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Attachment A <br />Solid Waste Hauler License Application <br />Fee Due: $120% ar I <br />Ye - A D '6 (Lic e e o e <br />nse w*11 b fr Januuy I to Dcember 31 <br />Um - f <br />MMUNITEMih <br />Business Address <br />If completed license should be mailed _10mewhere other than the business address, please advise, <br />ft"tusiness Phone Orl, 13 <br />Contact Person r -sue <br />(Business Matters) <br />Email Address <br />Contact Person L-9V 91 L <br />Jfff I ILL <br />(Operational Mattm) <br />EM61 Address tmaz_ K 11 N <br />Emergency Contact Information <br />Contact Name: <br />Cell Phone-1 a <br />Alternate Contact Information-. <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills either 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 />9 <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 from liability. I <br />"The City expects that in the case of a natural or man-made disaster or a Public health crisis your company will be able to <br />continue service. Your company should plan for continuity of operations through an emergency operations plan. Does yo <br />company have an emergency operations plan? --Y,,Yes No I <br />Your company must notify the City when you activate your emergency operations plan, and inform the City of relevant <br />I <br />rinformation regarding provision of collection service under the plan. <br />Solid waste collection will be provided to (check all that apply): <br />�_ Residential (sinkle family, duplex, triplex, fourplex) <br />Am <br />Multiple Residential (apartment, condorralmium, manufactured home park, and townhouse) <br />Commercial/Industrial <br />Number of vehdcles the applicant proposes to use in the, collection of solid waste <br />