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BILL OF LADING <br /> 11855 White Rock Road <br /> ENVIRONMENTAL SERVICES Rancho Cordova,CA 95742 - <br /> GROUP (916)351-0980Te1 Lading Manifest: 682104-12 <br /> WeRttn Region (916)351-1707 Fax <br /> DELIVERY DATE JOOOI518290 <br /> RR�v- a359a <br /> SHIPPER I CUSTOMER POINT OF CONTACT <br /> ADOR rjpATNCZ -- PHONE* <br /> 7 <br /> CRY, TATE,ZIP <br /> Qrllng <br /> CARR) Rf ANSPORTER PHONE# <br /> nPIRAQ-1 01 <br /> CO / I POINT OF MWAUT <br /> ADDWRAl MGI:, lie PHONE# <br /> fry — <br /> compun rnannuo PO -?z <br /> A NOR-NRZNR NS SOLID [SOIL) 3(o <br /> DM �?1 /00 P <br /> B (� <br /> C <br /> D <br /> Specht Handgng InsWcuon and Additional lnformtdt n <br /> a) 30250-95 - SOIL - LF92 lel --YEAR PROPER PPE <br /> Placarda Provided YES NO Emergency Phone x(677)577.2669 <br /> SHIPPER'S CERTIFICATION:TNs is to carliy that the above named m011erlsl6 are Property classlead,desadba L packaged marked and I&Med,end are M proper COrlalon for <br /> transportation according to the applicable regulations of the DapartmeN of Transportation. <br /> (SHIPPE PRINT OR TYP SI TORE `�a MY rsw <br /> Ed <br /> RONSME—E, LtLITY) <br /> ARRIE ANS Eft)PRINT OR TYPE NAME $NATURE uo wr <br /> Ax (. <br /> P i PE NAME SIGNATURE <br /> x j SY�i�7Lt eJ x �g S <br /> Form x PSC-209-REV.05/12 <br /> - CONSIONEEI <br />