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STRAIGHT BILL OF•LADING shipper's No. <br /> ORIGINAL-NOT.NEGOTIAI§LE. <br /> Carrier's No. <br /> CARRIER SCAC Date <br /> r ric FROM: K't t✓L �O,"�' <br /> Shipper / <br /> Consi neen��n ;� o ��/(Z �/ <br /> 7�'�� �2'. 4YJG <br /> Street'_' � 1 Street <br /> Az; d�7v Origin ,�. Zip <br /> Destination' it �2 P ' <br /> I Vehicley�,mbaru U.S."DOT,Ha�rnat Reg:No. <br /> Route:,- m .:L,/: . �jw��I' T✓';��3' .^�Y�3�Z� <br /> Description <br /> HAZARDI.D. Packing <br /> ect to <br /> Number Gro p correction) <br /> Ipp Ing . IGH <br /> DOUS MATERIALS ,�, CLASS <br /> HAZA <br /> 1ER SHIPPING NAME) <br /> J' <br /> 1 e 1 <br /> i <br /> S ;cue d. .. <br /> fill <br /> r <br /> 14 <br /> Remit C:o.D.ao:' C.O.D.Amt: CO.De FEE. <br /> Prepaid <br /> Address: <br /> City <br /> State: Zip: Collect $ <br /> 9ultled to:flma its tonrpl1ne.g th eMpmM le to be CIW radt the conelgneewMwdrecnaeeos the FREIGHT CHARGES <br /> NOTE'-Where the rate is dependent on value,'shippers are required to state specifically in writing wnagn«,he conegno ehelero nw aYow ng eatemenb <br /> the agreed or declared value of the property. The agreed or declared valu Per tt e'property is TheCanb eheNnolmekede Mryolihb.OpmeMWXau peymen)olfreight valall 4erlawful oleryN. PREPAID COLLECT J <br /> hereby specifically stated by the shipper to be,not exceeding $ sgmmreof cobsllf-) <br /> RECEIVED,subject to.Individually:determined rates <br /> or contracts that have been agreed:upon In wriiing between the carder and-shipper,If appllcable,otherwise fo the rates,classlflcations and. I mtteleloh of the care arstlablPity NMFG Item 12} <br /> ' fished b aha cerrler and are available fo the shipper,on request;and all applicable state and federal lhe:Property described below,in apparent good order, _H there <br /> Weeds or value declaration by the <br /> r rules that have been established y - ' <br /> as note (contents and condition of contents of packages unknown)',marked,-consigned,.an d.destined as Indlcated-below,4yhlch a a idcodpdesf(tchr o6 Hon itsouteeingoundsse'oo ahlpperend the shipperdoea not declare avalue` <br /> except ( or release the earners Ifabllky,th'et Ilablllty.shall <br /> throughoutahiscontract-as meaning any personorcorporation in possession of the property Underihe contract).agrees to carry to se ad C <br /> carrier the route said destination.Itis:mutuallgegreetl as to each cerrler of all',or any of.said Property over all or any<portlon of said routewhether orwritt n�herein: 172.'nCalHornlehIn,stet pehlpm.tie must comply. <br /> deliver to . <br /> i party at any time interested in all,or allyof said:Property that every service to be performetl hereunder be subject to all the conditions notprohlbifedl6y-law, h P "with NMFC Item 173. <br /> contained,:Includingtheconditions on the back hereof,which are hereby agreed to by the shipper an accepted forhimself and his assigns. <br /> IS <br /> NOTE:Liability Umltatl Por lose ar demege In true Shipment may be epplimble.-w go U.S.C. ma(oxtlile an(a). PLACARDS <br /> , PLACARDSES/ NO•FURNISHE6 EWCARRIER <br /> This I.1.certily that the:etwve-named material are pros-ly::classdled,dawribed,packaged,marked and.lebeled'endere <br /> in-propercondltlon brtreneponetlm eccoNing to the appllmbls reguualims of the Department of Transportation. <br /> REQUIRED <br /> , + "'. "SUPPLIED DRIVERS:5IGNATURE: ' <br /> ' SHIPPE e ✓m o✓'� CARRI R: ✓�3 i <br /> I i vw <br /> PER: DATE: IZ. L PER: e..o DATE 17111;7; <br /> EMER ENCY'RESPONSE Monitored at all times the Hazardous Material is in transportation <br /> t3 including..storage incidental to transportation(172.604). <br /> TELEPHONE NUMB R: ( ) <br /> w <br /> 89L£-917Z(998)•90296 VO`NOIN301S•ba_1VNId 13 Zbti6 -1S3M <br /> OZW1,l,9(998)•9£9LL Xi`NOiAVO•9111•AVAAHO1H 0081l, :SV X31 NOLLVE10dHOO SlanOOUd <br /> OZ09-6617(998)•990L£Ni'NOSA010•Ha ladfllS 1WHSbdW 06L -1SV3 <br /> U01SIAla PUBJISJOU JIJ <br />