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WINDUSTRIAL EMPTY CONTAINER 2840 <br /> SERVICES <br /> CONTAINER Receiving Record <br /> W w.iconierv.cem DATE: 10 - %D - X <br /> ICS-CA,LLC <br /> 100,U.—St.,MorneDaaO.CA 90&10 <br /> ph—"- G (4.50] <br /> CS-C .LLC(o,1al <br /> 640 baa"—,er19am.co ao6cl <br /> ri . 907-659-:Acis <br /> - - Dnver.�. .1l7 f�(6 -F,lot) <br /> C <br /> _. ICA-Co.LLC(8101 Received From: __ <br /> 1810Morom,Or.nq LLo BRIG srmcso ,I //''''�� ,/� ----- -- Custo rNo.: <br /> n LeI. c�+ezzas7aa' �,7 S tY U ff t i l i'l 1 L L N tf T I Z <br /> Address: <br /> Vas'WA.LLC —' --- --- ROI,DOC.: <br /> vaanc:206-167-2945 Clty: Inv,/CM/: <br /> �'f U l:1't L� r'j <br /> .XCA NoM.LLC _. <br /> 745 4-tel., <br /> gosMNe.(:A 05678 v <br /> rnv.lc 916781-Z11S Carrier: r S Frei <br /> ICS Carpo Clean CA.LLC _____._ _. __ ght BIII No.: <br /> 1090 AW-1—or San r-A <br /> rafons.533.587-7686 <br /> SS GAL. CLOSED TOP EMPTY CONTAINER CERTIFICATION <br /> UN>.9 .g I hereby certify that these containers are"Empty"as required In the California's Title 26,Div 22 Section 66261.7 <br /> - and 40 CFR 261.7,and Washington's WAC 73-303-160 hazardous material regulations,and that they have been <br /> properly prepared for transportation under the regulations of the U.S. Department of Transportation, 49CFR <br /> 173.29("SEE REVERSE"). <br /> Deheader Misc //11 <br /> -j—- — Data: lV 30— _ Customer's Signature:_- <br /> ad <br /> Without your signature,we Cannot accept your drums. / <br /> 55 GAL OPEN TOP Please Note:Although our driver has counted and described your Containers,these containers will be rechecked at our plant, <br /> We will notify you of any changes. <br /> UN HB OT H8 <br /> Remarks: <br /> OT LL OT LB <br /> OTHER <br /> CT 30 GAL. OT <br /> ... - <br /> MISC. SM.SIZES <br /> POLY. <br /> CT <br /> IBC <br /> 275 3311 <br /> PARTS 4 :Y rp t-M <br /> LIDS RI <br /> NGS <br /> SCRAP <br /> CT OT POLY <br /> �'R <br /> Rejects/Returns - <br /> 7. <br /> Total Drums _- ;rte• r . <br /> L. 5 'x' � K <br /> Trader Leave Customer jArrive P/anr �1•„p i <br /> ___ _. �,yr' 'rW Ili �-.•.y• - - <br /> t <br /> Outbound <br /> Trailer Lca1T Plant_I Arrive Customer <br /> .r 1 <br /> -7 <br /> rl t�Tntal=a <br />