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am N m <br /> SAW' <br /> N WORK ORDER NO. <br /> 263515 <br /> g o a gr STRAIGHT BILL OF LADING <br /> 0 3 VEHICLE ID # <br /> o a RENT NO. <br /> -tANSPORTER TRANS. 1 PHONE <br /> 1 <br /> PAID# VEHICLE ID # <br /> " TRANSPORTER 2 TRANS. 2 PHONE <br /> EPA ID# <br /> SHIPPER Inc.33115 <br /> DESIGNATED FACILITY LLC <br /> SHIPPER EPA ID #- <br /> FACILITY EPA ID # <br /> Dt�r��74t� i � ADDRESS <br /> ADDRESS ,,eerican�iirde <br /> CITY STATE ZIP <br /> CIN STATE zip :, Y <br /> TOTAL UNIT <br /> CONTAINERSQUANTITY WT/VOL <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS rEs, �h1 <br /> 174U-Al'.ei U . <br /> •��.��� :, <br /> .O.S-.(MERCURY).Q.PG III,UN WERSAL WASTE-I..AW-` <br /> B. 'r c ata tar ftarst'Fra ,�#! his^- E �A 'Il�afl <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS AERGENCY PHONE#.(9001493-30-7ig GENERATOR-Ferguson Fre+sk Fabr:,.. <br /> . - _; - ,�,,,,:-L33-.5 <br /> SHIPPERS CERTIFICATION: This is to certify that the above named materials are properly 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 /> ITRANSPORTERI PRINT SIGN DATE <br /> TRANSPORTER 2 PRINT SIGN DATE <br /> PRINT SIGN <br /> RECEIVED BY DATE <br /> c �+► $ iue R iaIlawled es that no Iperenal oItw „rR has o tirred either in <br /> CHI 107 <br />