Laserfiche WebLink
A LANDFILL <br /> WASTE ACCEPTANCE FO <br /> CUSTOMER MAMIL LAV REPEACE LIVERMORE NATION.4LL LABORATORY <br /> CUSTOMER 0047 TRIP TICKET NO. g <br /> MATERLAL DESCRIPTION- C.LASS III CO`'ER SOIL TRUCK VOL. <br /> SP/ P NO. <Z) VOL. <br /> VOL. L / <br /> PROFILE r-408124-.,P16:85�;-DlUl-SP9;. :)6 <br /> WASTE SOURCE (Counry :in location) - L1tiERNIOR.E <br /> • The Information listed above is necessary for acceptance of special waste at th,- <br /> Altamont Landfill. <br /> • A copy of this form must be presented with tach load to the Altamont scale house <br /> collector. <br /> • This form is for Altamont waste tracking =.ise and is not intended to serve as a <br /> customer shipping document. <br /> • Drivers will receive a weight ticket for confirmation of disposal. <br /> • An atternarive shipping record may be used in lieu of this form if it includes the <br /> above information. <br /> • If shipping form Ls a multiple part form, please notify landfill of which copies to <br /> return with the driver.if not otherwise noted on the form. <br /> FOR ALTAMONT COLLECTOR USE ONLY: <br /> FILL IN TAG# ASSOCL- TED %N ITH LOAD (T.)TSE 0LrM0UND# FOR L'NT:`RED LOADS) <br /> SCALE HOUSE TAG ;! - <br /> DATE 4 C <br /> g RUCK 4 3e4- <br />