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r r in <br /> 535 Ge*Court,8vita H <br /> R tRONMENTALSERVICES Benicia, CA,94510 14VO4-0.9 <br /> GROUP --- (877)748-3040 <br /> Wvacrn Region <br /> DEUVERY DATE <br /> SHIPPER I CUSTOMER POINT OF CONTACT <br /> H= DEPOT VID5576 NWAG&R ON IDLITY <br /> ADDRESS PHONE# <br /> '701 D'ARLY PARKWAY (2WJ)658-5513 <br /> CITY,STATE,ZIP <br /> LATUROP CA 95330 <br /> CAFMIE57—RmspoRfff—n PHONE# <br /> 21st CENTURY PA4VIROMIMAL (8-71)'748-3040 <br /> CONSIGNEE I FACIUTY POINT OF CONTACT <br /> ANRC <br /> ADDRESS PHONE# <br /> 30677 HUNTWOOL) AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWARD VA 94544 <br /> 77777777= <br /> Containers- <br /> MO-3 P .#00 u0m <br /> No. j e quantity <br /> . V <br /> A lunno jamunna P <br /> 00 <br /> P <br /> ipeolal Handling Instruction and Additional Infamallon: <br /> FLUORHOCRUl TUB98 (CR05080) - <br /> —ACIFDWSAMNM-mBB4lcLiW; (B <br /> 24 HUN AHRR49KCI CO3TACT: (80#1 451-9346 <br /> Itacards,Provided YESNOEmergency Phone#(877)748-3040 <br /> )HIPPER'S CERTIFICATION:I hereby declared that the contents of this consignment we fully and accurately described above by proper shipping name and are classified,packed, <br /> narked,and laboled,and are In all rearpacts,In proper condition for transport by highway,vessel,and rail according to applicable International and national government regulations. <br /> SHIPPER)PRINT OR TYPE NAME: SIGNATURE �Tll MY YW <br /> GARMERriRANSPORTER)PRINT On TYPE NAME <br /> K S tj 61 x <br /> y <br /> CONSIGNEE/FACIUTY)PRINT OR TYPE NAME SIGNATURE <br /> x <br /> orm 0 PSC-209-RV 9107 <br />