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Q VF—Ottft <br /> ENVIRONMENTAL SERVICES <br /> 1.Generator ID Number 2.P 3.Emergency Response Phone �.SniPPing Docume'�t1T�9�tck�pJp Dq�II er <br /> SHIPPING 1 3-?1818-008- ZZ v�+"� 916 <br /> DOCUMENT C A. L 0 0 0 3 7 . 2 8 9 I' atp/ r�p(t�g <br /> 5. anerat same and ailing Address DOPACO !rJC <br /> A �.II'J(.nmai in9 rens <br /> 4545 GAN tAS LAAtI F DBA.PACTIV LiC <br /> 4.,45 QUANTA„LN <br /> Genereta's Phone:209 483-6014 <br /> STOCKTON,CA 95208 <br /> U.S.EPA ID Number <br /> Transporter mpeny Nanne N ) D 0 8 0 8 3 1 3 5 9 <br /> VEOUA.EG TECIANICA.L SOLllTIONG <br /> 7.Trants_Phwe: <br /> U A ID Number <br /> �. 33asore Addressi c r�aLSOLUTIONS, US.EPA IDNumber <br /> lEOUAE TECHNIAOUSA FIA 9 SeREET ENVIRONMENTAL C 4 0 a4 8 3 C 2 a G <br /> 511' ucOlr�nc060TAAGt�Faci' <br /> 9b.U.S.DOT Desuipfim(indeding Pmper Shipping Name,Hazard Class.IO Number, No Contalrnens 11.Tmal 12. ol.nit 13.Codes <br /> HM and Packing GmuP(9 any)) <br /> No. Type Quantity Wt.Nd. u ` <br /> n t __ <br /> X 1 IL CAPAUY), .1 JWERSAL bVA�?P� F <br /> c 1 0 ti^, 3 B <br /> W 2 <br /> 3. <br /> 4. <br /> 14.Spacial Handling lnmructions and AddifiMel Information EP rjpprjCP Contracted b%,,VESTS -I- tj ERG:128 —214228 A:AZU-AEROSOL <br /> 15. GENERATOSIOFFERROS CERTIFICATION: I hereby declare that Mco <br /> e ntents of_.-Consignment are fully and aocuretety described above by Ma proper shipping name,and are classified.Dackegeq <br /> R <br /> marked and Iabmadlplacirmud,and are in all respects in proper condition for transport acwMing to applicable inlemational and national govemmental regulations. <br /> An ey Year <br /> enereto snot yp 0 8 2 8 1 2 <br /> ZaZg:�4F 6.Intemational Shipments L1 Import to U.S. ❑Export U.S. Pon of entiylexib <br /> = Trans over s' nature for ex rts onl Dale leavin U.S.: <br /> IX 17.Transporter Adnowledgmem of Receipt of Shtioni ay ear <br /> rgne no ` <br /> K ranspoder1 n a V Z <br /> a �q lh Cz— on ay aer <br /> on Transporter nntedzryped ame go re <br /> S r !2 !o� 04 c¢ t <br /> i18.Di <br /> 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection <br /> Shi i Dawment Tracki Number <br /> U.S.EPA ID Number <br /> 18b.Almelo Facility(or Generator) <br /> J <br /> V <br /> LL Fadl' 's Phone: Monts Day Year <br /> w 18c.Signature MAltemme Fadlity(or Generator) <br /> 6 <br /> Z <br /> H 19.Report Managamenl Method Codes(i.e.,codes for treatment disposal,and recycling systems) <br /> 3. 4 <br /> 20. - nmed FamFty Owner or 0pomt C 'fication f receipt of shipment except as rmled in Item 18a ' MonN Day Year <br /> Nan+e a 1 <br /> DESIGNATED FACILITY TO GENERATOR <br />