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ALTAMONT LANDFILL <br /> WASTE ACCEPTANCE FORM <br /> CUSTOMER TTAME-. LAWRENCE LIVERNIORE NATIONAL. LABORATORY <br /> CUSTOMER�i 0447 P <br /> TRI TICKET NO. 3W lllfe <br /> s a �. 7; <br /> -MATERIAL DESCRIPTION- GLASS ASS III COVER SOIL Tltcrcx vol. � � <br /> SPI RP NO. VOL. <br /> PROFILE r-4dS124=�,tP15:K5r-D1U1-CP9�.96 <br /> WASTE SOURCE (Count-s- -.;it`• Iocationl - LIv-ERMORE <br /> • The information listed above is necessary for acceptance of special waste at th., <br /> Altamont Landfill. <br /> • A cop` of this form must be presented with ac load to the Altamont scale house <br /> collector. <br /> • This form is for Altamont waste tracking rise 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 alternative shipping record may be used in lieu of this form if it includes the <br /> above information. <br /> • If shipping form is 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 AL.TAMOn'T COLLECTOR USE ONLY: <br /> FILL RN TAG# A SSOCL-%TED %M-H (USE oLrIMOUN )-4 FOR U-NT_'RHD LOADS) <br /> SCALE HOUSE TAG 4 - 1 GI al _ q <br /> DATE a ( f <br /> TRUCK R f I J <br />