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romBILL OF LADING <br /> 535 Getty Court, Suite H <br /> Benicia, CA 94510 <br /> ENVIRONMENTAL SERVICES GROUP (877) 748-3040 d - <br /> Western Region - <br /> DELIVERY DATE JOB# <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> ADDRESS PHONE# <br /> CITY,STATE,ZIP <br /> CARRIER/TRANSPORTER PHONE# <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> CITY,STATE,ZIP <br /> Containers Total <br /> ,y, M US DOT Descnphon (Including Proper Shipping Name,Hazard Class,and ID Number) UOM <br /> No. Type Quantity <br /> A <br /> pa3 ! Lo <br /> . • . . ,;, . <br /> Special Handling Instruction and Additional Information: <br /> .) lrO hTGH3G-43 RUOR6SCHT THS {^Ilrr IKM .. n)r 1 rntiv xa 31 Plu'ru �- <br /> 8 n'AtT f cit df7fi fill a ' t a A" NtfiFel'(namr I o nml <br /> Sd." �, F•-, ocslwfi; ,.. ft�IxgF7,13ox <br /> Placards Provided YES NO `ZEmergency Phone#(877) 748-3040 <br /> SHIPPER'S CERTIFICATION:I 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 according to applicable international and national government regulations. <br /> (SHIPPER)PRIM TYPE NAME SIGNATURE moR DAY YEAR <br /> x c Jvn%��5 x ' wt Cil 2.L o <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME SIGNATURE moR MY Y R <br /> x f�RC NDC l2 Si GIN x t O� 21 oY <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE moe MY Ye R <br /> x x <br /> Form#PSC-209-RV 9/07 <br /> CONSIGNEE <br />