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Site Address: 7373 WeeOiO944-b <br /> Stockcton.*2io <br /> SC PPS#5/30/20:0` <br /> WORK ORDER 7028984--12&00 <br /> DOCUMENT NO. L v STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 Clean Harbors Environmental Services,Inc. VEHICLE ID# 5547 <br /> EPA 1D # MA D C 3 9 3 2 2 2 5 to TRANS. 1 PHONE S J7S2- + <br /> TRANSPORTER 2 VEHICLE 1D # <br /> EPA ID # TRANS, 2 PHONE <br /> DESlC2�Ia Qr orsl it in ton LLC SHIPPER ess�caC:avaLITY , <br /> dp Kaiser Permanente <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> CAD044429935 CRD9836600594 <br /> ADDRESS ADDRESS <br /> 1 737 East Denni Street 7373 West Lane <br /> CITY STATE ZIP CITY STATEip <br /> ilrtTimmn €a. Snag Stauf ton CA 95239 <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WTNOL <br /> AmON DDT REGULATED MATERIAL,(ALKALINE BATTERIES) <br /> t5 DF € 0090 P <br /> B. <br /> C. <br /> D. <br /> E. <br /> im) A9Z <br /> F. <br /> E R(3KMF—6TAL <br /> PERMITrSERVICES <br /> G. <br /> H, <br /> SPECIAL HANDLING INSTRUCTIONS EMERGENCY PHONE#.(800)48Z-37is GENERATOR:ftseyPersraarerne <br /> N.SJ994445 <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 /> SHIPPER <br /> PRINT S N DATE <br /> TRANSPORTER 1 A+ <br /> PRINT EDMUND SARSIGN DA i a=te <br /> r � <br /> TRANSPORTER 2 �- <br /> PRINT SIGN DATE <br /> PRINT SIGN <br /> RECEIVED By DATE <br /> ATJE� 1 <br /> fi f <br />