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FOUR CORROSIVE NO.8 PLACARDS 000 N. W. third Street • <br /> HAVE BEEN APPLIED Canby, OR 97013 BATTERY RECEIPT <br /> PLAQUES/PLACARDS P 195392 <br /> MATIERES CORROSIVES 8 <br /> VENDOR,STORE OR DATE TRIP NO <br /> CUSTOMER NUMBER <br /> DEALER <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> QUANTITY HM/DG DESCRIPTION WEIGHT LBS/KG <br /> Battery,wet,filled with acid,class 8,UN2794,PG Ill. <br /> X classe 8,UN2794, PG Ill. <br /> Industrial Batteries,wet,non-spillable,class 8, 800 <br /> Auto <br /> Utility <br /> Motorcycle <br /> Light Commercial <br /> Heavy Commercial <br /> Wheel Weights <br /> JCI Pallets <br /> OTA <br /> Batteries-Total USA Total Canadian <br /> TRANSPORTER/CARRIER <br /> Q Ruan Q Lambert Q SingleSource Q Other <br /> RECYCLING FACILITY(TSD) <br /> F1 Cominco(EPA#BCG00601) NOVA(EPA#23406218) Sanders Lead Co.(EPA#ALD046481032) <br /> F] Doe Run(EPA#MOD05920008 ) RSR Indy(EPA#IND000199653) Tonolli(EPA#A220129) <br /> n Gopher(EPA#MND006148092) E] RSR NY(EPA#NYD03W5288) Other <br /> E] Gulf coast(EPA#FL.D00409283 ) E RSR CA(EPA#CAD066233966) <br /> CHEMTREC 800-4 49300 CANUTEC 613-996-6666 <br /> Dangerous goods permit NO>SH2966 tA by road vehicle only. <br /> Permis N.SH2966A relatR aux merchE ndises dangeteuses par vehicule routir seulement <br /> This is to certify that the above namec materials are properly classsied,described,packaged,marked and <br /> labeled and are in proper condition fo transportation according to the applicable regulations of the department <br /> of Transportation.BATTERIES CONTA INED IN THIS SHIPMENT ARE LEAD ACID ONLY. <br /> , <br /> Driver's Signature Date Customer's Signature Date <br /> We reserve the right to rerify the battery count reported on our <br /> Battery Receipt tickets nd to make payment based on those findings. <br /> .3-59(REV 1/03) PRINTED IN USA <br />