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N <br /> N � � N N / N IPL <br /> I <br /> N <br /> aN 9y °N N <br /> m <br /> NSAME <br /> N WORK ORDER NO. <br /> p o 2 $ 36 <br /> 263515 <br /> �� g <br /> g O 4 STRAIGHT BILL OF LADING <br /> o VEHICLE ID # <br /> o a RENT NO <br /> ° TRANS. 1 PHONE <br /> rANSPORTER 1 <br /> PA ID# VEHICLE ID # <br /> TRANSPORTER 2 TRANS. 2 PHONE <br /> EPA ID# <br /> r; <br /> SHIPPER ' nis�atic►n<Inc,3315 <br /> DESIGNATED FACILITY A�LLC <br /> SHIPPER EPA IDS <br /> FACILITY EPA ID # <br /> ,)6 9 7 4 81 tO ADDRESS <br /> ADDRESS 'jeticant irde <br /> CITY STATE ZIP 4 <br /> CITY STATE ZIP i <br /> TOTAL UNIT t <br /> CONTAINERSQUANTITY WT/VOL I <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS <br /> 14,UFii�07"d,�E�i�rih4�$t"k'dil.ty`r3Ett,.'�`i'traa•14�%�.�� ,a+�=� -ES,SR7Ls` <br /> HAS-.(MERCURY).9.PG fit.UNWERSALWASTE-L1.1fitP' � <br /> B.OAT_NOT REGULATEff,(UNWERSAL WASTOLAMPS <br /> i <br /> C. f <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS AiERGENCY PHONE#:f9001493-;37ig GEN ERN OR:Ferguserl Fire b Fabric <br /> RG# i . .. - � .. . 331 <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 /> ITRANSPORTER1 PRINT SIGN DATE <br /> PRINT SIGN ~f I , <br /> TRANSPORTER 2 DATE <br /> [RECEIVED BY PRINT SIGN DATE <br /> (AVik'1'1i 1 jjG►ifjt3w1Pdge-%that no material alr.%oop has Oceu led ehhef in fete?�. racle;risfiC5'14a 44j }�gfiC@55k eft <br /> CHI 107 <br />