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24 Hour Emergency Response Information, CAL.L Clean Earth (677) 577--2663 <br /> BILL OF LADING <br /> CleanEarthe Ladinghanifest: 018066-21 <br /> DELIVERY DATE JOB# <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> San .'Joaquin Delta College ISAP,RY RENN <br /> ADDRESS PHONE# <br /> 5151 Pacific Ave (209)598-9840 <br /> CITY,STATE,ZIP <br /> [ON GA 95207 <br /> CARRIER/TRANSPORTER PHONE# <br /> Ii SPECIALTY IRI;f7 (612)265-9865 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> 1ST CENTURY MIR4t~3NC:K+i d AL. <br /> ADDRESS PHONE# <br /> ?095 Nowlands Drive East (775)F,,75.-2760 <br /> CITY,STATE,ZIP <br /> FERN(-EY NV 89401 <br /> HContainers Total <br /> M US DOT Description (Including Proper Shipping Name,Hazard Class,and ID Number) UOM <br /> No. Type Quantity <br /> A <br /> my. (WIYERSAI WASTE- NITTERAIESI) � r �4 <br /> C <br /> fE?M2YERS�`YRi - - XFla-9 9'EIf'ETrP,rr3 _ _.__ ) <br /> D X tNt2101 IATTERIES, WET, KIN-SPILLAILE, ELECTRIC STORW (UNIVERSAL r <br /> WASTE - IOTTERYIIESI) R P6III ERG(154) <br /> Special Handling Instruction and Additional Information: <br /> 0 6931145-49 - WIVER €. WISTE-NATTERIES, IUKINE - REC24 (11) X2112 114'--N UL,i <br /> (Ilk�t)-�gT335�8--t3i1�TAL TTfRt a- I�@'�� 4 Q) 6931041-19 - INtIVERSAI. WASTE-WERIES,SN&L SEP,A.ft1 L - RECIS <br /> (21) <br /> Placards Provided YES NO Emergency Phone#(877) 577-2669 <br /> SHIPPER'S CERTIFICATION:This is to certify that the above named materials are properly classified,described,packaged,marked and labeled,and are in proper condition for <br /> transportation according to the applicable regulations of the Department of Transportation. <br /> (SHIPPER)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> / r i'" xi. .�R 'Alt— s <br /> (CAR RI ER/TRANSPORTER) PRI T OR TYPE NAME SIGNATURE el /, MONTH DAY YEAR <br /> X X Y .•,.,, L..,. i <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE-NAME SIGNATURE MONTH DAY YEAR <br /> X X <br /> FORM NO.209 REV 11/20 <br /> SI-IIDDco <br />