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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> Benicia, CA 94510 Iaading Mani fest: 87858-09 <br /> ENVIRONMENTAL SERVICES GROUP (877) 748-3040 <br /> Western Region <br /> DELIVERY DATE JOB - <br /> POINT OF CONTACT <br /> SHIPPER/CUSTOMER ii MAGM ON DUTX <br /> HOME DEpGT #HD1006 PHONE# <br /> ADDRESS (209)825-9139 <br /> 250 COMMICE AVE <br /> CITY,STATE,ZIP <br /> MANT�7C'.A CA 95336 PHONE# <br /> CARRIER/TRANSPORTER (877)748-3040 <br /> 21St CEWMY EjUV�RONMENTAI' POINT OF CONTACT <br /> CONSIGNEE/FACILITY <br /> KAMPS PROFANE PHONE# <br /> ADDRESS <br /> 9853 E MOFFAT BLVD (209)823-8924 <br /> CITY,STATE,ZIP <br /> CA 95336JV <br /> ,ar { 3 N °J $ =�f - E, ' r .M QEF $ n d'/ySA ff Z ,,¢,i� f T'AS} rai..'E a 'S; <br /> R d".. 2aY34i N'9 i u ^ F jx�+ 9 J � ' Y' 4 !} P f f k t� �Tc7 Tdt -. MV,I <br /> (1?11A�)'= lit� ,s4k(�nfit)I <br /> ,^t <br /> A UN1978 PROPAHS 2.1 SRG(11S) Q0 t of, � P <br /> B <br /> C <br /> D <br /> Special Handling Instruction and Additional Information: <br /> a) HQSSCTS-R4 - CGNPBSSSU08GASS CyLIICDDBRSS (SCALL), NOT <br /> 4TO EXC6SD 4'A % 24'.H (HQT IHCLUDIAG YALUS - IHC83 INC83-iLR INC03-15 <br /> INCS3-2S PROPOSAL#: 24 HOU �\ `��•i' <br /> Emergency Phone#(877) 748-3040 <br /> Placards Provided YES NO��_ <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 /> ::7:SIGNATURE MONTH DAY YEAR <br /> (SHIPPER)PRINT OR TYPE NAM t� tr q <br /> x rv1'�fJ �N x „? <br /> S ATURE MONTH DAY YEAR <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME <br /> xh 10N x kY (1 C l <br /> (CONSIGNEE/FACILITY)PRINT OR-TYPE NAME <br /> SIGNATURE MONTH DAY YEAR <br /> x x <br /> Form#PSC-209-RV 9107 <br />