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n: <br /> 6 V Ste/' 3 V A -� <br /> AGr D E•LC .' {:- <br /> - - <br /> -UNf...-Bt_T. v..O. U_c„ERNLjI-M~B.E <br /> R..� <br /> - <br /> `= BDCWHSE-Name <br /> (rransporterJ_• <br /> Address Truck#' <br /> _ <br /> r Bate <br /> i6�, City-state-ZP Code <br /> Acct. tt <br /> Customer Name <br /> (Pick-up Point) <br /> Address <br /> City-State-Zip Code f �! <br /> Acct. tt f [� <br /> JOBBER <br /> Address <br /> City-State-Zip Code <br /> Acct.T, 7 <br /> WO/ND/MM <br /> G <br /> (Bill To) 4 r <br /> Address <br /> City-State-Zip Code <br /> BATTERIES, WET, FILLED�R EINERGENCY NUMBER (313) 635-5282 <br /> CID, 8 UN2794 III <br /> EMERGENCY RESPONSE GUIDE #610 <br /> Junk Classification Quantit <br /> Junk 1 (Automotive approx. wt. 36 lbs.) <br /> ,funk 2 (Heavy/Commercial approx. wt. 50 Ibs) <br /> Junk 3 (LTV/Marine approx.wt.60 lbs.) <br /> Junk 4 (Small Eng/Utility approx.wt.10 lbs.) <br /> TOTAL JUNK UNITS <br /> TOTAL WEIGHr2 <br /> 2 <br /> Firjal_901tination, one of the following: <br /> usromer Signature <br /> City of Industry;City Of Industry,CA <br /> Ouemeteo; Indianapolis, IN Date <br /> Revere Smelting and Refining: Middletown, NY 130C Mgt. <br /> Date <br /> Warehouse <br /> PERLY CLASSIFIED, <br /> GED MA K AND LAB LED. <br /> THIS IS PEO CN CERT!FY THAT THE <br /> ON FOR TRANSPORTAAON�A CORDING TOMATERIALS T THE APPLICATION REGULATIONS OF ERE DEPARTMENT TMENT OF TRAS PO TA IOtr AND ARE <br /> .N PRO <br /> Per <br />