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10 3' WORK ORDER NQ; j <br />1 <br />DOCUMENT NO. STRAIG"T BILL OF LADING <br />TRANSPORTER11 VEHICLE ID # <br />EPA ID # TriANS. 1 PHONE <br />TRANSPORTER 2 VEHICLE ID # <br />EPA ID # <br />TRANS. 2 PHONE <br />DESIGNATED FACILITY <br />SHIPPER <br />FACILITY EPA ID # <br />SHIPPER EPA ID # <br />ADDRESS <br />ADDRESS <br />CITY 'STATE -ZIP <br />,r]0ei <br />CITY STATE ZIP <br />I <br />CONTAINERS <br />NO. & SIZE <br />TYPE <br />HM <br />DESCRIPTION OF MATERIALS <br />TOTAL <br />QUANTITY <br />UNIT <br />WTIVOL <br />DATE <br />of <br />r <br />slaw <br />RECEIVEP BY <br />B. <br />C. <br />D. <br />E. <br />F. <br />G. <br />H. <br />SPECIAL HANDLING INSTRUCTIONS 1 if ft �f <br />:VA 1 <br />SHIPPERS CERTIFICATION: This Is to certify that the above named materials are properly classified, <br />described, packaged, marked and labeled and are in proper condition for transportation according to <br />the applicable regulations of the Department of Transportation. <br />PRINT <br />SIGN <br />DATE <br />SHIPPER <br />PRINT _)1j.7A_j I ITA <br />SIGN <br />TRANSPORTER <br />PRINT <br />SIGN <br />DATE <br />TRANSPORTER .2 <br />.'P IN <br />slaw <br />RECEIVEP BY <br />CH1,107 <br />