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Ilk <br /> MANIFEST NUMBER: 1000791 <br /> RET <br /> URNS MANIFEST ' <br /> Leave this form with the merchandise to be returned. DATE: 11/28/2017 <br /> FROM: OREILLY AUTO PARTS 2567 TO: OZARK AUTOMOTIVE -,STK <br /> 1440 EAST HARDING WAY ' <br /> ` 3412 PERLMAN <br /> STOCKTON CA 95205-3104 STOCKTON CA 95206 <br /> (209) 466-3193 (209) 983-8454 <br /> HAZARDOUS MATERIALRETURNS ` <br /> NO.OF `PACKAGE WEIGHT STOCK NO.OF °PACKAGE. <br /> PIECES DESCRIPTION TYPE {LEIS) RETURN TRANSFER PIECES TYPE DESCRIPTION <br /> —. — - <br /> -- <br /> 6 UN2794,BATTERIES,WET,FILLED ZOTHER 121969 ` <br /> WITH ACID,8,PG III,(CORE) i 4 TOTE NEW MERCHANDISE <br /> 1 UN2794,BATTERIES,WET,FILLED OTHER 1T501 2 TOTE CORE MERCHANDISE <br /> WITH ACID,8,PG III <br /> + 2 ? TOTE WARRANTY MERCHANDISE <br /> s <br /> EACH `ENGINE NEW,CORE, <br /> =� <br /> EACH 'CRANKSHAFT NEW,CORE,WARRANTY <br /> 1 EACH, NEW DS1161 <br /> 3 1 EACH 740-491 <br /> 1 1 <br /> 1 EACH ETX14 <br /> 1 EACH CORE 60-6282 <br /> 1 EACH WARRNTY MP4026 <br /> 7 EACH BATTERYS <br /> 35 TOTE TOTES <br /> IN CAS,! F M ARDOUS MATERIALS <br /> r <br /> PA �it <br /> 1 f 1-888-464-2982 <br /> STOCK TRANSFERS NON-HAZMAT y REPAIR ITEMS <br /> NO.OF TO NO.OF " <br /> PIECES DESCgIPT'ION STORE PIECES _ DESCRIPTION <br /> CRANKSHAFTS <br /> ENGINES <br /> •k d k <br /> �( CYLINDER HEADS <br /> t <br /> STORE#WHERE MACHINE SHOP IS LOCATED: <br /> MANIFEST CERTIFICATION ' <br /> This is to certify that the above nam0material is properly'classified,described,packaged,marked,and labeled and is in proper condition for transportation according to <br /> applicable regulations of the Depar06nt 44ransportation. <br /> PREPARED, TOTAL TOTAL COUNT ROSEMARY MEJIA DATE: 11/28/17 PIECES: 47 GAYLORDSPALOLETSLED <br /> BY: 1 <br /> PICKED UP y WAREHOUSE DRIVER DC <br /> BY: •'I UNLOADER: COUNT: COUNT. <br /> 1 / 1 PRINTDATE/TIME: 11/28/2017 10:52:19 <br />