Laserfiche WebLink
BILL OF LADING <br /> 535 Getty Court, Suite H <br /> Et,MRONMENTAL SERVICESBenicia, CA 94510 <br /> CROUP (877) 748-3040 q <br /> La<jl_4•j ian.'lvJ lr. 1J7j3-bs <br /> WesMrn Region <br /> DELIVERYDATE JOB# <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> ADDRESS - " ` PHONE# `- -- <br /> S". i}I iY f'/ YJa�f"t•}n' (" ">.L5L 9':')..f.G'1 '1 <br /> CITY,SYA7E,LP <br /> CARRIER/ RAN "PORTER PHONE# <br /> �'I b.F l'r..'+riv ...V <br /> CONSIG EE FA W7V <br /> POINT OF CONTACT <br /> Fe <br /> ADDRE S PHONE# <br /> �. <br /> CITY,STATE,ZIP <br /> HM ` US DOT Description " lncladrn Pro er Shr11 Containers <br /> p ( g p ppmg Name,Hazard Class,an ID NumberJ TDfai UOM <br /> No. Type Quantity <br /> A UA.?li1S16 Rasta L'ir4' . _'. , a)T Liu;iT 'rU!SY ;G v""%&N <br /> oC U' <br /> B <br /> !+L <br /> D / <br /> yi J. ,.,. ."° _r� nl}li1'�tll(%1a IIGT#ZSSI$U H• R:n n'.' ,.v. <br /> ur <br /> Special Handling Instruction and Additional Information:' <br /> dJ BTUIEi' u .LL ilL CLJT ^J5 . J) ul 15 V) I7n mrmmsa Dr pr 7 -H <br /> .t0"r"�'t1 yn �� .rrR nm : .Y '^tilir>,•ynn r)�� rvnp,.�.��+r -s-�a ^ ;�L <br /> ,._.15, \u177 e51-314.6 <br /> Placards Provided YES NO Emergency Phone#(877) 748-3040 <br /> SHIPPER'S CERTIFICATION:1 hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> marked,and labeled,and are in all respects In proper condition for transport by highway,vessel,and rail accordin,g to applicable international and national government regulations. <br /> (SHIPPER)PRINT OR TYPE NAME SIGNATURE ' <br /> ��j FbNiH MV YEAR <br /> (CARRIER(TRANSPORTER)PRINT OR TYPE NAME SIGNATURE VMDMA DAY veva <br /> (CONSIGNEEMACILITY)PRINT OR TYPE NAME SIGNATURE MOWN MY MA <br /> X x <br /> -orm#PSC-209-RV 9/07 <br /> CONSIGNEE <br />