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This Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper N0. 11 vuZ500
<br /> Bill of Lading,nor a cap duplicate,covering the property named herein,and is PP
<br /> intended solely for fill WScold.
<br /> Carrier No.
<br /> ADVANCED CHEMICAL TRANSPORT, INC. 10/1812011
<br /> Date
<br /> Page of
<br /> (Name of tamer) !� ¢..(.S.CA�CA.) ..L
<br /> r also,Delivery shipments,the lettms'COD'most appearbekre consignee's namem asothemise prei in Item 93x,Sett. FROM: PaCr1,C SoUtslTest Container LLC
<br /> Phoenix Container Corporation Shipper
<br /> Consignee Street 4343 E Fremont Street
<br /> Street 2424 South Daubenger Road Stockton CA 95215
<br /> City State Zip Cade
<br /> City'rudock State, CA Zip Code 95390
<br /> 24 hr.Emergency Contact Tel.No.
<br /> Vehicle
<br /> Route I Number
<br /> BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> No.of Units HM Proper Shipping Name
<br /> &Container Type ,Hazard Class UN or NA Number,Proper Shipping Name, (Weight, Volume, (Subject to RATE (For Carrier
<br /> UN or NA Number,Packin Grou °r Hazard Class,Packing Group Gallons,etc.) Correction) Use Only)
<br /> jl Y;I,�LIIilY, e91 - 'Of �IAKQ.:.
<br /> - , F�JiR�idueJ.ast-6onLaiauJ:_
<br /> ,Empty Container, Residue Last Contained:
<br /> J
<br /> ;p:mpWo nor, L u 9 ._acne_
<br /> m -mrtafner; est a rx :___.
<br /> r
<br /> a
<br /> lEmpty C3arner; t o acuate.
<br /> y
<br /> Empty Call"ail—IM.
<br /> (y!
<br /> PLACARDS TENDERED: VES o NO o REMIT
<br /> CA�,D.TO:
<br /> Note—(1)Where the rete Is depends,on value.shlppers ere.,.[,ad Id state I hereby dealer.that go,caM.n midis ADD}iESS _ -
<br /> specilkally In writing the agreed or dedared value M the property,as follows:"rhe consignment are fully and emretely
<br /> agreed or declared value of the property,Is hereby speotkalty stated by the shipper to described above by Ne proper shipping /�/� C.D.D.FEE:
<br /> be"Co awasedo per name ane are Ia.emed. packaood, COD Amt: $ PREPAID ❑
<br /> (2)Where the applicable tarts provisions spnAty allmilWw ofthe comer's liablliry absent marked entl lebelleNplacandeQ and ere COLLECT El $
<br /> release or a value declaration
<br /> by the shipper and the shipper aloes not release In all respects In proper dondlbun ter TOTAL
<br /> lM1e carvers Ila vel declare a value,the tamer's IIabIIM shall ca limned to the extent transport expanding to applicable sueryd k Seir 9 ali exMNd II Nb ahlorms b k Ire delivered ro dw
<br /> provided by such proviNms.See NMFC Item 92. intematlmal entl natlonel morwal Aaa Ignee wllhoul mmuree do me ¢Ignor,the consignor nail men the CHARGES $
<br /> (3)Commodities baIdo, special
<br /> or ad"Humel care or attention In haMll or stoat gu 9°ve < bib be acre r shall pu e p ec of re INions. it carver eball act make delNery of acts shipment.ahem prym.m of FREIGHT CHARGES
<br /> must be so ms of Lain packages o commandeers ms tts 0 Ch.,..see Serio„1(e)of frelem and of omen lawnal memo. .whesaFnm drew m.Ncaaem
<br /> the
<br /> 36x,Bills of ceding,Freight
<br /> alit.or and Statements dl Charges and aemion I(e)of pptwr,e me ache
<br /> tna Centred Tema end Csntlhbns lorelisl of each ankles. Signature tspnmumarcnramd MM hahebaJ ❑ bacia,
<br /> HSCEMED,sus.to me cbwgkatlom and taM51n effect on the data of the Inca at thLs ell of lading, Bracton and be to eacM1 pats at any time Interested In all or any said hmperty,that every servlce to
<br /> the property deardel above In apparent good drum.except as noted(contents and condition of con- be performed homMar shall ba subjebl to of the bill 0 Wing terms ark oaMNpe In the govemlrg de®
<br /> hands at packages unknown),marked pa,ridgned,and destined as indicated above which said dower sificaripn on me date of shipment.
<br /> (the wand wrier being understand throughout this contract as meaning any Person or mrfwretion In Shipper hereby cadlges that he is familiar wish all the Wing leans and conditions In the
<br /> possession of the property underme ad owl egreesto carry toils usual Nataol delivery et sold deatF governing classification and the sand terms and conditions are hereby"read W by the shipper and
<br /> nation,Mon to Mute.simmers to deliver to water carrier on the mute to sed d.Wnadon.It is mum- accepted for himceM and his assigns
<br /> ally agreed as to each comer of all or any d,sold property over all or any pardon of said route to use-
<br /> PER Pacific Southwest Container CARRIER Advanced Chemical Transport, Inc.
<br /> r
<br /> PER PER
<br /> ^VDATE ^{ •— I!
<br /> rli� li
<br /> Permanent post-office address of shipper. w A STYLE F365-3 02003 LABELMASI (800)521-5808 www.labeimasteccom
<br />
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