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Pi LUUA :,' _,i '.�A � BEAR DOWN-8 PART FORM <br /> 879 IS UNIVERSITY OF CALIFORNIA O SHIPPING <br /> nooMi <br /> DOCUMENT PAGE 1 OF 1 PAGES <br /> 1`1EQUESTED BY: MAIL CODE NUMBER <br /> R.B. Loden 620 SHIPPING DOCUMENT S- 40101 <br /> BLDG.: ROOM: EXTENSION DATE NO,OF RECEIVAL SET <br /> T-6179 1017 2-1925 FOR CONTRACT NO. W-7405-ENG-48 7-20-94 <br /> PROPERTY CENTER REP.: MAIL CODE WITH THE DEPARTMENT OF ENERGY PURCHASE ORDER NO, ACCOUNT NO. <br /> L- 1356-71 <br /> APPROVED BY: DA'T E' BUYER: EXTENSION <br /> YSITE 300 <br /> BERKELEY <br /> EMPLOYEE NO <br /> LIVERMORE NEVADA SANL NO.: BORROWER NO.: <br /> AUTHORIZED BY: DATE: 7-20-94 <br /> EMPLOYEE NO,: LOAN NO.: S.R.R.NO.; <br /> SHIPTO: EVERGREEN OIL, INC <br /> ATTENTION: <br /> ADDRESS 6880 SMITH AVENUE <br /> CITY,STATE AND ZIP CODE <br /> NEWARK, CA 94560 <br /> DATE REQUIRED AT DESTINATION1VALUE OF MATERIAL FREIGHT CHARGES <br /> 7-21-94 $ LTECi PREPAID PREPAID: DUCT FROM INVOICE PER ACCT.DEPT. <br /> f_�x;x I BY: <br /> SELLER'S PROPERTY DECLARE VALUE ON WAYBILL I "SELLER RETURN-AUTHORIZED BY <br /> L <br /> LAB.(GOVT,)PROPERTY DO NOT DECLARE VALUE ON WAYBILL <br /> METHOD OF SHIPMENT: METHOD OF SHIPMENT CODES: <br /> ENTER CODE 05 1. PICK-UP 5. MOTOR FREIGHT 9 AIR FREIGHT <br /> 2. PARCEL POST 6 HAND CARRY 10, LABTRUCK <br /> 3 UPS 7. AIR PARCEL.POST 11. DOF AIRCRAFT <br /> OTHER 4 OVERNIGHT DEI IVERY 8. 2nd DAY DELIVERY 12. AIR FREIGHT FORWARDER <br /> REASON FOR SHIPMENT: <br /> Non RCRA Hazardous Waste Shipped for Treatment or Disposal <br /> ITEM P.O.ITEM SERIAL,PROPERTY AND/OR <br /> NO. QUANTITY DESCRIPTION NUMBER CATALOG NUMBER <br /> Per manifest# 92884608 <br /> MATERIAL CLASSIFICATION _=CI ASSIElED— <br /> I <br /> MATERIAL TYPE(CHECK APPLICABLE): EXPLOSIVE RADIOACTIVE 71 PRESSURE VESSEL, YANONHAZARDOUS <br /> 71 TOXIC,CORROSIVE OR FLAMMABLE 0 FORMERLY CONTAINED RADIOACTIVE MATERIAL <br /> I CERTIFY,BY SIGNING BELOW,THAT THE INFORMATION CONTAINEWN TH 8 DOC �NTJ,$CORRECT TOTHE BEST OF MY KNOWLEDGE. <br /> 537310 7-20-94 <br /> SIGNATURE EMPLOYEE NO. DATE <br /> FOR USE BY SHIPPING SECTION ONLY <br /> PACKED BY: NUMBER OF PKGS.: TYPE OF PKG: EQUIPMENT CHECKED BY: <br /> I Z <br /> Evergreen 1 CARRIER I E A Tank Truck 10 lbs HWM <br /> SHIPPED BY: DATE SHIPPED: WAYBILL NUMBER: <br /> HWM 7-21-94 Ever Teen Environmental 92884605 <br /> RECEIVED BY: DATE: <br /> 111095-3(Rev 2.11)?) 7600-62899 <br />