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WORK ORDER NO. <br /> DOCUMENT NO. STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 VEHICLE ID# <br /> EPA ID# TRANS. 1 PHONE <br /> TRANSPORTER 2 VEHICLE ID# <br /> EPA ID# TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> FACILITY EPA ID # <br /> SHIPPER EPA ID # <br /> ADDRESS ADDRESS <br /> CITY STATE ZIP CITY <br /> STATE ZIP <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY UNIT <br /> TIVOL <br /> A. <br /> B. <br /> R <br /> SPECIAL HANDLING INSTRUCTIONS <br /> SHIPPERS CERTIFICATION: This is to certify that the above named materials are property classified, <br /> described, packaged, marked and labeled and are in proper condition for transportation according to <br /> the applicable regulations of the Department of Transportation. <br /> PRINT SIGN <br /> SHIPPER DATE <br /> PRINT SIGN DATE <br /> TRANSPORTER 1 <br /> TRANSPORTER 2 PRINT _.. SIGN DATE <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> r. <br /> CHI 107 _.. <br />