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1,.1 3 3 7 7 9 WORK ORDER NO. <br /> DOCUMENT NO. I STRAIGHT VILL OF LADING <br /> TRANSPORTER 1 _�.. .` VEHICLE ID# <br /> EPA ID # TRANS. 1 PHONE_ <br /> TRANSPORTER 2 _ ___-________ _ VEHICLE ID# <br /> EPA ID # —_ TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> ADDRESS ADDRESS <br /> CITY STATE ZIP CITY STATE ZIP <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WT/VOL <br /> A.ilY+:rUs'.fif,om I LNALli.ON i,'.W,I LIIf+IN(,NIs I1l2;J{I)ld I iMHl1MIJ. <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> SPECIAL HANDLING INSTRUCTIONS +1/;I{/; '. �AA;`=t: t s,>scI_tf:{"nr <br /> i ,.1 wic_Ii;_c-.. _..; i .; i ._ii•.r ilii:i.rit513hT�ti:?7 _ <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 J„:-i4.ic if ill . .i.'i. SIGN DATE <br /> SHIPPER <br /> PRINT SIGN DATE <br /> TRANSPORTER - _ <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> CHI 107 <br />