Laserfiche WebLink
rom ' <br /> BILL 4F LADING <br /> 535 Getty Court, Suite H <br /> ENVIRONMENTAL.SERVICES Benicia, CA 94510 <br /> GROUP (877) 748-3040 Lading Manifest: 293148-10 <br /> Western Region <br /> DELIVERY DATE JOB 4167463 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME EENW #HD1006 tSANA(IM ON DOPY <br /> ADDRESS PHONE# <br /> 250 COMMERCE AVE - <br /> CITY,STATE,ZIP <br /> MAMMA CA 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 877 748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> KWS PROPANE <br /> ADDRESS PHONE# <br /> 9853 E MOFFAT BLVD 209)823-8924 <br /> CITY,STATE,ZIP <br /> MAN'i�7C,A CA 95336 $ <br /> - <br /> A X IIN1978 PROPANE 2.1 ERG(115) <br /> P <br /> B <br /> C <br /> D <br /> Special Handling Instruction and Additional Information: <br /> H) HOUCTS-84 - COMPRESSED GAS CYLINDERS (SMALL), NOT PO 91CMW 410 % 2418 (NOT INCLIIDING VALVE - INC83 INC83-1LE INC83-15 <br /> INC83-23 PROPOSAL#: 21 HOUR EMERGENCY CONTACT, (888) 451.8346 <br /> Placards Provided YES NO 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 TYPE NAME SIGN MONTH DAY YEAS <br /> x 7 )'k /Y a ) <br /> (CARRIER/TRANSPO TER)PRINT OR TYPE NAME SIGNAT MONTH DAY YEAR <br /> x A. p x <br /> (CO IG EE/FACILITY)PRIM OR TYPE NAME SIG ATURE MONTH DAY I YEAR <br /> x x <br /> Form#PSC-209-RV 9/07 <br /> CONSIGNEE <br />