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THATCHER TRANSPORTATION COMPANY <br /> { <br /> I <br /> Bill of Lading Number: � T �F f <br /> PRODUCT-TANK IDENTIFICATION CHECKLIST <br /> ALL SECTIONS MUST BE COMPLETED. IF ANY ITEM CANNOT BE COMPLETED,OR ANY UNCERTAINTY <br /> EXISTS,STOP ALL OPERATIONS AND CONTACT SUPERVISORS AND THATCHER TRANSPORTATION <br /> I <br /> Driver's Customer's' <br /> Initials Initials <br /> I have verified that the product shown on the Bill of Lading matches the <br /> V product identification shown on the storage tank. <br /> DRIVER CUSTOMER <br /> Record the Product Name as Listed on BOL Record the Product Name as Listed on BOL <br /> n, i i l <br /> DRIVER CUSTOMER <br /> Record the Product Name as Indicated on the Record the Product Name as Indicated on the <br /> ' <br /> ' <br /> Customers Storage Tank and Hose Connections Customers Storage Tank and Hose Connections <br /> „ I <br />? Driver's Customers <br /> Initials Initials <br />" 1 have verified that the delivery hose connection to the customer plumbing <br /> connection is going to the correct storage tank.- <br /> k <br /> I Driver's Customer's <br /> i Initials Initials <br />? I have verified that the storage tank has enough capacity to receive the <br /> t FULL contents of this load If there is not enough room in the tank for the <br /> entire load, the driver and customer must determine a means to <br /> C communicate the tank volume during the filling process to ensure that the <br /> tank does not overflow. <br /> VERIFY THAT EACH BOX ABOVE IS INITIALED THEN SIGN NAME BELOW <br /> (must be legible) i <br /> Customer Signature: Print Name: <br /> grNer Si nature: 1 ,,.,, (must be legible) <br /> g Print Name: t � , <br /> Date: 7 ; <br /> Thant er Trmnportatlon Pw t Tank I dfi bw C edMt rev 20110119 Goc <br /> t <br />