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(DVEOLIA <br /> ENVIRONMENTAL SERVICES <br /> SHIPPING DOCUMENT 21.Generator ID Number 22.Page 23.Shipping Document Tracking Number <br /> (Continuation Sheet} i;; A k 0 0 U 2 6 u 2 A 7 of <br /> 24.Generators Name P'1M EXCROM <br /> 25. Transporter Company Name US EPA 11) <br /> Number <br /> 26. Transporter Company Name U.3. <br /> EPA ID Number <br /> 27a. 27b U.S.DOT Description(including Proper Shipping Name.Hazard Class.ID Number. 28.Containers 29.Total 30,Unit <br /> HM and Packing Group(if any)) 31.Codes <br /> No. Type Quantity WtNol. <br /> DF Z <br /> rx <br /> O <br /> w <br /> LU <br /> LU <br /> L7 <br /> 32,Special Handling Instructions and Additional Information <br /> 51 W771(45 A;991}i41 i <br /> 33.Transporter Acknowledgment of Receipt of Shipment <br /> Lu Printed/Typed Name Signature <br /> Month Day Year <br /> 0 <br /> I <br /> Z 34.Trans orter Acknowled ment of Recel t of Shipment <br /> PriniedfTyped Name Signature Month Day Year <br /> r— <br /> } 35.Discrepancy <br /> J <br /> U <br /> a <br /> a <br /> a36.Report Management Method Codes 6.e..codes for treatment.disposal,and recycling systemsl <br /> Z <br /> c7 3 <br /> uj <br /> ua <br /> v <br /> GENERATOR 1 SHIPPER'S INITIAL COPY <br />