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Site Address: 7373 West Lane 0109446 <br /> Smdaon,CA 95210 <br /> SC PPW 5/30/2017 <br /> WORK ORDER hk702S4(021- <br /> DOCUMENT NO. 124670 STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 VEHICLE ID N <br /> 6226 <br /> EPA ID N <br /> TRANS. 1 PHONE�7�aS2.6000 <br /> TRANSPORTER 2 VEHICLE ID N <br /> EPA ID 4 TRANS.2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> Clean Harbors San Jose LLC ATTR Jessica Caron <br /> FACILITY EPA IDN KaiserPermanente <br /> SHIPPER EPA ID N <br /> CADQ5D494310 <br /> ADDRESS ADDRESS <br /> 10216erryessaRoad 7373 West Lane <br /> CITY STATE ZIP CITY STATE ZIP <br /> CONTAINERS <br /> SCA 95133 Stadnon CA 95269 <br /> CONTAINERS <br /> NO. & SIZE TYPE HM DESCRIPTION OF TOTAL UNIT <br /> MATERIALS <br /> QUANTITY WTNOL <br /> ALN=20,SATTEFAES,DRV.COMMAIMMIG POTASSIUM HVOROSODE <br /> 1X6 OF X 00020 P <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS EWRGEMCy PHOMEM�ttHN 4tS371t GEMEAAIOR:Kaiserplls•yglRe <br /> A.CH570334ERGO 164 <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 omigySIG <br /> SHIPPER DATE <br /> TRANSPORTER i PRINT RICH DECM SIGN DATE <br /> PRINT <br /> TRANSPORTER 2 SIGN DATE <br /> RECEIVED BY PRI T Sl E <br /> CHI 10] <br /> � J <br />