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r <br /> 4� <br /> r i <br /> ALTAMONT LANDFILL <br /> C WASTE ACCEPTANCE FORM <br /> CUSTOMER NAHIE: DELTA OIL FIELD SERVICE <br /> CUSTOhTR# -1582 <br /> MATERIAL DESCRIPTION: CLASS II COVER- SOIL 408040 <br /> PROFILE 4408090 <br /> C� <br /> WASTE SOURCE' (Courcy/ City[station} -LINDEN <br /> CThe Information listed above is necessary for acceptance of special waste at the <br /> Altamont 1andfi14 <br /> Cj <br /> • A copy of this form meat:be presented with nSh 19gd to the Attamoat scale hoose <br /> collector. <br /> • Thia form is for Altamont waste traclung use and is not intended to serve as a <br /> customer skipping document <br /> CDrivers wig receive a weight ticket for confirmtatiom of disposal. <br /> CAn alternative shipping record may be used in lien of this form if it includes the <br /> above information. <br /> C' If shipping form is a multipte part form, please notify landfill of which copies to <br /> return with the driver, if not otherwise noted on the forth. <br /> C ,FOR ALTAMONT COLLECTOR USE ONLY: T --- – —�– - <br /> FILL IN TAG# ASSOCIATED WITH LOAD (USE OUTBOUND*FOR UNTARED LOADS) I <br /> SCALY HOUSE TAG# - �3 769 ay /9 <br /> CDATE <br /> TRUCK# l r <br /> C <br /> C <br /> 1 <br />