Residential Cart Service Request

City of San Ramon Residential Cart Request

*= Required Information

THE CITY OF SAN RAMON, IN COMPLIANCE WITH THE STATE OF CALIFORNIA AND CONTRA COSTA COUNTY, REQUIRES ALL RESIDENTS TO SUBSCRIBE TO INTEGRATED WASTE MANAGEMENT COLLECTION SERVICES TO ENSURE ENVIRONMENTAL COMPLIANCE AND PROTECT PUBLIC HEALTH.

BEGINNING 10/1/2019 ALL SAN RAMON CUSTOMERS WILL BE REQUIRED TO SUBSCRIBE TO RECYCLING AND ORGANICS COLLECTION SERVICE. Recycling and Organics collection services are included in the Garbage collection rate at no additional cost. For more information about the required organics/Small Green Cart service, please click here. (link to Small Green Cart Rate Info page)

THERE ARE TWO COLLECTION RATES FOR SINGLE FAMILY CUSTOMERS

Please choose the rate that best fits your needs:

THE BASIC SINGLE-FAMILY RESIDENTIAL GARBAGE SERVICE RATE

Includes garbage collection at size/rate customer chooses and up to two 64gal recycling carts and up to two 64gal organics carts at no additional cost.

Click here for the Basic Single-Family Residential Garbage Rate charts.

THE SMALL GREEN CART SINGLE-FAMILY RESIDENTIAL SERVICE RATE (For condominiums, townhomes and single-family residents with smaller yards and small volumes of organics)

Includes garbage collection at size/rate customer chooses and up to 96gal of recycling service and up to 35gal of organics service at no additional cost.

Click here for the Small Green Cart Single-Family Residential Garbage Rate charts.

Click here for cart sizes.

If you are unable to complete or submit this form, please call us at 925-380-9480.

I acknowledge that the services I am requesting are for an address in the CITY OF SAN RAMON.

I acknowledge the above statement (please check box to continue).

If you need to request services for a location in another one of our collection areas, please do not use this form. Select the correct area. Thank you. ALAMEDA SAN LEANDRO CVSAN

Which service are you requesting?: *

Single Family Resident (Basic Rate) - Carts at site
Single Family Resident (Basic Rate) - Carts to be delivered
Single Family (Small Green Cart Rate) - Carts at site
Single Family (Small Green Cart Rate) - Carts to be delivered

*Multi-Family Buildings with 5 units or more units with shared service please fill out a Multi-Family bin/cart service request form.

Requested service date: *

Service Address: *

Address Line 1

City

State

Zip Code

Mailing / Billing address (if different from service address):

Address Line 1

Address Line 2

City

State

Zip Code

Name(s) on account (Only these names may authorize changes to account): *

First

Last

Name(s) on account (Only these names may authorize changes to account):

First

Last

Name(s) on account (Only these names may authorize changes to account):

First

Last

Please supply at least on phone number: (work)

Please supply at least on phone number: (home)

Please supply at least on phone number: (cell)

Email: *

Do you own or rent the property that you are starting service for?: *

Own
Rent

Deposit: ACI of San Ramon requires a deposit equal to 3 months (1-quarter) of service fees for all customers. The deposit will be applied to your final bill.

If you previously had service with us, please list your previous San Ramon address:

Address Line 1

City

State

Zip Code

Note: A stop service application must be completed to stop service at this address or the account will remain active.

I acknowledge the above statement (please check box to continue).

Garbage collection cart size at the service location: *

Garbage collection cart size would you like to have delivered: *

Click here for garbage cart sizes/dimensions.

Recyclables and Organics are included in the BASIC CART RATE collection service. The standard sizes delivered with the BASIC CART RATE are a 64-gallon recyclables cart and a 64-gallon organics cart. If you would prefer a larger (96-gallon) organics cart with the BASIC CART RATE, please indicate below.

If you would prefer a smaller (20-gallon or 35-gallon) or larger (96-gallon) cart for recyclables for either rate please indicate below or request to have a customer service representative to call you to discuss the sizes available.

Recyclables and Organics are included in the SMALL GREEN CART RATE collection service prices. The standard sizes delivered with the SMALL GREEN CART RATE are a 64-gallon recyclables cart and a 35-gallon or 20-gallon organics cart.

Deliver the standard Basic 64-gallon Recyclables cart and a 64-gallon organics cart (BASIC CART RATE ONLY) OR choose each cart size below

RECYCLABLES

Deliver a 20-gallon recyclables cart
Deliver a 35-gallon recyclables cart
Deliver a 64-gallon recyclables cart
Deliver a 96-gallon recyclables cart
Please have customer service call me to discuss sizes available

ORGANICS *

Deliver a 20-gallon organics cart (SMALL GREEN CART RATE)
Deliver a 35-gallon organics cart (SMALL GREEN CART RATE)
Deliver a 64-gallon organics cart (BASIC CART RATE)
Deliver a 96-gallon organics cart (BASIC CART RATE)
Please have customer service call me to discuss sizes available

Phone:

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).

BASIC CART Rate of Service click here
SMALL GREEN CART Rate of Service click here

Form of payment for deposit:

Mail check to office 610 Aladdin Avenue, San Leandro, CA 94577
Pay by credit card (Visa, American Express, MasterCard or Discover)

Phone number for customer service to call for credit card number:

The credit card will charged for the 3-month service deposit. It will NOT be charged for ongoing fees. DO NOT include credit card information with this form. Any forms received with credit card information will immediately be deleted and the application will not be processed.

I acknowledge the above statement (please check box to continue).

Additional comment / questions:

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