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535 Getty Court, Suite H BILL OF LADING <br /> ENVIRONMFN'I*AL SFRVI Benicia, CA 94510(877) 748-3040 V <br /> - GROUP <br /> Western Region <br /> DELIVERY DATE JOB <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> Ji' luf ilk <br /> A'D-DRESS PHONE# <br /> 25j <br /> -CITY,-STATE,ZIP <br /> 1491�r"Mlq CA <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CEMEURY <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> 306"11; <br /> CITY,STATE,ZIP <br /> HM PA 8C <br /> e% iqss,and ID Number Corikamers Total <br /> S DOT bee tion P -h <br /> UOM <br /> I :,type : <br /> 0 <br /> Quantity <br /> A <br /> G 0 <br /> B <br /> D <br /> (al"I'Vasa na-aq) a P'Gim 'alvxauj�a-i wt.a <br /> bur ij <br /> Special Handling Instruction and Additional Information: <br /> !'L!"A! A,--,nl 'BATTF%2"rU 70R T <br /> i"M �JL K 5"1/r <br /> lPlacards Provided YES_NO--\. ` Emergency Phone#(877) 748-3040 <br /> SHIPPER'SCERTIFICATION: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 TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x &ewerv� x ;� - 0'ki - 0 0 t- <br /> (CARHIER/TRANSPORTER)PRINT OR TYPE NAME SIGNAT6flE MONTH DAY YEAR <br /> x A-fLC I-'D e-)2- Ct x AOI/Al'-k <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH � DAY YEAR <br /> x x <br /> Form#PSC 209-AV 9107 <br />