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0 s <br /> Site Address= 7373 west Lww 0109446 <br /> Staditn,CA 95210 <br /> SC PPW 5l30120i7 <br /> WORK ORDER WR"2S39G4i-...';� <br /> DOCUMENT No. 12 4 6 7 p STRAIGHT BILL OF LADING <br /> TRANSPORTERI Given!I F5 EnVileN.W"U", <br /> VEHICLE ID# 5226 <br /> EPA ID# MAD <br /> TRANS. 1 PHONE <br /> TRANSPORTER2 <br /> VEHICLE ID# <br /> EPA ID# <br /> TRANS.2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> Clean Harbors San lose LLC ATTINJesska Caran <br /> FACILITY EPA ID # Kaiser Permanente <br /> CAD 0 SHIPPER EPA ID # <br /> 4 <br /> ADDRESS ESS <br /> 1021 Remressa Road ADDRESS7373 <br /> Lane <br /> CITY <br /> STATE ZIP CITY <br /> San Jose CA 95133 STATE 295 <br /> Stbdceon CA 269 <br /> CONTAINERS <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS TOTAL UNIT <br /> 011113 2S.RAMERIES.DRY,CONTAiNIN6 POTASSIUM"yDR00t1DE ©IfANTITY WTNOL <br /> ix5 DF X + 00020 P <br /> C. <br /> SEP 19 <br /> F. <br /> EtMkZQNM��d1`L - <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTfONS t:fwFRcl<Nctrt ��oo}ass-suis <br /> A.CHB70334ERG#1ff4 CENER+a►TOIi;Raiser P"MM019I <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 SIG <br /> SHIPPER DATE <br /> PRINT RICH DECM SIGN DATE y <br /> TRANSPORTER 1 <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PHI T Sl E <br /> RECEIVED BY <br /> CH 197 t; <br />