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-nn <br />DOCUMENT NO. F„/'nei r <br />w �; a <br />TRANSPORTERI <br />EPA ID # <br />TRANSPORTER2 <br />EPA ID # <br />STRAIGHT BILL OF LADING <br />WORK ORDER NO. <br />VEHICLE ID # <br />TRANS. 1 PHONE <br />VEHICLE ID # <br />TRANS. 2 PHONE <br />DESIGNATED FACILITY <br />SHIPPER AZ1��3rwzD-wnrg <br />UC <br />AZ - <br />Pamfiu :.a: A'ir <br />FACILITY EPA ID # <br />SHIPPER EPA ID # <br />PRINTSIGN <br />i'' <br />ADDRESS <br />ADDRESS <br />CITY STATE ZIP <br />CITY STATE ZIP <br />rdFEKR _.... <br />1. 6.w1 iv1� R525i5 <br />CONTAINERS <br />PRINT <br />SIGN ",` <br />TOTAL <br />UNIT <br />NO. & SIZE <br />TYPE <br />HM <br />DESCRIPTION OF MATERIALS <br />QUANTITY <br />WT/VOL. <br />AN094f 400 ! a 7: 3 sUIUKRT4 'i A <br />B. <br />C. n <br />D. <br />E. <br />F. <br />G. <br />H. <br />SPECIAL HANDLING INSTRUCTIONS 37MERGENC7d'}HONE Ah €i„ l41-0e'�'39 <br />L i ,i i - r i f 1'i I 1-"j i ..f i /iL i.d' S1 J{ n. ee L .�E <br />� X31141 f y <br />t neer z5 UU 46 '7J ' o 66j � Lcn_.v z � %— <br />SHIPPERS CERTIFICATION: This is to certify that the above named materials are properly classified, <br />described, packaged, marked and labeled and are in proper condition for transportation according to <br />the applicable regulations of the Department of Transportation. <br />PRINT f <br />SIGN L,°` <br />DATE <br />SHIPPER <br />PRINTSIGN <br />i'' <br />DATE <br />TRANSPORTER 1 <br />PRINT <br />SIGN <br />DATE <br />TRANSPORTER 2 <br />PRINT <br />SIGN ",` <br />DATE <br />RECEIVED BY <br />CHI 107 <br />