Laserfiche WebLink
V Vii a�t we.Y 0 :� ::•8 h'R�/H6 MY rYM t°aVlW 8 l...Y4a4v; s Bm Lea t.p •saaa a✓ '�® <br /> d` 1 <br /> •i s <br /> D <br /> ALTAMONT LANDFILL <br /> WASTE ACCEPTANCE FORM <br /> CUSTOMER NAME: LAIAT NCE LIVERMORE NATIONAL. LABORATORY <br /> CUSTOMER�i -0047 TRIP TICKET NO. <br /> MATERL,kLL DESCRIPTION- GLASS ASS III COVER SOIL TRUCK VOL. <br /> SP/RP NO. r VOL. /0 <br /> PROFILE t!405124-A.P16:865-DIU1 S _ 96 <br /> WASTE SOURCE (Counn- ` City location) - LIVERMORE <br /> • The Information listed above is necessary for acceptance of special waste at th,, <br /> Altamont Landfill. <br /> • A copy of this furor must be presented with eacbload to the Altamont scale house <br /> collector. <br /> • This form is for Altamont waste trac g =ise and is not intended to serve as a <br /> customer shipping document. <br /> • Drivers will receive a weight ticket for confmation of disposal. <br /> • An alternative shipping record may be used in lieu of this form if it includes the <br /> above information. <br /> • If shipping forth is a multiple part form,please notify landfill of which copies to <br /> return with the driver. if not otherwise noted on the forth. <br /> FOR ALTAMONT COLLECTOR USE ONLY: <br /> FILL IN TAG#4_SSOCL-�TED %=L0,-'W (USE OLrMOU_ND# FOR LT_N-T_`RED LOADED <br /> SCALE HOUSE TAG # - OS l— <br /> DATE f zs / &" <br /> TRUCK # /.� <br />