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i <br /> *xz24 HOUR EMERGENCY RESPONSE, CALL (877)577-2669 <br /> BILL OF LADING <br /> low 11855 White Rack Road <br /> swmorrNIEn*ru ssRvtcEs Rancho Cordova,CA 95742 <br /> cxouP (916)351-0980 Tel Lading Manifest: 616819-12 <br /> Wesmm Region .(916)351-1707 Fax <br /> DELNFJTY DATE - JOB 41.448671 <br /> SHIPPER/CUSTOMER - POINT OF CONTACT <br /> SAN JOAQUIN AIRPORT <br /> ADDRESS - PHONE# <br /> 5000 AIRPORT WAY (209)468-4720 <br /> CITY,STATE,ZIP <br /> STOCKTON CA 95206 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CenturV Environmental (408)588-1791 <br /> CONSIGNEE/FACILITY - POINTOFCONTACT <br /> GENERAL ENVIRONMENTAL MOT LLC <br /> ADDRESS' - - PHONE# <br /> 11855 WHITE ROCK ROAD (916)351-0980 <br /> CITY,STATE,ZIP.. <br /> RANCHO CORDOVA CA 95742 <br /> Containers <br /> HM US DOT Description -(Including Proper Shipping Name,Hazard Class,and lb Number) .Total UOM <br /> . No. Type. Quantity <br /> A 1IRTERI91- NOT RE6ULITE DY DOT 0PT1' TOTF LAST COi(TRIfED ROUNDUP) <br /> HOW (�`} DF P <br /> V©1 115 <br /> B <br /> C <br /> I <br /> D <br /> Special Handling Instruc(Idn and Additional Information: - <br /> a) BEDOOD39-08 - EITTY 105ICORTRINERS NOR-REGULATED RECYCLE REC27 (49) <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 i <br /> transportation according to the applicable regulations of the Department of Transportation. <br /> (SHIPPER)PRINT OR TYPE NAME SIGN AT mom" MY rsas <br /> r 3 zv <br /> x Sri 6 x <br /> ( .I RANSPO �{P,RIM. R TYPE NAME SIG URE m°aTM o^r rev+ <br /> x Q ► Y""V x ' <br /> (CONSIGNEEIFACILITY)PRINT OR TY NAME SIGNATURE mormt oar rs,+n <br /> Ix x <br /> Form#PSC-209-REV.01112 CQNSIG;HEE <br />