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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> Benicia,CA 94510 T adinG Mani test: 91619-09 <br /> =ENVIRONMECES (877)748-3040 <br /> GROUP <br /> Wotan Rc9ma DELIVERY DATE .foe 087991 <br /> POINT OF CONTACT <br /> SHIPPER I CUSTOMER MAt4AGM ON T11TY <br /> HOME MOT #HD5576 PHONE# <br /> 209 858-5513 <br /> ADDRESS <br /> 701 WARCY PARKWAY <br /> CITY,STATE,ZIP <br /> I p'j}jQ.pp CA 95330 PHONE# <br /> CARRIER/TRANSPORTER877 748-3040 <br /> �11lIRY ENVIRONMENPAL POINT OF CONTACT <br /> 21st <br /> CONSIGNEE I FACILITY <br /> ASC PHONE* <br /> ADDRESS (510)429-1129 <br /> 30677 14MT OOD AVE <br /> CITY STATE ZIP CP' 94544 <br /> LiAYWARD ' la"K'lutNN��t � ' '�z�� f 3 <br /> )'F <br /> A •UNIVBflSAL NASTE' 93 go YLUOfl6SC8HT LIGNT TABES) HflOEEB aQ� CF 0 CO P <br /> INCIDENTAL <br /> B 'U <br /> C <br /> X N <br /> D X UN3 <br /> Special Handling Instruction and Additional Information: <br /> a) HONKTUBEC-04 - CRUSHED FLUO'ESCENT LIGNT TUBES flHC15 (1) HOWBA HE <br /> HO <br /> ERSL PSEflEC24 fl8C41 YflOOSALh 24 HOUR EERBHCY ? CO` SI-8346 <br /> B � �P ��I � <br /> Emergency Phone k(877) 748-3040 <br /> Placards Provided YES NO �'� p p packed, <br /> SHIPPER'S CERTIFlCATION: hereby declared that the contents of this consignment are fully and accurately described above by prc er ahi ping name and are classified,p vss. <br /> Moa ti DAY marked,and labeled.and are In all respects in proper e contents <br /> for this conn by highway,vessel,and fell according to applicable international end national government regulations. <br /> SIGNATURE a r A Q '! <br /> (SHIPPER)PRINT 0R�ENAME U C--F <br /> (.JV�F5 X - MONiH (AY VEMa <br /> X SIGNATURE �/` q p a 9 <br /> (CARRIERRRANSPORTER)PRINT OR TYPE NAME 11 L l <br /> x x 0AY <br /> MONM F W <br /> SIGNATURE <br /> (CONSIGNEE1FACIUTY)PRINT OR ttPE NAME <br /> rX <br /> X <br /> Form#PSC-209-RV RIOT <br />