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Solid Waste Hauler License Application <br />'a, mn" 11 be for January I to December 3, 1.) <br />Fee Duee $125'.00, Year c;ZOIJ, (License <br />0 1111191 11 111 11111 <br />Wusiness Name Ray\, <br />Business Address V\O 3r2 <br />_PU Itk . mj� SI5 -- , <br />If completed license should be mailed somewhere other, than the bus nee please advise. <br />Busi news Phonie (47t3) <br />Contact, Person <br />(Business Matters) <br />Email Address <br />Contact Person, <br />(Operational Matters) <br />Eel Addtiess, <br />Ernergency Contact, Information <br />Contact" Name.,, <br />Cell Phone.: <br />Alternate Contact Inforynatilonf, <br />A <br />In, the event that, while operating in RojsJill�, j oillection, vehicle leaks or spills ei er vehicle fluids or fluids or debris <br />from material collected the company, must contact the City within one business day with information regarding the material <br />involved,,, the amount of material involved and the steps taken by the company to Mitigate and remediate damage. This <br />contact does not absolve the company hum liability'. <br />The City, expects that in the case of a natural or mani-made disaster or a public heall th crisis your company will be able to <br />Nq <br />continue ser ice. Your company should plan for continuity, of 0 through an emergency operations plan. Does your <br />company, have an emergency operations plan? <br />., Yes <br />Your company must notify the City when you activate, your, emergency operations plan,, and inform the City of relevant <br />information regarding provision of collection service under the plan. <br />i waste collection Will be provided to (check all that apply)-. <br />(over) <br />