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Site Address: SAME <br /> 1282383 SC PPw WORK ORDER f j <br /> DOCUMENT NO. STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 VEHICLE ID# <br /> Clean oes, r� <br /> EPA ID# TRANS. 1 PHONE <br /> i)792-6000 <br /> TRANSPORTER 2 VEHICLE ID# <br /> EPA ID# TRANS.2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> FACILI S ID it <br /> 94-240 ZJA80!G0qA7 <br /> ADDR ADDRE <br /> 5W Canal HoYawRd <br /> CITY STATE ZIP CITY STATE ZIP <br /> 95377 <br /> CONTAINERS TOTAL UNIT <br /> NO. &SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WTNOL <br /> A. <br /> r z v 11{NLFiAI1190i01Js.110110AJ.0EGULATM <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS EMERGENCY PHONE#-=01463+97i9 GENERIkTOR.ERTS(Faded <br /> A 21197 <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 /> PRN SIGN DA <br /> SHIPPER Sb O? <br /> RINT SIGN DAT <br /> TRANSPORTER1 ZO <br /> PRINT SIG DATE <br /> TRANSPORTER 2 <br /> PRIN ` I SIGN <br /> RECEIVED BY <br /> Genefaur ackaewledges tkat as waterW aha,[e kW ecewred either in the actrrisdss er is the prtuess tenanting the materiaL <br /> CHI 107 <br />