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Sita Address: <br /> 400 W Vaoco Road <br /> Tracy ,CA 9537{3 <br /> FPW 01110r'2GM <br /> WORK ORDER NO. IJIW517 <br /> —t30CUMENT NO. 201991 STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 Clean Hamra EnwonnwnW.Services Inv, VEHICLE ID # <br /> EPA ID # M A Q 0 3 9 3 2 1 2 5 0 TRANS. 1 PHONE _ _I.78i) 192-5uu_ <br /> TRANSPORTER 2 VEHICLE ID # <br /> EPA ID# TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> art. n LLC i,wMie-Iniand Plam#020 <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> ADDRESS ADDRESS <br /> i East Dens"street <br /> CITY STATE ZIP CITY STATE ZIP <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WT/VOL <br /> A. UIv3477,ENVII';GiVM24TAIIlr HAZARUCAJS SUUSTANCE`: <br /> 1 r1' SOLID.N.O.S..(UNIVERSAL 1Afa�STE MF_R1r1URv LAMP5),9, ,r ; <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONStA C I 14'. t <br /> mar Fropcer l"FE oven handling vva;te A. -�H200504 - -, r , 2 o.e s <br /> rr 7 7 <br /> '14 , ' + � 4EAu4;4 k r 5 7 <br /> SHIPPERS CERTIFICATION: This is to certify that the above named materials are properly classified, <br /> described, packaged, marked and labeled and are in proper condition for transportation according to <br /> the applicable regulations of the Department of Transportation. <br /> PRINT SIGN DATE <br /> SHIPPER <br /> PRINT SIGN DATE <br /> TRANSPORTERI <br /> PRINT SIGN DATE <br /> RANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> CHI 107 <br /> lt- <br />