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THATCHER `TRANSPORTATION -COMPANY ` <br /> Bill of L.ac(ig8 Number: <br /> 0 9, <br /> PRODUGT-TANK IDENTIFICATION .CHECKLIST <br /> ALL SECTIONS MUST BE COMPLETEb ¢ANY ITEM,CANNOT M <br /> BE COPLETED,QR ANY UNCERTAINTY <br /> EXISTS,'STOP AL4 bPERATIONS dND-CONTACT SUPERVISORS AND THATCHSR TRANSp,ORTATION <br /> r< <br /> Dnyers Customers <br /> Ifiibais Jnitials= <br /> t I;fiave verified that the product shown on the Bili of Lading matt hesthe <br /> <prodUct tdentlfication shown on the,storage tank 33 <br /> DRIVER CUSTOMER <br /> Record the Product Name as listed on SOL Record the Product Name as Usted oh EOL <br /> I r I <br /> DRIVER, CUSTOMER <br /> Record the Product Name as Indicated on the Record,the Product Name as-Indicated bri the <br /> Customai s,Storage Tank aridH,ose Connections Customer s Storage Tank <br /> and I Pose Cohn , , ons _ <br /> Drivers , Customers <br /> hiUals Initials <br /> I have verified thaf the debvery hose connection to the customer plumbin9 <br /> connection is going to the correct storage'tank. i <br /> Dnver s- Customer's t <br /> InitialsInitials <br /> I have verified that the storage tank has enough capacity,. receive the <br /> FULL corltehts of this Load If there is not enough room in the tank for the <br /> entre load the driver and customer must determine a rneans to <br /> communicate the tank volume during the fllhng,proGess War th.0 <br /> tankdoes not overflow::` <br /> VERW THAT EACH BOX ABOVE IS INITIALED THEN SIGN NAME BELOW <br /> (must be legible) <br /> Customer Signature Ptint Name: <br /> 11 <br /> Title <br /> privet Signature; (must be legible) Print Name; <br /> Date <br /> j( <br /> T1aktw 7rwwoeb.PNdud-T"WWOZ6gM gnW9N 20110119dx ,f <br /> l <br />