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v.® <br /> BILL. OF LADING <br /> 3909 Park Road, Suite D <br /> 4VIRONMENTAL SERVICES <br /> Benicia, CA 94510 <br /> GROUP (877) 748-3040 <br /> Western Region <br /> DELIVERY DATE JOB#. <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> ADDRESS PHONE# <br /> '[TY,STATE,ZIP <br /> 'ARRIER/TRANSPORTER PHONE# <br /> 'ONSIGNEE/FACIUTY POINT OF CONTACT <br /> kDDRESS PHONE# <br /> ;ITY,STATE,ZIP <br /> on wErl <br /> Pit!F* w X: w- <br /> ;pecial <br /> Handling Instruction and Additional Information: <br /> ? ...T&TT <br /> ti . 4 <br /> . a <br /> 'lacards Provided YES NO Emergency Phone#(877) 748-3040 <br /> SHIPPER'S CERTIFICATION:i hereby declared that the contents of fhis consignment are it*and accurately described above by proper shipping name and are classified,packed, <br /> narked,and labeled,and are in all respects in proper condition for transport by highway,vessel,and raN according to applicable international and national government regulations. <br /> SHIPPER)PRINT OR TYPE NAME _ --SIGNATURE -'' -''`, MONTH DAY YEAR <br /> CARRIERITRANSPORTER)PRINT OR TYPENAME SIGNATURE MotJni DAY YEAR <br /> -A <br /> CONSIGNEE/FAC"PRINT OR TYPE NAME SIGNATURI= <br /> MONTH. onY, Yt as <br /> t <br /> X <br /> orm#PSC-201-RV 6/04 _ ? <br /> CARRIER <br />