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THIS MEMORANDUM is an scknovvledgement that a bill of lading has been Issued and is not the Original Bill of Lading,not a copy <br /> or duplicate,covering the property named herein,and Is intended solely for filing or record. ....1 <br /> Shipper's No. <br /> (Carrier) <br /> j `Y r /1 SCAC. Carrier's No. <br /> Received,subject to the classifications and tariffs in effect on the date of this Bill of Lading: <br /> at date from <br /> the Prop•rfY <br /> described below,M apparent good order.ezcepl as noted(mntents end candtlon d conlente W packages unknown).merle^,consigned.and deserad ea indkaled beew, whkh sold company(�•word ooroPanY being understood a rou a to said <br /> laid <br /> contract'as meaning arty parson or corporailon in possession d the PfoP•M urtdar Ina conbect)agreead oususl p1e oa d as 1'yo ed�i pony a e1 cry t1id desIfnstion,Ame�kderested road <br /> n en its e�of ssaaiA'IxoPanl'� e"•'Y se arvice to be performed�n hereunder est eA be <br /> destination,A Is mutually agreed,as to each carder of all or any of srdd properly over aA or any portion <br /> subject to air tin conditions not ibaed law,wtwnw primed or wrtllen,hereto contained(%+ In Appendix B to 1035)wheh era frena a reed to Aa rand ed for hlnaeA and his <br /> (Mail or street address of cons) nee for purposes of notification only.) FROM: SMUMM W= PFEDUCTSOC1RP' <br /> TO: 'T 6- <- F-t o,*-J t 4- Shipper 1412 EL PINAL UPLM <br /> Consignee s C) �' 0 C C,••,,_,a)f•{ Street gj�p( I CA 95205 <br /> Street / <br /> Destination t f%)_ r) ti_:" V Zip`l J Origin Zip <br /> Route: <br /> Trailer Infilav U.S.DOT Hazmat <br /> Delivering Carrier Number Reg.Number <br /> DescriptionNo.of ceptions Hazard <br /> HIM <br /> package at marks,and ex NUM <br /> �. O <br /> PALLETS — - - -- ---_ <br /> -FE tOUS SULFATE BOLK ` <br /> 9 N�13077 III »T f�•j 2 4- <br /> CITHM REGULATED BUIBSTARM, _ -------- -- <br /> SOLID. P.O.S., 9 1UL4077 _ <br /> III. I�Q (FERVDXUS SULFATE) � — -- <br /> (�O6S <br /> (TARP 1�0 PRf.7tEC? Flif�! MOISTURE7COD <br /> Subject to Section 7 of conddtons,fi thisC. 0. D. FEE: <br /> AMT: <br /> shipmen to delve red to c the cons gree <br /> Remit C.O.D. t0: without recourse on the consignor,the <br /> coneprcr shall sign the fofewing statement: Prepaid ❑ <br /> Address: ,w The carder"it not make delivery of this <br /> City: State: Zip. `$ shipment without payment of freight and all Collect ❑ <br /> ^Ater lawful charges. <br /> ,Am.shilwanlmovesbetweentwoponsbyaome,by weler,Alelawmqu,esfttAlebiliofladingshatstatewhetherais•tamerswshippers-or. Charges Advanced FREIGHT CHARGES <br /> Nola,-where Are rale Is dsperMere on value,shippers ata required to slate spedAraAy in wrtfi g ins agreed a declared value of Are Property. <br /> the agreed or declared value of Ate limpaly is hereby $ (Signature d consignor) El Pre aid El Collect <br /> sped"staled by the shipper to b.not eseeeJrq per <br /> Thle <br /> is e c.dty trial the above-named materials ere properlpclasaltletl.deacdlad,packaged.marked.nd w - ' YES NO-FURNISHED BY CARRIER <br /> labalee.M aro In proper cordite,for Irenapor.ten ea:ordlrp to ria eppl—eft mgum,lone of the Depement ' <br /> Or neneporatl— DRIV R'S SIGNATURE: <br /> P. <br /> SHIPPER: win F'ACEX)m 100P' CARRIE • <br /> PER: DATE: PER: , .� ' ; DATE: _ L <br /> EMERGENCY RESP NSE <br /> TELEPHONE NUMBER: <br /> Permanent post office address of shipper Monitored at all times the Hazardous Material is in transportation including storage incidental to transportation(§772.804) <br /> 9-BLS-A3(Rev.7/95) <br />