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CVEOLIA
<br /> �RSA.L� WASTEBILLOFLADING ENVIRONMENTAL SERVICES
<br /> Name and Melling Add r�as Location Address(If different) BOL No.
<br /> rf' Doc.No..,
<br /> /•" it � � _,l - '�r /f(� •^r_ . �-
<br /> SO No.
<br /> Emergency Contact
<br /> Phone No. PO No. 1-000-575-5053
<br /> Designated Facility,as checked below.
<br /> Redia ES Technical Solutlons,L.L.C. eolia ES Technical Solutions,L.L.C. OVeolia ES Technical Solutions,L.L.C. []Veolia ES Technical Solutions,L.L.C.
<br /> 1275 Mineral Springs Drive 5736 West Jefferson Street 230 Canton Street 342 Marpan Lane
<br /> Port Washington,Wl 53074 - Phoenix,AZ 85043 Stoughton,MA 02072 Tallahassee,FL 32305
<br /> (262)243-8900 (602)233-2955 (781)341-6080 (850)878-2259
<br /> WID988566543 AZ0000337360 MA5000004713 FL0000207449
<br /> Container Total Onbi
<br /> HM Count Type Grit or WT DOT Description Common Name Profile Number DiscreDarlcv
<br /> RO Mercury contained in manufactured articles,8,UN2809,PG Mercury Containing Articles
<br /> III,ERG#172 (Refer to State Requiations)
<br /> RO Mercury,8.UN2809,PG ill,ERG4"72 Mercury
<br /> RO Environmentally Hazardous Substance solid,n.o.s.,
<br /> 9,UN3077.PG111(PCB),ERG#171 TSCA Exempt PCB Lamp Ballasts
<br /> Environmentally Hazardous Substance,solid,n.o.s.,9,NA3077,
<br /> PGIII(Mercury) ERG#171 Mercury Batteries
<br /> Batteries,wet,nonspllable,electric storage,8,UN2800,PGIII,
<br /> ERG#154 Lead Acid Batteries-Sealed
<br /> Batteries,wet,filled with add,8,UN2794,PGIII,ERG#154 Lead Acid Batteries
<br /> Lithium Battery.9,UN3090,PGII,ERG#138 Lithium Batteries
<br /> Batterieswet filled with alkali 8 UN2795 PGIII ERG#154 NiCad Batteries-Wet
<br /> CM
<br /> Batteries dry,non-DOT regulated NiCad Batteries-Dry
<br /> Batteries dry,non-DOT regulated Alkaline Batteries
<br /> Batteries drv.non-DOT regulated Mixed Batteries
<br /> Lam s,Non-DOT Regulated r 49 CFR 173.164(e)) Fluorescent Lamps 4'and under
<br /> '1�•�-rc... r
<br /> Lams Non-DOT Regulated r 49 CFR 173.164(e)) Fluorescent Lamps 5'and over
<br /> f— Lams Non-DOT Regulated r 49 CFR 173.164(e)) Circular/U-tube Lamps
<br /> Lams Non-DOT Regulated r 49 CFR 173.164 a Compact Lams �',�•�
<br /> Lamps, on-DOT Regulated r 49 CFR 173.164 a Shattershield/Shielded
<br /> Lams Non-DOT Regulated r 49 CFR 173.164(e)) HID Lamps
<br /> Lams Non-DOT Regulated r 49 CFR 173.164(e)) Mercury Vapor/JV Lamps
<br /> Lams Non-DOT Regulated r 49 CFR 173.164(e)) Incandescent Lamps
<br /> Lams Non-DOT Regulated r 49 CFR 173.164(e)) Broken Lamps
<br /> Non-DOT Regulated Electronic Equipment for yr i
<br /> RecyclinglReuselRemanufaidure Electronics ` f
<br /> Non-DOT Regulated Ballasts for Recycling Non PCB L' ht Ballasts
<br /> .. This u to cer*mat U above namproperl
<br /> ed materials are y classified.deserted,padVW.maxed dna labeled ane ars in proper mn6em V transa�ation
<br /> «
<br /> acoordirp b the applicable reprlations d the nmers d DepaTransportation.As comarren or caste ore hollycribed desabove and are prewmetl b be kA.
<br /> uni—Uro Gwwatm hss provided a detailed,veneabbead bkd—, se wastes b-V poked up a deft—d.Actuet 9uanbt s will be determined upon
<br /> recta at the Desi lata FatiFy.
<br /> S' velure`{ Date
<br /> U
<br /> Transporter 1 Name: T . I Y ''T< rI15J/i t /�J �f' s( C Transporter 2 Name:
<br /> dC)
<br /> fp Number �r - 7% Ptxxle Number.
<br /> SI lure Date I Si nature Date
<br /> Received,subject to the classifications and regulations in effect on the date of the issue of this Bill of Lading,the property described above in apparent good order,except as noted.
<br /> Per 40 CFR 273.18(d),40 CFR 273.38(d), and 40 CFR 264.12(b)the Designated Facility agrees to receive shipments of Universal Waste from the Generator.
<br /> Signature Date
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