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ALTAMONT LANDFILL <br /> WASTE ACCEPTANCE FORM <br /> f <br /> CUSTOMER NAME: DELTA OIL FIELD SERVICE k <br /> CUSTOMER 9 =1582 j <br /> MATERIAL DESCRTPI-ION: CLASS 11 COVER- SOIL 408090 <br /> PROFILE W8090 <br /> WASTE SOURCE (County/ City location) -LINDEN <br /> • The Information listed above is necessary for acceptance of special waste at the <br /> AttamoaCY.vandGli. x <br /> CA copy of this form mtast be presented with n5b Ind to the Altamont scala house <br /> collector. <br /> This form Is for Altamont waste tmddag use and is not i»tended to so-we as a <br /> • customer skipping document <br /> CDrivers will receive a weight ticket for cenfu-matioa of disposal <br /> An ti"sWppW&tacord may be used in lieu of this form if it includes the <br /> Cabove iaformatiam. <br /> If shipping form is a multiple pad fm=,please notify landfill of which copies to <br /> Creturn with the driver, if not othawise notes on the form. <br /> CFOR ALTAMON-r COLLEC-I'UR USE ONLY: <br /> FILL IN TAGN ASSOCIATED WITH LOAD (USE OUTBOUND#FOR UNTARED LOADS) ! <br /> SCALE HOUSE TAG 4 - <br /> DATE <br /> TRUCK 4 <br /> c k <br /> C <br />