FREE Household Hazardous Waste Roundup Event

Please complete the form below, then follow the instructions that follow.

• Your Location:*
  Select your locationAlpineBonitaBonsallBoulevardBuena ParkCampoCity of VistaCoronadoCorporateDescansoEl Cajon CountyEl SegundoEncinitasEscondidoEscondido CountyFallbrookImperial BeachJacumbaJamulLa Mesa CityLa Mesa CountyLa MiradaLa PalmaLakesideLakewoodLemon GroveLincoln AcresLong BeachNational CityPalaPauma ValleyPine ValleyPotreroPowayRainbowRamonaRancho DominguezRancho Palos VerdesRancho Santa FeSan DiegoSan MarcosSan Marcos CountySan PedroSignal HillSolana BeachSpring ValleyTecateTorranceValley CenterVista County
• Select Service(s):*
  Select oneResidential Curbside PickupCommercial/Business ServicesApartments & CondosTemporary Dumpster ServiceConstruction & Demolition
• Select Date to Start Service:*
  Date Format: MM slash DD slash YYYY
• Select Date to Stop Service:*
  Date Format: MM slash DD slash YYYY

• First Name:*
• Last Name:*
• Telephone:*
• Email:*
• Service Address 1:*
• Service Address 2:
• City:*
• Zip Code:*
• Billing Address:*
• Forwarding Address:*
• City:*
• Zip Code:*
• State:*
• Comments: