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t B[I L OF IAMMIG <br /> �•": ` +` ;:3.`'i-^�n4{j(;rtu�i,Suite 9 <br /> Denicia, CA 94510 <br /> ENVIRONMENTAL SERVICES I'M11114j i•taa3's:---51_'. [�`0913"v'3T1 <br /> -- GROUP.----- (877)748-3040 <br /> Westcra Reaion <br /> DELIVERY DATE <br /> SHIPPER/CUSTOMER POINTOF CONTACT <br /> HOIC DEPOT #HAS576 MANAG=ER ON DllTY <br /> ADDRESS PHONE# <br /> 701 D'AIC"I PAP-WAY 1.299)858-5513 <br /> CITY,STATE,ZIP <br /> LATHROP CA 95330 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st (`F-M11AAY E VI.RO?MWTAI. (877)748-304Q) <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADAC <br /> ADDRESS PHONE# <br /> 30677 H4iN'1' OOD AVE; (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWARD CA 945+44 <br /> ' Containers : ':.Toal ` <br /> HIE <br /> -US DOT Descnphori. flnclading Propar Shrpp", Name;Hazard Class and ID Number) No Type Qu�4 bty UOM$ <br /> A 'i i G it i Ai L L �J L .b L'! L_ d.' L w 13 MEN <br /> IHCI03&TAL{ Q01 <br /> C <br /> `t0;328139-131 ' , n <br /> D 023 HATT3&IS5 t n logOLID, <br /> I HA" P <br /> Special Handling Instruction and Additional Information: <br /> a) HOMETUDEC-03 - FLUORESCENT TUBES (CRUSHED) - =15 1trTU9T 101"n) u <br /> H093pJ3RarM 01 Scan arm P9TPaaiss you nxyPJia+r. lancnp L S 4t Igg A�gg� 33--? 4dx aam R&ig" 'fyfftroaal t� <br /> Wj.ST - 19024 PROPOSALdt 24 (MU& SKKR49RCY COMM?: (0011) 451-8346 <br /> Placards Provldetl VES NO <br /> 1/ ' 3X4/ j/3Q} Emergency 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,pecked, <br /> marlaed,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)PRINT TOR TYPE NAME SIGNAT [// moven+ DAY ven/n/ <br /> x r6 solei:. x 'S <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME SIGNATUR / MONTH MY vsnn <br /> xN WitCrjica stjreti1 x �v�+ --e�' f1 BS � <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE Moeta onv YEAR <br /> X x <br /> Form#PSC-209-RV 9/07 <br />