Alternative Systems Company
Trash Compactor Savings Solutions
WASTE REMOVAL SURVEY
Company Name:
Street Address:
City:
State:
Contact Name:
Contact Phone:
Email Address:
Zip:
TYPE OF SERVICE
Tell us about your waste disposal service. What type of containers, how many, how often, and how much it costs per month.
Container Service
Size:
1 yd.
1.5 yd.
2 yd.
3 yd.
4 yd.
5 yd.
6 yd.
7 yd.
8 yd.
10 yd.
Qty:
Frequency of pulls per week
Front Loader
Rear Loader
Drop Body Service
Size
15 yd.
20 yd.
25 yd.
30 yd.
35 yd.
40 yd.
Qty
Frequency of pulls per
week or
month
Total monthly removal cost $
Current Hauler:
Note: If possible, fax a copy of the Haulers Monthly Statement to (925) 308-7656
Please tell us the percentage of any of the following that describe your waste.
%
Cardboard
%
Styrofoam
%
Food Waste
%
Plastic wrapping
%
Wood
%
Plastics
If other than above please describe:
Serving the Greater San Francisco Bay Area
Program: survey.php | Version: 1.0 | Last Update: Tuesday, September 04, 2007 | Publisher: Juggernaut Technologies