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FCR P IN CHEM,CAL EMERGENCIES INVOLVING SPIL AK. r . 1 S <br /> / FIREXPOSURE CALL TOLL-FREE I-800-424-9300 DAV HT W <br /> IGHT. BILL OF LADING ,� Shippers Number <br /> ORIGINAL- NOT NEGOTIABLE ,�� <br /> Carriers Number � Zy� <br /> CARRIER: 4)" 5 e SCAC Date <br /> TO:- FROM: <br /> Consignee ra E �`� �� Street <br /> Street <br /> Destination Zip Origin P Zip <br /> Vehicle <br /> Route:.._. Number <br /> Nji Kind of Paclitarges.Shipping HM (IF HAZARDOUS MATERIALS Description <br /> . <br /> ER SHIPPING NAME) Ri <br /> Units <br /> tM VG N - <br /> p4mItualluit srhVe <br /> e rS I 7w <br /> Lii oo Fujaa 1 a' <br /> Remit C.O.D. to: C.OBD. Fee: <br /> Address: r Prepaid ❑ <br /> City: State: Zip: VOD Amt: $ Collect 0 $ <br /> warNOTE•Whefe the rate Is dependent on value.Shipp..ere repaired to state specifically In writing "whas;';,.°""wi0101""0""p"""'^Ow lnexr. FREIGHT CHARGES <br /> the agreed or declared value of the property. The agreed or declared value of Ih.property .........--i is........unmm.n-•l e�e.nn.m.a..w uam"'A"le hereby specifically staled by the Shipp.,to be not ekceeding f per ❑PREPAID ❑COLLL, <br /> RECEIVED;subject to the c nu cellona Sao ferule In wileat on line dale al Ille Is u0 plate BIII OI Larpho the properly eeec 1peE agave In apparent grad order,°"Gepp es now(constraints eM Coalition of contents of <br /> packages unkarni marked.CanslpMd,end dasllned ea I olcaled above whim laic:attar tlhe word carrier being understood Iluougnoul Ina contract ea meaning any person or carporallon In posaesslOn of IM pNpsrly <br /> unbar IM CMpecl)aprea6lo Gerry le Ile a ual pIBCe.1 delivery At said dezr.nal�on.it On ire route,otherwise to dellver to another:yule,On the route to said oeslia here. II Is mut Wlly.1Aed s\p0 each cenlO of all <br /> any ol.sero Wopany*.*w`= <br /> R ell oreny pmtlan of Belay route to destination and as to each party at any lime interested in all Cr any said property.INI Ovary service to b.performed hereunder shall W subject to A Iha <br /> pill OI I.olrp Iermf BM COndllloae In I"S goVernlrp CI9llllltallon On the dale Or sM1ipmenl. <br /> In i Aper Ni Car111I.e that M I.lamllbr wlln.1 the blit.1 lading terms and cIholri.nd in the pooern.np clan 1h 11on..the said terms and conditions are thereby agreed to by the!hipper add aCCapl°d for himself <br /> ane his Alone <br /> nais.Nu"a.wv.�n.mwmmedY.we ori de.sined.aesvtMd.'wase•d.marwaN . e . ❑yCa Clal VN.IS... by ewFN1Cr <br /> Call.rol.e.m.,.mP.w•swrawm lo,tnn•parouaa.awmre mtn.awu<mu,w.r.uan.ar tn.o.p+,r <br /> rel of Tr°mstand"pn. Pp a e tV CR 91g HaTVR6t <br /> SHIPPER: & CARRIE ci <br /> PER: (Gn PER: <br /> DATE: - �t DATE: t.- —IS ai <br /> FORM # 9-BLS-A (3 PLY) _ <br /> Revised 11/82 FOR HELP IN CHEMICAL EMERGENCIES INVOLVING SPILL, LEAK, <br /> FIRE OR EXPOSURE CALL TOLL-FREE 1-800-424-9300 DAY OR NIGHT <br /> RECaVD - /-7— <br /> CLEANED <br /> 7CLEANED — 1 II�RA <br /> G.F. CERT— <br /> OFF SITE - /-/'3-Vg - <br /> DEST. - hlit-mc - <br /> WASTE - 7 3yy D�1 <br /> ERICKSON SUPERVISOR SIGNATURE _ DATE iii—if NP <br /> (REV. 1/30/87) - -(PLACEI JOB ILE) <br /> , � I -Ii j - v <br /> 7 <br /> !Fw <br /> n 12 <br />