As you can see in the video above, you start by naming your company, picking a logo and color scheme and examining the types of trash -- residential, recyclables, etc. -- that you'll have to pick up on your appointed rounds. You then float a bank load to hire a crew and buy a truck.
But that's only the start of the excitement! You then set off on a mission where you drive up to a garbage can, hop off of your truck to retrieve it and dump its contents into your truck. That done, you drive 10 or 20 feet, stop, and do it all over gain. From watching the video above I can only say that it looks every bit as exciting as it sounds.
If you've ever had a hankering to be a waste management tycoon, then this is the game for you.