Recycling Pickup Request Form

To request a recycling pick-up please fully complete the form below. A customer service representative will contact you within 24 hours to arrange a date and time for your pick-up. Or download a copy of our pick-up request form! Adobe PDF or Microsoft Word formats. Then, just fax or e-mail this form to our office and a representative will contact you with the next available date for your recycling pick up!

Pickup Address
Customer Number
Contact Name
Contact Phone
Hours Available
PO #
Company Name:
Items to pick up

Lamps

4 foot & under Flourescent Lamp
Over 4 foot Flourescent Lamp
Compact Flourescent Lamp
Circular Flourescent Lamp
High Intensity Discharge (HID)
Shatter Shield Lamps
U-Shaped Flourescent Lamp
Compact Flourescent with Ballast
Incandescent/Halogen Lamp
Broken/Crushed Flourescent Lamp
UV Lamp
Neon

Electronics

Computer Monitor
Electronic Equipment
Televisions

Packaging

4 foot Lamp Fiber Barrel
4 foot Lamp Fiber Barrel - Returned
2 foot Lamp Fiber Barrel
2 foot Lamp Fiber Barrel - Returned
4 foot Lamp Box
8 foot Lamp Box
UN1A2 DOT Steel Drum
Gaylord Boxes
UN1H2 5 Gal Plastic Pail w/cover
UN1H2 14 Gal OH Plastic Drum
UN1H2 30 Gal OH Plastic Drum
55 Gal OH Poly Drum w/cover

Batteries

New Battery Regulations
Effective Jan 2010

Alkaline Battery
Nickel Cadmium (Ni-Cad) Battery
Nickel Medal Hydride (Ni-MH) Battery
Lithium Battery
Mercury Battery
Batteries, wet, filled with acid

Mercury Items

Liquid Mercury
Mercury Contained in Manufactured Articles
Mercury Debris: See Haz. waste

Ballasts

Small PCB Cap Incineration
Small Non-PCB Cap Incineration
PCB Ballast - TSCA
Non-PCB Ballast for Recycling

Appliances

Household
Commercial

Chemical/Hazardous Waste


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