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l mi's memoranaum I,o, —.urrlcuylllclu Fr rPr P aril yl Ldullirg lid,ull mbutfU dINth J Is,loullwillell Bili of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. Carrier No, ADVANCED CHEWCAL TRANSPORT, INC. Page of Dale (Name of carrier) (SLAC) .1 on 00very shpments,the letters'COD'must appear before ooneignee's name or as othehvim provided in tient 43p.Sac.t. FROM; �' ll on SSchoolG Shipper a�� Consignee Tholms atStreet �� Street 2NI SIA L.OWn Aft city ftrdlmll state CIA Zip CodeCA am lC 7 City State Zip Coda =,MIil PALOOOMM) 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES Ue &Container Type UN or NA Number,Proper Shipping Name,Hazard CIasS,Packing Group (weight,Volume, (Subject to RATE Carder Gallons,etc.} Corelee Onty) DISSCMD CATS FROM 1'1"MOLOGY CLASS Lead f,&I,PQl `r: `rNA30V,Odw repalowd substwm=6 I*ir tla0etrr - ( tt r _ PLACARDS TENDERED: YES I= NO p .REMIT Note— (1)whore the rate is de E.O.D.TO: pendent am raiue,ehipprrrs are required Ia errata I hereby declare I"T the o"ants d this ADDRESS specifically n welling the agreed a declared value of the pmperry,as Mid— 'rhe apmed a declared vala6 el"property is hereby specifically arAta(f by the shlpper to describ d!ab are fully and em.rately 1 be not excaetling per ____-___.• described obese by the proper atrppng C.O.D.FEE: (2j Where the ng cabi.tariff pmv sions sped ly a Imitation of the tamer's liability absonl name and are Gaaaliied, packaged, co Q' PREPAID 0 y marked and label oclo ended.and ars _ Amt: �- COLLECT 0 $ e release or a value dedarabon oy the shipper and the shipper does not release in at respects In proper condition ra Me carriers letafty,or declare a value,the camera liabllly 9l I be fi ted to the"'errt transport aor ting to applicable Subled to Tar y d a-J.Ml;vt-m6 stermsn a m be delivered m tee TOTAL povided by erucic prnvisnns.Sae NMFC Item 172. entematlana and national emmer of wnsrg.ea wkhoul recturrk m.ronaignm,me conmenor anon uan k,a CFIARflE$ S (3(Commodities mouinng special or atldiaanal wre dr eharmon it handling or stowing regWatrons 9dt' I- (3)commodities be ad marked end packaged as to ensure sate transperabon.See Section 21e1 of The wrrnar'anen no}male delivery at role awpmenr wnhoul payment or FREIGHT CHARGES height And.11 mt,er iawlul dreiyas- Item 36i),eels d Latlirrp,Freight aha and Smferoernm d Charges ens Sermon 1{a)of eHTOF(Ei lO Creellowq. the Contract TemFe and eandaors for a ked d>yldr arecl Signaturef f t�+P'+ekr•a Carsa.nrl -.righai aninolooi del l Q aRiom4p RECEIVED,subject to tM clasailkemn,and web in all on the date Of the Issue of this ail of LMYdp, tnalron aha as to eatlt parry at any time Interested m all dr a sand In property dialmb-'t�m m properry,r�every samos,to aopararn good order.a:r�rn as rested{wrtents and oondbon d rnr. lx poddmretl hereunder eha[I be>atbje¢to a9 the or of iadmg tams end Wrgi5orts b the goremirtg Ges- mrts d packages union ; m rked corrilia ,arm dearined as ind,raled above w l said confer (me word cancer minp undaralodd througholn Ws IXM118C1 a5 meannrg a}}y parent dr capprandrr in ad,caa-on Ma dale of shipment. Shipper herapy cantos that he is Ia"IIar With all the lading mems aha Prmebors in the possession o!rhe pmperry under the cwah l agrees to carry to r4 usual place o1 delivery al said del govamng classification and me salt lerme aha mnrikans are hereby agreed to by the shipper ono nation,r on�route,otharwlse to datvar to another tamer on the route to said dmiorution h is muter acxpllN!or nimaea orb hes assigns. sly agreed as to each carrier of all a any d,avid property over all or any portion d said mute to cies- `PER JAK t6B L)rAW SiL dol DWAaMOM High) CARRIER Advanced Chemkai Trnspci:r� Inc. PER i ' DATE Permanent post-office address of shipper. STYLE F375-3 02012 LARELA STER® (800)621-5808 www.labelmaster.com rgwTLO dh gECYCLm—nqW}FO MiTN uarnc Sarowl lw OY INlK