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i <br /> ***24 HOUR EMER6ENCY RESPONSE, CALL (877) 577-2669 uxrs 1 <br /> 11855 WhiteRock Road BILL OF LADING <br /> ENVIRONMENTAL SERVICES Rancho Cordova,CA 95742 - <br /> GROUP (916)351-0980 Tel _ Lading Manifest: 615816-12 <br /> Western Region (916)351-1707 Fax <br /> OEUIVERY GATE IOS 11448671 <br /> SHIPPER'/CUSTOMER POINT OF CONTACT - <br /> ADDRESS 160OUTW ATRPORT <br /> - - <br /> PHONE# - <br /> _ 7 <br /> CITY,STATE,Zip _ <br /> CAR -95206 <br /> Sp <br /> PHONE# <br /> ' _ <br /> 17111 <br /> CONSIGNEE/FACIUIY POINT OF CONTACT i <br /> 5! T t <br /> ADDRESS - - PHONE# <br /> CITY,STATE,ZIP qui).gsu—ncign - <br /> RA r <br /> HM USOOTOemripbon'(Including Pioper Shipping Name,Hazard Class,and ID Number) Containers' - Total <br /> - - - . - - No. Type Quantity -...UDM <br /> A FWE01- 1`161 REEULATED BY DOT (EMPTY DRUM LAST MITRINEA L"OTOR �}J <br /> OILJ Wyi- L/ V DF rJ C P <br /> B aJ <br /> MATERIAL NOT REGULATED BY DOT (EMPTY BRUN LAST CONTAINED MOTOR <br /> DILI W4*l4 003 DM P <br /> C <br /> r <br /> HRTEOIAL NOT REGULATED BY BUT (EMPTY BRUN LAST CONTAINED FIRE <br /> RETRRDRRTJ R Aw DIn <br /> VA DF (jo P <br /> D <br /> MATERIAL NOT REGULATED NY DOT (ENPTY DRUM LAST MRINED ROUNDUP) I <br /> 007 i <br /> Spada]Handling Instruction and Additional Information: I <br /> aJ DESUB030-00 - EMPTY DRUMS/CONTAINERS NON-REGULATED RECYCLE - REC27 RAJ O1 IEDOOD30-00 EMPTY DRUMS/CaNTRINERS <br /> RON-REGULATED RECYCLE - FEC27 (42) c1 NED00030-00 - EMPTY DRURSICUNTRINERS NON-REGULATED RECYCLE -REC27 (43) d) DED00030-00 <br /> - EMPTY DRUMS/CONTAINERS NON-REGULATED RECYCLE - 9EC27 (441 <br /> Placards Provided YES NO Emergency Phone#(877).577-2669 <br /> SHIPPER'S CERTIFICATION:This is to certify that the above named materials are property classified,described,packaged,marked and labeled,and are In proper condition for <br /> transportation according to the applicable regulations of the Department of Transportation. <br /> (SHIPPER)PRINT OR TYPE NAME - SIG R Mame oarY'w <br /> x <br /> (CAIER/rRA ORTER)PRINT OR TYPE NAME - SIG RE _ moerm onr vEw <br /> x lar , x <br /> (CONSIGNEE/FACILITY)PRINT RN NAME SIGNA RE aipnm pay rarw <br /> Ix x <br /> FOmt#PSC-POS•REV.01112 <br /> Oi'Rr6lCQIVG::r <br />