nMiNn%. <br />CORPORATE OFFICE: <br />801 Main Street <br />Vancouver, WA 98660 <br />Tel: 360-816-8016 <br />Tdit Fret: $00=888-5048 <br />Fax: 360-816-8017 <br />www.albina.co!m <br />24-HOUR RESPONSE: <br />800-535-5053 <br />VANCOUVER OPERATIONS: <br />1112 West 7th Street, PO Box 768 <br />Vanoouver, WA 98888 <br />Tel: 380-818.8678 <br />Toll Free: 888.2268237 <br />MADRAS: <br />400 NW Paul Jasa Way <br />Madras, OR 97741 <br />Tel: 541-478.8838 <br />KLAMATH FALLS: <br />2938 HllyardAvenue <br />Klamath Falls, OR 97603 <br />Tel: 541-884-5109 <br />P,i1.l of I ,7dzf1j ~x hd_Inlb~t : M1.7f313`:7 <br />.I'0}:', NAI`1F : LONE COUNTY 1)E:.:C-'T OF PWI <br />o In L2 r 0 07~at~'a 4 'J040 Drt_TA 11W I, <br />Dest; LI'i-dt 1.f)fE_.(I(.,ENF OR <br />„•.i m l CQ,. ul"a : 1.-A C'fll111-f UFr,1° r3I= ID14 <br />!lr! '0 L1,~1 1? f" [ 1 1! 1 IWY <br />FJ_J(4_I)F -t 41 ; <br />P„ I.J., . <br />!.j 00'' f• "I ~l! L:.t NO 1 C(UCI. <br />% <br />3/.. f-,l F WF7 1 iii{ f <br />1 9..1- e <br />:\I e <br />1'.1 i a jw L7 c3.1. Ci 11 ti . <br />(,r,Cl55 L. <br />l t Y' <br />7Y 0 G-a 1 i a 11 7, <br />16550. 00 <br />a,1 1 34!+. rh,,h <br />+..3L <br />`?SSE;. 'f ~l <br />F3, 1 E~ ~ . `=)113 <br />32, 055. J 69 <br />8, Y3. 700 <br />1~E1~D!(r,-~ .1.h1("..i)Eti*'i=ll ~Ci)fl <br />i- <br />I fI rkCi fe,mF) : F )C /R,' <br />Id,..... filer Pd.,~nl L..D rN f-lSPIIr~ i 'T <br />I E' S d r_! <br />,,!,,.,tr :a ian, 77 F„ <br />c f i C. (31 - r:a V i, ii 0 , 0 t_h (/10 <br />A CERT fF iC!-1-C'l.ON 01 I_:tJ1Y1E l_.l i+iWt;E.:: <br />T he,-Ar,l:ayr c^t r't ify that the <br />i E:11-Iualtic mater Jal. identified <br />1°I i r.` e III L. e t: S a A. 1. I:1 ti_ i=: x f J. i.::a t 1 o f1 M <br />rl t t: I°i 1:, C r it 1 0 r1 ;1 C-ID Q P <br />Order Taken By <br />Customer Signature <br />This is to certify that the above named materials are properly classified, described, <br />packaged, marked and labeled, and are in proper conditions for transportation, <br />according to the applicable regulations of the Department of Transportation <br />By: <br />r. <br />Form F-350 REV 07/07 <br />