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` BILL OF LADING <br /> 3909 Park Road, Suite D <br /> NVIRONMENTAL SERVICES Benicia, CA 94510 <br /> GROUP 1 (877) 748-3040 <br /> Western Region - <br /> DELIVERY DATE 1pgr x` <br /> 3HIPPER/CUSTOMER POINT OF CONTACT <br /> %DDRESS PHON # <br /> 't s' <br /> 11TY STATE ZIP <br /> BARRIER/TRANSPORTER PHONE# <br /> aONSIG►N1 EqE/FACILITY POINT OF CONTACT <br /> 4DDRESS - PHONE# <br /> CITY STATE ZIP <br /> Ok <br /> B <br /> D <br /> 3peciat Handling Instruction and Additional Information <br /> alacards Provided YES NO Emergency Phone#(877) 748-3040 <br /> SHIPPER S CERTIFICATION i hereby declared that the contents of this consignment are Sully and accurately described above by proper shipping name and are classc5ed packed <br /> marked,and labeled and are in all respects in proper condition for transport by hKghway,vessel,and rail according to appbcable international and national government regulations. <br /> (SHIPPER)PRINT OR TYPE NAME/ y ,x r _ - ;"(--SIGNATUIRE 1 1 MONTH DAY YEAR <br /> (CARRI>rW ANSPORTElR)PRINT OR TYPE NAME SiGNATLAW ~r r Morrr" DAY <br /> (CONSIGNEE/FACILITY)PRINT OI),TYPE NAME Y � SIGNATURE 01 N DAY YEM <br /> X ' f f <br /> worm#PSC-201-RV 6/04 <br /> FILE <br />