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d <br /> 4 <br /> Y <br /> OEM BILL OF LADING <br /> 3909 Paris Road, Suite D <br /> WIRONMENNAL SERVICES Benicia, CA 94510 <br /> GROUP (877) 748-3040 <br /> Western Repon <br /> DELIVERY DATE JOB <br /> ;HIPPER(CUSTOMER POINT OF CONCT <br /> =XDRESS PHONE# — <br /> CfIAUWMI� 1'5-41 <br /> ATY STATE ZIP <br /> 'ARRIER/TRANSPORTER <br /> PHONE# <br /> `.'b I <br /> ;ONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> sp<tl'} � #3,tf,i��i §�• `�..; r 3�f�Mss.-�z iia <br /> 'ITY STATE ZIP <br /> sit r,Ytr ��r ii f't i �'7 <br /> MEMNON= <br /> ii�!'�"�s�,.'�).':• �rf���i �'w__�, ��,'i,., xi�.$ 'I^7 i)}��w es d'"'I. h �r <br /> 3 <br /> 3 <br /> >pecLW Handling Instruction and Addrtional Information <br /> r1 21?7q't%-118 - FICINWi at2APP11'" 01 S0+"rj I r 'IL AMD )IRO ; MT-VT`V£ i aO'R mf" 80W+FNCF +1950i5vig <br /> pgtliK 1;194, b4a-�90' '171x 5`r-I r , M-r4fiRri VWTAXLh ny e <br /> 'lacards Provided YES NO <br /> Emergency Phone#($-M 748-3040 <br /> >HIPPER'S CERTIFICATION I hereby declared that the contents of this oonsignment are fully and accurately described above by proper shipping name and are ciassMed,packed <br /> narked and labeled and are in all respects in proper condition for transport by highway,vessel,and reel according to applicable entemabonal and national government regulations <br /> SHIPPER)PRINT OR TYPE NAME _ SIGNATURE "GNm DAY YFAR <br /> X <br /> CARRIERfMANSPORTER)PRINT OR TYPE=NAME SIGNATURE ~foram 13AY <br /> { i X <br /> CONfIG?EE/F ILJTY)PRINT OR TYP NAME SIGNATURE Monrrrt DAY Y <br /> FAR <br /> #�PSb-201-RV 5/04 ff ( w 1 <br /> SHIPPER <br />