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CUSTOMER RETURN RECEIPT PAC lillilllllill !!'
<br /> From: - _ =1J"E T- r>; :ME2�:
<br /> r � �
<br /> 'W`.NAT1011'aL DR. , STE 11 DATE
<br /> SA�'hhI`'iEN"rD CA 95834 ORDER NO.
<br /> 9208-2i5-i
<br /> Sold To: .25267ELi
<br /> _r Ship To: 12bE-52BROAO BASE
<br /> 6998
<br /> RE
<br /> .AFF? L(UBE-BROAD EASE JIFFY Li.,I
<br /> 1471 SHORE STREET !!' u.,
<br /> WEST` SACRAMENTO CA 95691 SOD E �E54240AA? Lid
<br /> L�,�I �� 952�•c�
<br /> OCT 052015
<br /> ENVIRONMENTAL
<br /> ROTATES 11�,!T,y 7pp�RT1A�N'-
<br /> • .. .
<br /> UN2794,BATTERIES,WET,FILLED WITH ACID,8,PER III U• •. ••
<br /> •
<br /> r DESCRIPTION. . • •
<br /> t - ' M
<br /> - ------------
<br /> f
<br /> a (c•IN 1 1
<br /> WARRANTIF,;,S
<br /> UN2794,BATTERIES,WET,FILLED WITH ACID,8,P II • •
<br /> PART DESCRIPTION
<br /> •. •
<br /> -- -
<br /> SPENT BATTERIES
<br /> UN2794,BATTERIES,WET,FILLED WITH ACID,8,PG III ()
<br /> -- - DESCRIPTION
<br /> Uat ' •
<br /> _- MOTORCYCLE(Class D) _ 0.5 8900012 ' 1
<br /> -------------' -___.. _... 1 1
<br /> LAWN&GARDEN,DC9(Class L&G) 0.5 8900011 f
<br /> ---- -----------------
<br /> _�-- AUTO&GROUPS 1,2.3.&177E(Class A)- 1.0 � 8900007
<br /> -
<br /> GRIPS 4,31,3ET,30H,EV,5D(Class B,EV,5D) 1.5 8900018 I -
<br /> _ I
<br /> 7D,4DLT,FS-2,FS-12,I"(Class 7D) ---4-— - 2.0 8900008 - - --1 -
<br /> T4D&8VM-D(Class C) 3.0 89000198D&8VM-GD(Class H) 4.0 -
<br /> 8900010
<br /> - — I f
<br /> .-...SCRAP JUNKS WET(lbs) - ------
<br /> 10201 1 1
<br /> -- --------
<br /> INDUSTRIAL BATTERIES WET(Ibs) - - 10207
<br /> •
<br /> UN 2291,LEAD COMPOUNDS,SOLUBLE,n.o.s.,6.1,PG III
<br /> PART DESCRIPTION
<br /> •
<br /> WHEEL WEIGHTS(BUCKET)(ea) - - i 8900013
<br /> WHEEL WEIGHTS LEAD(Ibs) 10,104 1
<br /> '01y subject to Driv is Signature Date
<br /> verification by - j, e , Customer'"gnatu e ^
<br /> Exide Teehnoto ' s V�--jy; 4.2
<br /> — ---
<br /> -
<br /> 45
<br /> This is to certify that the ab ttmed materials are properly Classified,described, ,(P Q12a ked 2 labeled,and are i proper condition for transportation
<br /> according t0 the applicable re a)ions of the Department of Transportation. 8 L. 2,
<br /> For the Shipper.Per
<br /> FOR EMERGENCY INFORMATION AND INSTRUCTIONS,REFER TO NORTH AMERICAN RESPONSE GUIDE NUMBER 154
<br /> *FOR DRY BATTERIES PACKAGED WITH ACID, REFER TO NORTH AMERICAN RESPONSE GUIDE NUMBER 157
<br /> FOR 24 HOUR EMERGENCY ASSISTANCE, CALL CHEMTREC 1-800-424-9300 (Contract#CCN8124)
<br /> I iii11111111111111111 IN 1111111111111111111111 IIJ 111111111111111111111 I11i111111111111 111111111111111111111111111 IIIA 1.11111111111111111!
<br /> ;1 14662004AEG 7 2 -.�.2 I -1I Uqn
<br /> J1.- L ._
<br />
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