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RECEIVED BY SJC EHD (EF) on 7/17/2020 <br /> 1301170 WORK ORDER NO.C,)CX) 1 1 U 2612�r <br /> DOCUMENT NO. STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 1P�.r1 �,r-�cirS ___ VEHICLE ID # <br /> EPA ID # ,M A s TRANS. 1 PHONE <br /> TRANSPORTER 2 — _-_ VEHICLE ID# <br /> EPA ID # TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> I k;fV C' Come_ <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> ADDRESS ADDRESS <br /> CITY STATE ZIP CITY SATE ZIP <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WTNOL <br /> \SKS UO <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. - <br /> SPECIAL HANDLING INSTRUCTIONS <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 /> PRINLC�Lt%,r� o4o SI DAT <br /> SHIPPER <br /> 12 0 <br /> PRINT 01UN DATE <br /> TRANSPORTER I <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> CHI 107 <br />