First Name *

Last Name *

Email *

Phone *

Delivery Date *

Pick Up Date *

Address *

On Site Contact Info *

Special Delivery Instructions/Notes

Delivery Surface *

Concrete
Asphalt
Other

Other:

Conditions & Restrictions

Please keep in mind that you own the contents of the dumpster until the landfill or transfer station accepts the material.

• LEVEL LOADS ONLY – Over-loaded dumpsters (dumpsters loaded higher than the MAXIMUM LOAD LEVEL mark on the container) will not be hauled, and a return trip fee of $75, plus $15 for each additional day, will be applied to the cost of the service. We will return when the items above the MAXIMUM LOAD LEVEL mark have been removed. It is unlawful for us to haul loads loaded higher than the side of the container.

• DENSE MATERIAL – e.g. shingles, concrete, brick, plaster, etc. Small amounts of dense materials are permitted, but keep in mind that they are very heavy, and your rental includes a certain amount of included disposal weight.

• INCLUDED DISPOSAL WEIGHT – 15 yard dumpster rental includes 2 TONS (4000 lbs.), Any weight over that will be billed to you at $75 per TON. THE MAXIMUM WEIGHT ALLOWED IN ANY SIZE DUMPSTER IS 4 TONS (8000 lbs.).

• OVER-WEIGHT DUMPSTERS – Dumpsters loaded heavier than 4 TONS may not be picked up, and a return trip fee of $75, plus $15 for each additional day, will be applied to the cost of the service. We will return when the items causing the dumpster to be over-weight, have been removed.

• NO MACHINE LOADING – e.g. Bobcats, skid-steers, loaders, backhoes, forklifts, etc.

• NO HAZARDOUS MATERIAL

• NO BIOMEDICAL, RADIOACTICE, or PCM WASTE – You will need to contact the EPA.

• NO LIQUID WASTE – All Liquids are prohibited from landfills. This includes wet paint and automobile fluids. Paint is accepted in dry form only. If wet paint is discovered, there will be a $25 disposal fee per gallon.

• NO FREON – Any item that contains, or has contained, Freon (A/C units, refrigerators, freezers, etc.), is not allowed in the dumpster. We are able to haul these items separately with our junk removal service. For pricing and arrangements, please contact us.

• APPLIANCES – Appliances are permitted, as long as they do not contain, and have not contained, Freon.

• NO TIRES – Tires cannot be placed in the dumpster. If tires are discovered, there will be a $25 disposal fee added for each tire. We are able to haul tires separately with our junk removal service. For pricing and arrangements, please contact us.

• NO BATTERIES – Lead acid batteries cannot be placed in the dumpster. They can generally be taken to any auto parts store.

• NO HOT ASH or COAL – No hot ash, coal, or any items that were once on fire and have not had ample time to fully extinguish. If you have any of these items, contact us for loading instructions.

• CONCRETE, BRICK, PLASTER, etc. – See DENSE MATERIAL above.

• MATTRESSES – Mattresses and box springs are permitted.

• NO FOOD WASTE – Food waste cannot be placed in the dumpster.

• SHINGLES – See DENSE MATERIAL above.

• UNACCEPTABLE MATERIAL – Aerosol cans, liquids, animals, antifreeze, asbestos, barrels, batteries, chemical products, contaminated soil (mixed with solvents, gasoline, lead paint chips, etc.), fluorescent tubes, food waste, Freon items (refrigerators, freezers, A/C units), hazardous waste, herbicides & pesticides, industrial waste, lubricating/hydraulic oil, medical waste, motor oil, oil filters, other flammable

liquids, paint (except completely dried latex paint), propane tanks, radioactive material, railroad ties, rock/sand/dirt (in large quantities), solvents, tires, transmission oil, etc.

Each dumpster rental includes up to 1, 3, or 7 days of rental time. Unless a special request has been made, or you’ve taken advantage of a special offer, we will automatically schedule the pick up of the dumpster for the same day as the delivery, the following week (i.e. Monday-Monday). It is your responsibility to contact us if you need the dumpster picked-up or swapped-out early. If you would like to extend the rental time beyond the PICK UP DATE listed on page 1, please call us at least 2 days prior to that date. Each additional day is $15. We cannot guarantee an extension, since there is a chance that we have already reserved the dumpster for another customer. If you have any questions or special request regarding pick up times, please call us at 706-408-7274.

Please make sure the dumpster is ready to go, and not blocked in, on the pick up day. WE START PICKING UP AT 7 A.M. If, when we arrive to pick up the dumpster, it is unavailable, or blocked in where it cannot be picked up, you will be charged a $75 trip fee. Another attempt will be made the following business day. You will be charged a $75 trip fee for each unsuccessful attempt, plus $15 for each additional day.

PLEASE REMEMBER NOT TO BLOCK IT IN THE DAY OF PICK UP.

We will happily place the dumpster wherever you ask us to, as long as we deem it safe. You are responsible for all permits (if required) and any fine resulting from the lack of obtaining them.

We promise to treat your property the way we would want ours to be treated, and do our best not to damage any property. That said, dumpster trucks are heavy, dumpsters are heavy, and what you put in the dumpster will more than likely be heavy, so please understand that even though we take precautions not to damage property while delivering or picking up a dumpster, there is no way to guarantee that no damage

will occur. Tri State Trash Co. assumes NO LIABILITY for property damage.

You are responsible for any damage done to the dumpster (besides normal wear). The following is not considered normal wear: burn marks, machinery or vehicle damage, paint/graffiti, holes, large dents, pealed decals, etc.

PLEASE KEEP CHILDREN OUT OF, AND AWAY FROM, THE DUMPSTER.

Tri State Trash Co. assumes NO LIABILITY for injuries sustained while in, on, around, or loading the dumpster.

If you have any questions, please call us at 706-408-7274 and one of our friendly team members will be happy to assist you.

Checkbox

Property Owner

I have requested that Tri State Trash Co deliver a dumpster to the above address. I understand and agree to the terms and conditions on page 2 & 3. I understand that Tri State Trash Co will take normal precautions while delivering and picking-up the dumpster at this site. I will assume all responsibility for any damage that may result to the driveway, sidewalk, yard or other portions of my property during normal delivery and pick up of the dumpster, and while the dumpster is located on this property. If a credit card was provided for this transaction, I authorize TRI STATE TRASH CO to charge the credit card, and I agree to pay the above total amount, and any overages, pursuant to the card issuer agreement.

Checkbox

Contractor

I represent the contractor and I have requested that Tri State Trash Co deliver a dumpster to the above address. I have permission from the property owner to have the dumpster placed on their property. I understand and agree to the terms and conditions on page 2 & 3. I/My company will assume all responsibility for any damage that may result to the driveway, sidewalk, yard or other portions of this property during normal delivery and pick up of the dumpster, and while the dumpster is located on this property. If a credit card was provided for this transaction, I authorize TRI STATE TRASH CO to charge the credit card, and I agree to pay the above total amount, and any overages, pursuant to the card issuer agreement.

Name *

Signature *

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Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Dumpster Rental Agreement

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