Saturday (%):	*
Sunday (%):	*
Comments:

For more details concerning the size and shape of your containers please click below.
Do not enter anything in this field:

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