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535 Getty Court, Suite H BILL OF LADING <br /> Benicia, CA 84510 Lading Manifest: 105199-09 <br /> ENVIRONMENTAL SERVICES (877) 748-3040 <br /> GROUP <br /> Western Region <br /> DELIVERY DATE JOBf 97507 <br /> SHIPPER!CUSTOMER POINT OF CONTACT <br /> HOME LR~PM #HDIO06 MANAGER ON DUTY <br /> PHONE# <br /> ADDRESS <br /> 250 CtCE AVE (209)825-9139 <br /> CITY,STATE,ZIP <br /> MAM UcA CA 95336 <br /> CARRIER-/TRANSPORTER PHONE# <br /> 21st COY mrJT.RONME NTAL ( -3040 <br /> CONSIGNEE/FACILITY POINT OF COONTNT }74$ACT <br /> AEEtc PHONE# <br /> ADDRESS <br /> 30677 HUN`IMIM AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWARD ♦ CA 94544 r <br /> 'r i ,�4 vt�z Y� ,; r. sa }'tti }�A�'txs'f�CY aeod ,7y/ tt .r..,bK � �.�,�J KYr �U k`yx 7try >;;�5 �s lyYrl�411�4,�+�r} 5. itQt�l ' <br /> NorFpti�?P (/ � I N(3rr►�1.1Nr�i• 1 �hi JG1 Nur�tr h a , ..i,*,4 t i, r SRL �' t4itantity UQM <br /> r' t t F, +, <br /> c,. .r,i4 , ': '� s is.F7, 3r ,. �:i'24 -.;x. 5. 2r.v.i.•?;t = 5 <br /> A `UNIVERSAL WASTE' JUKUSHED FLIVUHNNUTL <br /> INCIDENTAL (`�0j cr P <br /> B WASTE LAMPS' PLUG <br /> CF <br /> v �w 3f h L L ft tj PS �"oL.c v AJ-wQY-AM 1 C, 11 7-V C y C)C�j 0 4t'p <br /> � �. <br /> C <br /> X - <br /> FGIN VNIVEMS <br /> D X ;28�UTVII�JKS, Y, CONTAINING POT HYDROR <br /> fi <br /> Special Handling Instruction and Additional Information: <br /> a) HONIMIC-14 - CRUSHED FLUORESCENT LIGHT TURES - 1EC15 b)-+011911 <br /> HON .00 <br /> IVERSAL <br /> HA. +VN#VHR$i4I►--VASTE) - RIC24 REC41 PROPOSAL#: 24 HOUR EMERGENCY CONTACT: (881) 451-8346 <br /> � <br /> ey <br /> Placards Provided YES NO� <br /> 1- #1 s). Emergency Phone#(877)748-3040 <br /> SHIPPER'S 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 /> marked,and labeled,and are in all respects In proper condition for transport by highway,vessel,and rail according to applicable International and national government regulations. <br /> (SHIPP R)PRINT OR TYP NAME SIGNTtJR <br /> MONTH onv YEAR <br /> '� e7 2`L a q <br /> CARRIERIIRANSPO ITER) lNT OR TYPENAME x MONTH DAV YEAR <br /> x 1\ r� N x f <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x x <br /> Form#PSC-209-RV 9107 <br />