j6citylandfill.doc
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- Job Order Contract (JOC) - Construction
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- W9124P-16-R-0006
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J6 - Manifest of Material Delivered to the City of Huntsville Inert Landfill
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Attachment J6
DEPARTMENT OF THE ARMY
UNITED STATES ARMY GARRISON – REDSTONE
4488 MARTIN ROAD
REDSTONE ARSENAL, ALABAMA 35898-5000
REPLY TO
ATTENTION OF
MANIFEST OF MATERIAL DELIVERED
TO THE CITY OF HUNTSVILLE
INERT LANDFILL
DATE:_____________________ TRUCK NUMBER: _________________
NAME OF TRUCK DRIVER: _____________________________________
NAME OF COMPANY HAULING: __________________________________
POINT OF ORIGIN (BUILDING NUMBER): ________________________
TELEPHONE NUMBER: ________________________
CONTRACT NUMBER: __________________________________________
GOVERNMENT POINT OF CONTACT: JERRY HINSON 955-8113
TYPE OF WASTE: ____________________________________________
ESTIMATED VOLUME OF WASTE: ________________________________
CUBIC YARDS OR TONS
(CIRCLE ONE)
OTHER COMMENTS: ___________________________________________
CONTRACTOR SIGNATURE AUTHORIZED SIGNATURE
AN EQUAL OPPORTUNITY EMPLOYER
_1067158449.doc
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