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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> am Benicia, CA 94510 <br /> ENVIRO�,NFNTAI.SURVIC - La,114nq "271'&- <br /> GROUP (877) 748-3040 j <br /> Western Region <br /> DELIVERY DATE JOB <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> )F1.614-i-EK 1J'12-'(;q1 1461,kMGM 13 maw is 1 <br /> ADDRESS PHONE# <br /> 254-3 <br /> CITY,STATE,ZIP <br /> IQJTITM.1a C;A 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st C-frNTLIT"ZY 118177)1148-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> PIE-EIRG - <br /> ADDRESS PHONE# <br /> 306'77 HUITIVOXF) X47i, (510)429-1-1.2.9. <br /> -01-TY-STATE,ZIP <br /> 7777777=7� <br /> Tate <br /> M Us DOT n S Notre,k UOM <br /> Pi <br /> -Type` 4ant I <br /> 0100 P <br /> B <br /> D BATTERH DRY, P NT IFING POTHS'SIMMOROXIOE SOLID, <br /> 'N'. UN3028 .3 1 .0 1A <br /> (UNIV3RSAL V?aSTRJ a DGITI UINZISAL WASTE ZERC0543 00 01, <br /> Special Handling Instruction and Additional Information: <br /> HONSTUREC-63 - FLUORESCENT TUBES (CRUS.129) - RECIS r�nr ?4- <br /> H OREAMM-13 AIVALM BATTERIE,"i 'UX'M1,`jAL <br /> ; <br /> WASTE' - M24 PROPOSALI: 24 HCH WNEK�'Y CONTACT. (300) 451--3346q Prp, <br /> Placards Provided YES-NO- Az�' ti 10 01-�r Emergency Phone#(877) 748-3040 <br /> SHIPPER'S CERTIFICATION:I hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> marked,and labeled,and are in all respects in proper condition for transport by highway,vessel,and rail according to applicable international and national government regulations, <br /> (SHIPPER)PRINT OR NAME SIGNATUR MONTH DAY YEAR <br /> x x t6 O � <br /> (CARRIER/TRANSPORT Ek9T P81?T OR PE RAME SIGNATURE MONTH DAY YEAR <br /> (0 0, <br /> x ri 6L S' I r-q a x �j <br /> (C SIG <br /> ONSIGNEE/FACILITY)PRINT OR TYPE NAME NATURE MONTH DAY YEAR <br /> Form#PSC-209-RV 9/07 <br />