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Solid Waste Credit Account Request Form
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Snohomish County Solid Waste Division Credit Account Request Form
New customers that wish to open a credit account must complete a Credit Account Request Form. Please provide the following information:
First Name
*
Last Name
*
Business Name
*
Phone Number
*
Email
*
1) What is your business type? Please indicate all that apply.
*
Construction
Demolition
Landscaping
Recycling
Roofing
Vactor Waste
Other
2) What service(s) are you inquiring about? Please indicate all that apply.
*
Environmental Cleanup
Waste Disposal
Vactor Waste
Other
3) How often do you anticipate posting charges to your credit account per month?
*
Less than 10 times
11-20 times
Over 21 times
4) What is the average net weight of a disposal load?
*
Less than 1 ton
2-3 tons
More than 3 tons
5) What is your Unified Business Identification (UBI) number?
*
6) Do you have any special circumstances to be considered?
Contact Information
Please specify your contact information.
Governing Person
First Name
*
Last Name
*
Phone Number
*
Email
*
Accounts Payables
First Name
*
Last Name
*
Phone Number
*
Email
*
Operations
First Name
*
Last Name
*
Phone Number
*
Email
*
Vactor Customers ONLY
Thank you for your interest in the Solid Waste Vactor waste decant facility. Please complete and submit this form to gain access to the facility. To expedite the approval process, be sure to include your chemical analytics with this form.
Origin of Material
Catch Basins
Stormwater Detention/Treatment Structure
Stormwater Conveyance Structure
Electrical Vaults
Private Business
Construction Site
Outside Snohomish County
Other (Specify)____________________
Type of Material
Stormwater drainage solids and liquids
Decant solids only
Decant liquids only
Drilling slurry
Car wash liquids
Concrete slurry
Grease
Stromwater treatment media (filters)
High volume load
Soils from utility excavation
Other (Specify) ____________________
Additional Information
Attach Chemical Analytics
Leave This Blank:
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