Laserfiche WebLink
�9�{t'VP4 PEx§,EM9 <br /> jrt <br /> r' <br /> BtF,['1({) I'4.-m O S�.xx1.rY' l 1lfA <br /> ;.>.:t.,: y i(i...lf e., i.YtAftf;)� <br /> _ Benicia,CA 94510 <br /> EINVIRONWNTALSERVICFS r �... :,:f 'i(877) M-3040 <br /> .a <br /> Western Region <br /> PA ( <br /> JELIVEII(UATE JOf3 <br /> SHIPPER/CUSTOMER - ---_-I'POINTOF CONTACT -- —--- ---� <br /> ADDRESS PHONE# <br /> 250 CQUEEM M (209)825--<.k139 <br /> CITY,STATE,ZIP <br /> CARRIER/TRANSPORTER PHONE# <br /> _ 21a CSR F',iN7 —3040 _. <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> 30677 fl.07WOOD AVE � (510)429-11.29 <br /> 11.'29 <br /> CITY STATE,ZIP <br /> - -- -..... - — -- - --- _. ----- ..... <br /> HM US DOT;Descrf tion (including ProperSn/ in Namt�,Hazard Class and Nurnber Containers Total <br /> P ( gPp 9 ) I.JOP.h <br /> No. Type Cluantt':1 <br /> A 'UHiVEV.ML WASTE LA.EPu` FLUORESCENT LIGHT 7TU;`S S PROM <br /> IECIORNTAL) 003 arr 0 S—o i" <br /> C Y <br /> 15:tR +^i'�r.1$d�4hldiS:�1•t11ki—C'STL�O,JJ.V'M1l'1 ': �WLLLit .-. -._ '�]-_ <br /> Special Handling Instruction and Additional Information: <br /> a) RMET'U't31EC-R3 _ FLUORESCENT TUBES (CRUSHED) REM • )-HNffi V4*ra --4 <br /> U43*L-----1EC24 PROPOSAL : 14 HOUR EUERGENCY CONTACT: (886) 651-8346 A-) (X Li i..'1 7:r io <br /> Placards Provided YES NO-...- <br /> `' (� i !9 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 TYPE NAME SIGNATURE MONni DAY YEAR <br /> (CARRIE,, RANSPOR-FER)PRINT OR TYPE NAME SIGN RE MONTH DAY YEAR <br /> x Imo` A, C'. S' I jV -t x I�r`'c�.--- ��-'� 1 <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH D7 YEAR <br /> �x x <br /> Form#PSC-209-RV 9/07" <br />