SCRAP METAL CONTAINER SERVICE REQUEST
E. Schneider & Sons / Easton Are Metal Recycling / H. Blinderman & Son delivery,pick-up, swap, and live loading requests.

**WE DO NOT OFFER CURBSIDE, RESIDENTIAL PICK UP**

IF you have multiple containers on site that need serviced, please fill out the form again for each individual one. **ONLY ONE CONTAINER REQUEST PER FORM, PLEASE**

Thank you!

Email address *
Company Name
Your answer
Full Name *
name of employee / person requesting the pick-up / delivery
Your answer
Contact Phone Number *
MUST be reachable at this number in case our driver has questions upon arrival
Your answer
Can you receive TEXT MESSAGES at this number? *
We might message you to ask for pictures of material that is being loaded or if there's an issue with container pickup and can't reach someone via email or a phone call. Any phone number provided is kept for internal business purposes only
Job # / PO # *
use "N/A" if there is no job # or work order #
Your answer
Jobsite Location / Site Name & Address *
list landmark / business name at location, as well as physical address (ie: Business Name, 123 Street, Anytown, PA)
Your answer
Requesting Service for: Date
remember: we ask for at least 24-48 hours notice. a live-load request for a flatbed or other specialty equipment will need more notice for appropriate logistical planning and time to acquire permits. someone will get back to you if there is an issue with the requested service date
MM
/
DD
/
YYYY
Commodity Description *
what material(s) are we picking up?
Your answer
Delivery, Switch, Pick-Up, Live Load *
what type of service do you need
Container Type
what type of container / equipment do you need serviced
Rolloff
Lugger
Flatbed
Stakebody
Lowboy
Dump Trailer
30 yd
20 yd
SMALL
MEDIUM
LARGE
SIZE N/A
Container Number
If a CONTAINER service request is made, please provide the container number. This number is located on the square, copper-colored sticker on the upper right corner of the container, underneath the barcode. If the container is missing a serialized decal, please let us know.
Your answer
DIRECTIONS & NOTES
**DIRECTIONS ARE REQUIRED FOR NEW CONTAINER DELIVERY** Container placement specifics (dock door #, lot #, 'see Joe once you arrive on site', etc.) and for *NEW* jobsite setup: address, directions, dimensions of oversize units, permit needed, etc.
Your answer
A copy of your responses will be emailed to the address you provided.
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