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2. 

4. SOLID WASTE SERVICE ISSUE

8. FIRST NAME*
9. LAST NAME*
11. EMAIL ADDRESS
12. PHONE NUMBER*
14. ADDRESS*
15. CITY*
19. DATE OF VIOLATION*
    DATE OF VIOLATION
21. PERFORMANCE STANDARD VIOLATION*

    1. Failure to deliver materials to a Designated Facility
    2. Mixing materials within a single load
    3. Failure to submit to the County documents required on time in Agreement
    4. Failure to complete each route on the regularly scheduled day
    5. Failure to leave a non-collection notice for customer
    6. Failure to notify County of switching Customers service type
    7. Failure to maintain office hours as set in Agreeement
    8. Failure to have vehicle operator properly licensed
23. ADDITIONAL COMMENTS
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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