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0 Al a <br />Solid Waste Hauler License Application <br />Fee Due: $1,25.00 Year X (Li,c,e�nse will, be for January 1, to, December 3 1.) <br />Business Name <br />Email Address <br />Emergency Contact Information <br />Contact Name.: <br />Cell Phone: <br />A% <br />Alternate Contact Information: A I e <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills either vehicle fluids or fluids or debris <br />ftm <br />material collected the company must contact the City within one business day with information regarding the material <br />involved, the amount of ter al involved and the steps taken by the company to Inifigate and re mediate damage. This <br />contact does not absolve the company from liability'. <br />1 *11 be able to <br />The City expects thatin the case of'a natural or man-made disaster or a public health, crisl"S your company wi I <br />continue service, Your company should plan for continuity of operations, through an emergency operations plan. Does your <br />company have an emergency operations plan? --j(—Yes -----No <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 ffie plan. <br />0 <br />Solid waste collection gill be provided to (check all that apply): <br />i Residential (single family, duplex,, triplex, fourplex) <br />Multiple Residential (apanmem, condominium,, manufactured home piark,, and townhouse) <br />CominerciallIndustrial <br />Number of vehicles the aiDifficant umoses to use in the collection of'sollid waste Ll <br />