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BILL OF LADING <br /> 3909 Park Road, Suite D <br /> g;MP,VICESAL SEBenicia, CA 941510 <br /> LfP (877) 748-3040 <br /> Western ReVon <br /> DELIVERY DATE JOBS;tr;� <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> OIL ^� Us TV, <br /> kMRESS PHONE# <br /> f' )Y f'r 'f� !-'A <br /> CITY STATE ZIP <br /> C Cy ']r . <br /> 3ARRIER/TRANSPORTER PHONE# <br /> T ?1' t V DY, ;tgi e <br /> :ONSIGNEE/FACILITY POINT OF CONTACT <br /> X. <br /> kDDRESS PHONE# <br /> )"rl*; ; C t in RrA­ 4 .r <br /> -r Y,STATE ZIP <br /> r t exr� X All-. 't= <br /> 3 <br /> 1 <br /> ;pecial Handling Instruction and Additional Information <br /> t KFx`i i -N - i}i> FAURuWWA-STSLi9 fS s l Ali, `Y'�h' <br /> PHI"Wr, (391 646-'49.3, M'1 TA4119 4,485 <br /> f <br /> >bjmrds Provided YES NO Emergency Phone#(877) 748-W40 <br /> ,NIPPERS CERTIFICATION I hereby declared that the contents of this consignment are fully and accurately described above by Proper shipping name and are classified.packed <br /> narked and labeled,and are wi all respects in proper oondrhon for transport by highway,vessel and rail according to applicable intemat,onal and national gove nwit regulations. <br /> ✓SHIPPER)PRINT OR TYPE NAME, < , SIGNATURE - y -, - MONTH nnY YEAR <br /> � � -' ' / X <br /> R/1'RANSPORTER)lPRINT OR TYPekAME SIGNATURE MONTH DAY YEAR <br /> V1( X <br /> CONSIGNEE/FACIE"PRINT OR TYPE NAME SIGNATL)RE, _ "omit o^ <br /> K X L <br /> orm#PSC-261-RV 6/04 1 <br /> SHIPPER <br />