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204244 - 1554 <br /> �. 5o tl�sigpe�jor UBean <br /> elite(12-pitch)typewriter, <br /> HAZMAT BILL OF 1.0fferors ID Number page 1 of 3.Emergency Response Phone 4.Tracking Number <br /> LADINGRANIFEST CAT00oG10949 -1 72 — _ _ _ v_ 55 -1 <br /> 5.Otferors Name and Mailing Address Offeror's She Address(If different than mailing address) <br /> TIN, INC. (020-TRACY) / DAN PEREZ \ TIN, INC (#020-TRACY) / DAN PEREZ <br /> 4x.70 WEST VALPICO ROAD-SITE 400 WEST VALPICO ROAD-SITE <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> otieror's Phone: (^2()9)636-1971 GEN: 64495 <br /> 6.Transporter t Company Name U.S.EPA ID Number <br /> F <br /> 7.Trensporter 2 Company Name U.S.EPA ID Number <br /> e.Designated Facility Name and Site Address - U.S.EPA ID Number <br /> HERITAGE ENVIRONMENTAL SERVICES LLC <br /> 2284 E STOREY RD AZD081705402 <br /> COOL I DGE, AZ $S2'c'8 <br /> Fact! s Phone: <br /> ga 9b.U.S.DOT Description Qncluding Proper Shipping Name,Heard Class,ID Number, 10.Containers 11.Total 12.Unit ; <br /> HM and Packing Green(if any)) No. —Typ. Quantity wt(vol. <br /> 1. <br /> CGTiO�-c-zr-rnz-rrC-Rif9l=cri�i�t54 (� 23 d <br /> 2. <br /> X SOL",�vvw �; <br /> 3. <br /> NON-DOT-UNIVERSAL WAS'T'E-MERCURY CONTAINING LAMPS �� P <br /> I C <br /> m <br /> LL 4. <br /> NON-DOT UNIVERSAL WASTE-MERCURY CONTAINING LAMPS <br /> P) ! <br /> 5. <br /> NON-DOT/NON-RCRA REGULATED 2AC. 1J,ten . ' <br /> 5. � <br /> 7. <br /> 13.Wal Handling Instructions and Additional Information <br /> 1.W14 0275945 2.W15_0.532319 3.1416 9.532317 4.W17_0532378 5. W19_02'59558 <br /> 1Cr-X8P-r <br /> L OF oc -- <br /> r =, <br /> 14. OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and am classified,packaged, <br /> marked and labeled/placarded,and am in all respects In proper condition for transport according to applicable inti and national governmenty regulations. ' <br /> i <br /> Offerer's PrimeV d Namr� } Signature D Monty ?Day Year c <br /> -:4 15.Tmn Acknowledgment of Receipt of Mate <br /> K <br /> ' Tran iter dn(tv�Typed Nam are on Day ea/r, <br /> 3 Transporter 2 Printed/I'yped Name t Signature __ -yev <br /> 16.Discrepancy <br /> LL <br /> 0 <br /> W <br /> a 17.Designated Facility Owner or Operator.Certification of receipt of hazardous BIII of Lading/Manifest covered by the manliest except as octad in Item 18 <br /> Pnnledfryped Name Signature Month Day Year <br /> N <br /> W <br /> Q <br />