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C � - <br /> ALTAMONT LANDFILL <br /> C WASTE ACCEPTANCE FORM <br /> i <br /> C CUSTOMER NAME: DELTA OIL FIELD SERVICE <br /> CUSTOMER# -1582 <br /> C MATERIAL DESCR7nON: CLASS u COVER- SOIL 408090 <br /> I <br /> PROFILE #408090 <br /> GWASTE SOURCE County / City location) -LINDEN <br /> The Ittfarmation listed above is necessary for acceptance of special waste at the <br /> Altaawnt Ladfiil. <br /> • A copy of this fum mast be pr+rmted with to the Altaatoat mak house <br /> collector. <br /> • This form is for Altamont waste tracWmg use and is not intended to serve as a <br /> customer shipping docume" <br /> CDrivers will receive a weight ticket for confinssatios of disposal. <br /> r Aa alwmati��e shipping record may be used is 1i m of this form if it includes the <br /> l.• above information. <br /> if shipping form is a multiple part farm, pieaw ooWy landfill of which copies to <br /> retarn with the driver, if not mise noted om tate form. <br /> FOR ALTAMONT:COLLECTOIe usE ONLY: <br /> CFILL IN TAG# ASSOCIATED WITH LOAD (USE OUTBOUM)*FOR UNTARED LOADS) <br /> SCALE HOUSE TAG hk - J <br /> DATE Z ~ J <br /> TRUCK # R - <br /> C li <br /> TOTAL P. 14 <br /> C � <br />