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    First Name: *

    Last Name: *

    Company Name:

    Email: *


    Industry: *

    Waste stream: *

    Equipment Interest(s):



      Please complete form below to the best of your abilities and provide as much detail as possible. The more information we have prior to our tech’s visit, if needed, the better we can help our tech’s prepare to address your issues as quickly as possible.

      Is unit full?: *

      If not full, when was the unit last Emptied?:

      Confirm the E-stop is NOT engaged (e-stop should be pulled out to run equipment): *

      Is the key in the "on" position?: *

      Has the breaker been reset?: *

      Has the electrical disconnect been reset?: *

      If none of the trouble shooting steps above resolved your issue, please provide details below:

      Full Site Name: *

      Full Site Address: *

      Full Site Email: *

      Onsite Contact Name: *

      Onsite Contact Phone: *

      Description of Issue(s): *