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FOR HELP IN CHEMICAL EMERGENCIES INVOLVING: ;LEAK <br /> `-F1RE OR EXPOSURE CALL TOLL-FREE 1-800-424-9304 DAY OR NIGHT <br /> STRAIGHT BILL OF LADING <br /> ORIGINAL - NOT NEGOTIABLE Shipper's No <br /> CRIER SCAC Corner'Dae -� <br /> Consignee �v,.,,. e rcv 16 Shipp r 0A M(4 6 �.X n./ <br /> Street 3�9 So Its rV I AV A• Street 119C,V c" �/� S�' 17� <br /> DestinatioZip Origin Zip 5'2ol- <br /> Vehicle <br /> Route Number <br /> No <br /> 1 a <br /> UnitsIA-TERIALS : PROPER SHIPPINI NAME) cuss Numb:f RATE <br /> W hacv �- <br /> Remit C O D to C.O.D. FEE: <br /> Address /� Prepaid ❑ <br /> City State Zip VOD Amt: $ Collect ❑ $ <br /> NOTE—Where the rate is dependent on value shippers are required to state specifically m ,,,,„� ,,, ,�,,,,,"'ry„�,,,,-r;;,� """""��""'”"�""""'�"' fREIIGHT CHARGES <br /> writing the agreed or declared value of the property The agreed or declared Value of the property r""'��"'�„'-rr"-'"r"r-"^""-�""r.r+�••wr+.+�.r+""*""'w. <br /> is hereby specifically stated by the shipper to be not exceeding C Per PREPAID ❑COLLECT <br /> AWJIVE subpee to try eLudru[rens rM M div m often On IN dale M nave of ttrn ere b Lsdrne the property dew6w aeo.e m apparent pow waw woo as Awed jo nrents and cordnron d contents d pecseges urJvmwnt <br /> rnnsynrd and tles[iMd of iMKated above..rnCn sad eerier Ith.word carrNr Wine understood Ihrougnoul chic Wnhact ee meenup any garcon a Owpwat.on M paasaron of rhe property under rhe pontract]spas la <br /> rte usv►l yeq of alrr.ry et Mrd owmarron d on et Mute whw.nye to defter 10 anwher Carrrw On the route IO said"80i 47. <br /> muluaey agreed ee t0 each canrw d all w any d fed properly ovw ell a env portion <br /> tour to sUnetipn and of to each any sl any came Inlwesled in all w any said property that every aww"m be performed hweuedw ensu M arena to ea the ble of ledwle tarrrlf wd ddnWLwu nem eorwnuq <br /> tKatwn w tM dale �prnonl <br /> Shypw h",oby pend no n lamdrar eedh au the bill of lading terms end cdrdlwns M the"ormu g aaawlKalron and the said twins and mMdlem are hweby agroW to by the shppw ant accepted tar hwaad aM his <br /> ea ns <br /> This s m oertdy dst dr N ma1..4 era werenr waded.daeereea swiaeed n Wkid arm T6 ❑ MO—PilllalfstED iy iwltii! <br /> lebew end era N woor n Iv Yer�pwYbm exardmp b ere e{ph blr reeulM—d nre e COM'Darmsbo"TuAl Oep"'iew e!T L e <br /> pad <br /> SHIPPER _ A4, 1,0 CARRIER ' <br /> PER PER <br /> ATE fi3 DATE <br /> FORM#9-BLS-A -PLY1 <br /> Revised 7/86 <br /> FOR HELP IN CHEMICAL EMERGENCIES INVOLVING SPILL,LEAK <br /> FIRE OR EXPOSURE CALL TOLL-FREE 1-800-424-9300 DAY OR NIGHT <br />