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Attachment C: Metal Shavings <br /> BILL OF LADING/MANIFEST ''sn'pperBusEPAIDNo.OtApplluMe) DocumeMNo. 2FelieId <br /> I Shipper.Name and Mailing Mikeae <br /> a.SOI .Phone ). <br /> 5.Transporter t Company Narne 6. US EPA ID Numbr A.Transixymn'.Phme <br /> T.Tmn.prter 2 Commin,Name 8, US EPA 10 Number s.Tmnaprbfa Phrw <br /> S.Deai9ne ed Faclli y Name and She k0s as 10. US EPA ID Numbr C.F.WlWa PNrr <br /> 11.SNppin9 Name end Desaiph 12.Conhere 13 le. <br /> Tinel Unit <br /> HM Ne, Type Dpen6ly wWOI <br /> a. <br /> o <br /> b. <br /> 8 <br /> N <br /> I c. <br /> P <br /> P <br /> E <br /> R e. <br /> 15.Speclel H.M,,Inabuctk n rtl Atllnional Information <br /> tb.US DOT HAZARDOUS MATERIALS SHIPPER'S CERTIFICATION: m ""'0"011" "°1'°°�^,�,r"�°v`,,,'�°""" <br /> Pflmha?ymad Name Norm 0, Yea <br /> 13b.NONREGULATED SHIPPERS CERIIFlCATION:l umywmwmb e.wiem elvne on as roaanm miaullxi b teaetnl yNlNvlery i�xwnwan or awoml. <br /> Prhto6?ype0 Nemo uoam LMY Yea, 0 <br /> 1 17.Tranaeomar i A Yoaloegemem of R.W of MalerieH <br /> a <br /> A PnmeMypetl Name, Slpnelum Haan pav inn, <br /> N <br /> P <br /> O 16.Trintp r2Ahims, tlgemeM a1 RecayA of Mebrbls ' <br /> 7 PnnteMypeO fUma Sgnanna Afa�T NY Ynv <br /> E <br /> 19.Discrepancy Indica lon Spsce <br /> F <br /> A <br /> C <br /> I <br /> L W.Fedity Amer in Opemtc GoMficetlon M receipt of matenel6 em eyed by 0w frm except as mlrl in Item 19. <br /> 1 <br /> T <br /> Y PrIMe6rtype0 Name SgnaNm searm pay Y. <br /> GENERATOR'S COPY FORM N0.0190291(Will) <br /> 12 <br />