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JUN-LIS-S6 09: I6 FROM:ALTAMONT LANDFILL & RRF ID: PAGE 4/4 <br /> I <br /> T LANDFILL <br /> WASTE ACCEPTANCE <br /> CUSTOMER N LAWRENCE LIVERMORE LAB TRIP TICKET NO. <br /> S� <br /> TRUCK VOL. �® 2 <br /> CUSTOMER# -0047 <br /> SP/RP NO. VOL. i <br /> MATERIAL DESCRIPTION: ASPHALT;'/CONCRETE <br /> PROFILE#408126-AP I 6:865-D I U I-RP94 <br /> WASTE SOURCE (County/City location)-LIVERMORE <br /> • The Information listed above is necessary for acceptance of special waste at the <br /> Altamont Landfill. <br /> • A copy of this form must be presented with each load to the Altamout scale house <br /> e,lrt-tor. <br /> • This form is for Altamont waste tracking use and is not intended to serve as a <br /> customer shipping documentt <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 /> • Tf shipping form is a multiple part form,please notify landfall of which copies to <br /> return with the driver,if not otherwise noted on the form. <br /> FOR ALTAMONT COLLECTOR USE ONLY: <br /> PILL IN TAG#ASSOCIATED WFM LOAD (USE OUTBOLrND#FOR UNTAR.ED LOADS) <br /> SCALE HOUSE TACT#- 2-o C;--� — L <br /> DATE 9 <br /> —/ <br /> TRUCK / <br />