Federal Facilities Bin and Cart 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 Start Bin / Cart Service please complete all the required information below and submit.Requested delivery date: *Account number:Name: *FirstLastEmail *Company Name: *Site address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSite phone number: *Site email: *Billing address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBilling phone number: *Billing email: *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. Deposit: LSI requires a deposit equal to 1 month of service for all customers. The deposit will be applied to your final bill.I acknowledge the above statement (please check box to continue)Commercial garbage collection BIN size: *1 yard bin2 yard bin3 yard bin4 yard bin5 yard bin6 yard bin7 yard binNone - I am requesting CART serviceCommercial garbage collection CART size: *32-gallon cart64-gallon cart96-gallon cartNone - I am requesting BIN serviceGarbage collection service frequency: *1x week2x week3x week4x week5x weekThe garbage rate includes 1x / week service of 96-gallons of organics and 96-gallons of recyclables. Adequate garbage service is required. Customers can request less than 96-gallons or organics and/or recyclables service per week but the monthly garbage rate will not be discounted. If more than 96-gallons of organics / recyclables service is needed, current rates apply. *I acknowledge the above statement (please check box to continue)Recyclables collection size: *1 yard bin2 yard bin3 yard bin4 yard bin5 yard bin6 yard bin7 yard bin32-gallon cart64-gallon cart96-gallon cartRecyclables collection service frequency: *1x week2x week3x week4x week5x weekOrganics (food / yard waste) collection size: *1 yard bin2 yard bin3 yard bin4 yard bin5 yard bin6 yard bin7 yard bin32-gallon cart64-gallon cart96-gallon cartOrganics collection service frequency: *1x week2x week3x week4x week5x weekI 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 Commercial 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 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have a completed LSI credit application on file?: *YesNoIf you do not have a LSI Credit Application on file, please click here, fill-out request form and submit.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)PhoneSubmit