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Site Address: 7373 West Lane 0109446 <br /> Stocktm4,CA 95210 <br /> c WORK ORDER NO. <br /> DOCUMENT N0. 1396506 STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 VEHICLE ID# <br /> a... n:emalanrviu sJnc. <br /> EPA ID If TRANS. 1 PHONE <br /> TRANSPORTER 2 VEHICLE ID# <br /> EPA ID# TRANS.2 PHONE <br /> DESIGNATED FACILITY SHIPPER AlT4l iev:ica C;rv;ar, <br /> I tcen Harbors San lose LLC <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> CAD05949431.0 <br /> ADDRESS ADDRESS <br /> 102:1 Benyessa Road <br /> CITY STATE ZIP CITY STATE yIPi`J <br /> Can Inm <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WT/VOL <br /> Allis02e. ':rINING POTASSIUM HYDROMDE vG0 '16 <br /> 1%5 1)F % qq.;m=:1 <br /> '4� lit WASTE-MERCURY 0"0 '0 P <br /> iw� fE <br /> C. <br /> D. _.._ <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS EMERGENCY PHONE.#:ISOM 4933718 GFNF.RATOR:Kalser Permanents -Storktnn <br /> %CH---70334ERG#IE,4E:C.Hi4SG150 <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 ,y,F'_6 I SIGN 7 DATE <br /> SHIPPER XJ .. l DATE <br /> t;1::2osa <br /> / <br /> PRINT SIGNS DATE. <br /> TRANSPORTER 1 - RICHDECKER �- T;1;2021 <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> generator asknowled%es them,material ehamEe has mHurredekherin Ntaaharaetetisties Orin Ore <br /> CHI 107 <br />