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F< 446 *�Gi M, RETURNED GOODS REPORT 1-499713 <br />BATTERIES <br />DLi(A BATTERIES PICK-UP NO. <br />"LAST LONGER" <br />TRUCK OR EAST PENN MANUFACTURING CO., INC. <br />TRAILER NO. DEKA ROAD, LYON STATION, PA 19536 DATE ,` I' 20 'f <br />PHONE (610) 682-6361 ORDER DEPT. HOTLINE: (610) 682-4231 <br />RECEIVED FROM ;t` `� A) I'! <br />ADDRESS <br />THIS FORM MUST BE FILLED OUT COMPLETELY. ANY BATTERY WITHOUT DATE CODE LISTED HEREON <br />WILL BE CREDITED AS "SCRAP" <br />QUAN. <br />TYPE <br />UNIT PRICE <br />AMOUNT <br />H.M. <br />TOTAL <br />CITY. <br />DESCRIPTION <br />TOTAL <br />WEIGHT <br />Sold to if different TOTAL ► <br />than received from <br />Battery Wet, Filled With Acid, 8 UN2794 PGIII <br />Recyclable <br />Battery Wet, Filled With Acid, 8 UN2794 PGIII <br />Battery Fluid Acid, 8 UN2796 PGII Packed <br />With Dry Battery <br />Battery Fluid Acid, 8 UN2796 PGII <br />This is to certify that the above-named materials are properly classified, described, packaged, marked, and labeled, and are in proper condition <br />for transportation, according to the applicable regulations of the Deportment,of Transportation., <br />CERTIFICATION SIGNATURE <br />GEORGE HILL SYSTEMS BOYERTOWN PA 19512 <br />111833 -BS SM 1/00 <br />RECEIVED BY <br />"EMERGENCY CONTACT 1-(800) 424-9300 <br />IN D. C. (202) 483-7616 <br />51`1 <br />CUSTOMER'S COPY <br />