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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> ENVIRONMENTAL SERVICES Benicia,CA 94510 Lading Manifest: 223476-10 <br /> GROUP (877)748-3040 <br /> Western Region <br /> DELIVERY DATE .106 X1105923 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME IEPOri' 4HD1006MAN Gm ON i3[li'Y <br /> ADDRESS PHONE# <br /> 250 <br /> CITY,STATE,ZIP <br /> Hglf= Ga 95336 <br /> CARRIER/TRANSPORTER <br /> PHONE# <br /> 21st CEMMY ENVIRO AI. (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AODRE- PHONE# <br /> 30677 HUNTWOOD AVE (510)429-1129 <br /> CITY STATE,ZIP <br /> HAYtii= CA 94544 <br /> A UNIVERSAL WASTE (FLURESCENT LIGHT TUBES) •VHHOLR' 41 AND 81 <br /> UNIVERSAL WASTE LAMPS Q Q �' ®I 3 O <br /> B UNIVERSAL HASTE (FLUORISCUT LIGHT COILS, USHAPED BOLES) }} r 0040 <br /> UNIVERSAL BASTE LAHPS U® I �( <br /> C <br /> A3177HEN <br /> -.------- <br /> INCID AL TO THAWS =N111 <br /> l <br /> D. <br /> Special Handling Instruction and Additional information: <br /> a) HOiD MENHOL-/1 - WHOLE FLUORESCENT TUBES (V AND 89 - REC16 61 MMULOSM-11 - OTHER FLUORESCENT TUBES (CFL, CUSTM <br /> RETURN ,HID, ODD SHAPED AND COILS) - REC16 REC16-1 1EC16-3 RRC42 C Po <br /> FROP99ikL#:24 HOUR URGENCY CONTACT: (811) 451-8346 1 %-\X4 Fr 81"" '�)(X 0 0- <br /> ' / t kYrosr'' <br /> Placards Provided YES NO Emergency Phone#(877)7q$'30401 <br /> SHIPPER'S CERTIFICATION:i hereby declared that the contents of this consignment are fully and accurately jMMQbed above by proper shipping name and are classified,packed, <br /> marked,and labs d are in all respects in proper condition for transport by highway,vs rail accfrdingV applicable International and national government regulations. <br /> (SHIPPER)PRl T R PEN SIGNATU MONTH DAY YEAR <br /> x <br /> x a 3 f (a <br /> (CARRIER(rRANS�T-A <br /> R TYP NAME SIGNATURE M 13 DAY (0 <br /> x R .-�. Aj x N� a3 i2 Y° <br /> MONTH DAY YEAR <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE <br /> Ix x <br /> Form#PSC-209-RV 9/07 <br /> CONSIGNEE <br />