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Vow RETURNED GOOD" DEPORT 916993 <br />T�"�jBATTERIES DEKA BAT 1-7 R I ES PICK-UP NO. <br />TRUCK OR <br />FILER O.. _ <br />RECEIVED FROM <br />"LAST LONGER" <br />EAST PENN MANUFACTURING CO., INC. <br />DEKA ROAD, LYON STATION, PA 19536 DATE 20_ <br />PHONE (610) 682-6361 ORDER DEPT. HOTLINE: (610) 682-4231 <br />ADDRESS t" <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 />s <br />I <br />s <br />I <br />H.M. <br />QTY L <br />DESCRIPTION <br />TOTAL Sold to if different TOTAL ► <br />WEIGHT 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 conditio <br />for transportation, according to the applicable regulations of the Department of Transportation. <br />CERTIFICATION SIGNATURE <br />GEORGE HILL SYSTEMS BOYERTOWN PA 19512 <br />111833 -BS SM 1100 <br />RECEIVED BY <br />"EMERGENCY CONTACT 1-(800) 424-9300 CUSTOMER'S COPY <br />IN D. C. (202) 483-7616 <br />