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This Memorandum is an acknowledgment that a Hill of Lading has been issued and is not Originat Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. ADVANCED CHEMICAL TMNSPORT, INC. Carrier No. Page of Date (Name of carrier) {Si oo DeRmyahpmerris.me letters'CCD'mus appear before consignee s name or as omervase provided in all 430.Sect, FROM: An d el iWad Schod Riiftwit fEid Ural H14"T(J: 111111111inkillill UrAftd School 0115brial Shipper Consignee im IN L41111011111111 Pbwd , Street Street CA City State CA Zip Code City State Zip Code =495g� IMCALM_ZIM) 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units H M BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES S Container Type UN or NA Number,Proper Shipping Name,Hazard Clara,Packing Group (Weight,Voiume, (Subject to RATE (For Carrier Gaiions,etc.) Correction) Use Only) M"bMWWW�3,PG1I1 - 19-&3,Flilwokfible Iqukb,n.os pgiaie F v .�Mr• � �J �! rpt if 'L PLACARDS TENDERED: YES LL:i NO REMIT Note—{I)Where the rale S depirml w vai sthppars are requ,-en tc s7a[e Thereby declare that the cooler Of this .. C.O.D.TO: _ - apearuawy n writing Ina agreed or tlerJared value d the ptpparly,ab lo;ows.--he ADDRESS agreed or tlecitrrad value o'tha consignment are luily and 9=mtely p"ll is hereby specihCary ateted by the shipper to dtrscribed above by itre proper sh 6a nvl e>4xeding Pet _--- aged, COD .D.FEE: {2J v�the name am are Gas lacar d.fired packaged, - epWi;enla till Tar provio y I specify a rr am!t of ata cardsts;fahYlhy abserd �arra tadelladplaruarde4 ane are AlAmt: $ COLLECT ❑ a tetease br a value decldeclare aoh by the shipper and ny sh.b eT.does not nekaSe COLLECT❑ S me ads Iiabilety orOn'S a value ge Carrie?s EianEni,y she;.be kmhad to the"W in all Feel in Proper condition applic for OrOvided M icon pravisiorts See Ni he.r.172 iransPort asordinp to applicable &bjad m S.itisn 7 d not rxrdnona,r tnw wanem It to be tlNiveretl m are TOTAL cilemasOnal and nahorr3 govanunenlal ll'e'-w recour.e en t».--ill the--go-shat sign the C mL Commo mai regnd p special or to rare or ehent,"in hend3mg or etowmg regu:adons. �cam�ts enan nor moo Celhre CHARGES $ must be aro rttarkaC and packaged as to errsure safe ttar,sportahcn-Sae Section 2lai d ry d itis snipmant wiero,r.wymwn of FREIGHT CHARGES item Sm.silo of Lading,Freight Bilis and Statements d Charges and Section l ia)of trarprrt wad ell other invha charges. FF�1 FREIGHT AR bmf 8 the Caneact 7emm and Condabre for a Yet of eudi arhWes. Signature FRE .,Ire,EPI am m. Isrprs'um rT cn,.iprwn npcw arrsbd ❑ once RECEIVED,subject to the darksl am taints it aract on the we of me iaeue of this air of Lading• hnabon and as to each a at an dme inlereeted rn ell ora said m the Prop"described above in apparent good order,except as rioted toontents and cundeon of war, p y iq property.that every governing service m tens W packages unkngwnj,marked,consrgnetl,ane destined as Indicated above Mich awd carrier be p toi,o d the date o ahaii be wgatt 1p all mB hit M lading tBm16 end wnddldfl6 fn the gwremirp CIaF silica Shipper on the Teta or ahipmenl. (the word carrier being understood mroughotn his wrraaot as mearyrrg any person or mrporetion'm Slipper haraby Certil that he is remllier wM all the ladingterms and wedbioru in the Properly under the mntmcl;agrees to rorty to its usual plat or delwryal said dais. nwaeeeran d the governing or hit catlon and the said tarma end mrrdeorra are hereby agreed to by the sNpper era allion,Y d s route,otherwise to deliver to another propertySamar on the route y sae dasf Said n.h q mots- accePtad for himself ant ha assigns. arty egreatl as to each Carrie•d sll a Tiny d,said over all o,any partiert d aaltl rddte to des c 'ER r.. - aCARRIER M ' d R � :'="aE T �-.�D; - PER PER DATE Permanent post-office address of shipper. STYLE F375-3 ®2032 L.AHELMAs"rut (800)621-5808 www.labeimaster.corn PawT�d de.EGY-+rT•PhneR FD wrtry' uotuasore *K R1st 1NICr