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' - t • Date & -& :V <br /> HAZARDOUS MATERIAL SHIPPING PAPER <br /> Carrier: p RFS <br /> Other <br /> Ship To <br /> QUANTITY SIZE HM PROPER SHIPPING NAME AND HAZARD CLASS WEIGHT <br /> jyeoc <br /> leab 64 <br /> 47 c� � � a <br /> FOR HELP IN CHEMICAL TRANSPORTATION EMERGENCIES INVOLVING SPILL, LEAK, FIRE OR EX- <br /> POSURE, PHONE TOLL FREE DAY OR NIGHT, CHEMTREC (800) 424-8300 FOR 24 HOUR ASSISTANCE. <br /> PLACARD FOR FOLLOWING Flammable ❑ Oxidizers ❑ Poison <br /> PLACARDS SUPPLIED Yes ❑ No ❑ Corrosive ❑ Dangerous ❑ None <br /> ❑ Non-Flammable Gas <br /> When via tank truck,carrier certifies the cargo tank to be a proper omwiner THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROP- <br /> for the fransPormt,on of this commodity under applicable D.O.T. regulations ERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, AND LABELED, <br /> AND ARE IN PROPER CONDITION FOR TRANSPORTATION, ACCORDING <br /> TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRAN- <br /> VIOLATE THE SPILL,CARGO AND VEHICLES INVOLVED SPORTATION. <br /> -MATERIALS CLASSIFIED AS POISONS ARE PROHIBITED FROM BEING DO NOr LOAD OXIDIZERS AND CORROSIVE MATERIAL TOGETHER. <br /> TRANSPORTED WITH FOODSTUFFS, FEED, OR ANY E <br /> MATERIAL YrrENDED FOR HUMANS ORANIMALS." <br /> SHIPPER <br /> � ' /�'`t I�✓ HIPPER <br /> Delivered By Picked Up S <br /> (Initial) (Signature) <br />