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BILL OF LADING <br />Stericycle <br />N V IRONMENTAL SOLUTIONS <br />JRM NO. 209 REV 11/14 <br />DELIVERY DATE 'J�O�El# <br />SHIgR�(/ C STOMER/��/�� <br />POINT OF CONTACT <br />^ <br />ADDRESS <br />_ i -i <br />(PHONE # <br />— -- <br />— - <br />CITY STATE, ZIP —-- <br />CARRR(/�TRANSPP <br />r <br />%;je�,14 t✓1 G� � �--/1 V� V0 �fz-C �_ QjV t C� _ <br />PHON# <br />EORTER <br />o <br />2-0—Lo <br />Mk'"E FAC( TY <br />G e-,,>r..S-- <br />POINT OF CONTACT <br />ADDRESS <br />Ce e—K <br />PHONE # <br />mss -Z - <br />CITY, STATE, <br />- 1 4 1 <br />ZIP <br />1I,JL , LP <br />HM <br />US DOT Description (including Proper hipping Name, Hazard Class, and 1D Number) <br />Containers <br />Total <br />Quantity <br />UOM <br />No. <br />Type <br />x <br />� <br />D <br />100 <br />� <br />- <br />c <br />special Handling Instruction and Additional Information: <br />" VVx <br />'lacards Provided YES NO_ <br />Emergency Phone B <br />;HIPPER'S CERTIFICATION: This is to certify that the above named materials are property, classified, described, packaged, marked and labeled, and are in proper condition tar <br />ansportation according to the applicable regulations Of the Department of Transportation. <br />SHIP R) PRI T OR TY E NAME SIGNAT E <br />X �� <br />PAONTH <br />0 Z- <br />I DAY <br />;+'� <br />YEAR <br />f7 <br />22AR) PRINT OR TYPE NAME NAT E <br />MONTH <br />DAY <br />r� <br />X <br />UACIUTY) <br />17 <br />CONSIGT CR TYPE NAME I SIGNATU <br />MONTH <br />DAY <br />YEAR <br />JRM NO. 209 REV 11/14 <br />