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WORK ORDER NO. <br /> DOCUMENT NO. 2220, 771 STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 VEHICLE ID # <br /> EPA ID# TRANS. 1 PHONE <br /> TRANSPORTER 2 VEHICLE ID # <br /> EPA ID # TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> ADDRESS - ADDRESS <br /> CITY STATE ZIP CITY STATE ZIP <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WT/VOL <br /> A. <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 /> PRINT SIGN DATE <br /> SHIPPER <br /> PRINT SIGN DATE <br /> TRANSPORTERI <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> d�3 <br /> d B <br /> CHI 107 <br />