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P%%.J—&.0L"vv <br /> *EIPT FOR JUNK BATTERIE* VOUCHER—NUMBER <br /> SDC WHSE. Name <2BDC It — <br /> (Transporter) �61 '? <br /> Address Truck R . <br /> City-State-Zip Code Date <br /> Customer Name Acct. <br /> (Pick-up Point) <br /> Address <br /> City-State-Zip Code 4 <br /> f - �!/ J c tL-' •�4//d f <br /> JOBBER 5Acct. # <br /> (/1 <br /> Address d <br /> City-State-Zip Code <br /> WD/ND/MM <br /> (BW To) <br /> Address <br /> City-State-Zip Code — e c 5 G 5 <br /> BATTERIES, WET, FILLED WITH ACID, 8 UN2794 III <br /> EMERGENCY RESPONSE GUIDE #60. 24-HOUR EMERGENCY NUMBER (313) 635-5282 <br /> Junk Classification Quantit <br /> Junk 1 (Automotive approx. wt. 36 lbs.) <br /> _r <br /> Junk 2 (Heavy/Commercial approx.wt. 50 lbs.) J <br /> Junk 3 (LTV/Marine approx.wt. 60 lbs.) <br /> Junk 4 (Small Eng/Utility approx.wt, 10 lbs.) <br /> TOTAL JUNK UNITS TOTAL WEIGHT. <br /> Final nation, one of the following. a mersignarurFr Date <br /> City of Industry;City of Industry,CA <br /> ©uemeteo; Indianapolis, IN <br /> r Dare <br /> BOO 4i <br /> Revere Smelting and Refining; Middletown, NY 9 <br /> Oare <br /> Warehouse <br /> E PROPERLY CLASSIFI[ED, DESCRIBEO. PACKAGED, <br /> RKED AND <br /> INPROPERCCNDi N FOR TRANS aVRTATIONDACCORDING TOMATERIALS RTHE APPLICATION REGULATIONS OF THE DEPARTMENT AOF TRANSPQ TBA ION.AND ARE <br /> Per <br /> Driver <br /> Goldenrod:BDC/,jobber <br /> White:Custamer location nary:Serving AC-Delco WDlND/MM(Bill To) Pink:BDC <br /> M5 1700-7 <br /> Rev. 10193 <br />