COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

THIS Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. Bill of Lading,nor a copy or duplicate,covering the property named herein,and is intended solely for filing or record. D197� Carrier Na. A4& noW ClxTmmpDrt Inc./DBA ACTENVIRO Date Pages of 1 (Name of carrier) (SCAO] On n Celrvery si ipments,Me letters"COD'must appear before consigns nano or as othefaise provided In Item 430,Bol FROM: TO: Stripper #1Aaiilill Lkded SCF1M DietXrrSI Lkvah Consignee ) r Street Street Ediflit1 Egitid NE 1 700 N Won RoadStateZip Code yG33 7 City State Zip Code mardera& CA NM 871 GR— 1 24 hr.Emergency Contact Tel.No. ----- e itis Route Number No.of Units p M�I BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type H UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,volume, (Subsea to RATE (For Carrier Gallons,etc.) Correction) Use Only) PLACARDS TENDERED: YES NO l= REMIT C.O.D.TO: Note—(1)Where the-ate is dapendent on value,Shippers ars required to state I hereby declare that the contents of fill AQDRESS speciriicaly in wrrting the agreed or declared value of Lha property,as folaws:The consignment are fully andaccurately agree*or declared value of Me property is hereby specifically staled by the Shipper to described above by the proper shipping C.O.D.FEE: ere not exceeding per name and are claseirred, packaged, C cot: $ PREPAID ❑ ;21 Where Me applicable tariff ptomions speciry a limitation of the carvers Imbflrty absent marked and Iabe[ledlpmcardad,and are COLLECT❑ S a release or a value dectare5on by the shipper and the shipper does not mold in all respects in proper condilion for the olimor'S liabilfly or declare a value,V1e camiee liability shall be limited to the extent transport according to applicable SAIW,m Bectlea�drthe oandrtions, dllpmerc s m be delweretl m Me TOTAL provi Jed by such provisions,See NMFC hem 172. International and national governmental w gnee withiig-sxouree on me epnsigno, consogn, shell sign rhe CHARGES S {31 commodities requiring special or additional care or abortion n handling or stowing regulations. Twl�he Snib,lie moat be scroll merited and Po me tamer shat not mike delivery of this shipment out payment of FREIGHT CHARGES paekeged as 10 ensure agile transportation.See$e4hen 2{a)of ireigii all other lavdut charges. ` f7iEIGNT PsiEPp10 Choc box adrergea item 3e0,Bills of Lading,Freight Bills anti Statements of Charges and SecdOrl t(a)of j' excearwhenboxal erembe the Corrtrasi 7arms and Conditions for a Lal of such articles. Signature Isp^adraer cenriprror; r gm m chaAw ❑ rdl y RECEIVED,sublen 1e the chmsfiroar ns anti iin eflea on the data of he issue of his ail of i ffration and as to each party st any tirra inrerastad in en or any said property,that every Sil to be the property described above in anibani good ober,except es noted(contorts and condition of con- performed remainder shall be sut�jact to all Me bill of iading terms and m:ldf rl in the gonemnlg clee- tama d packages omknovml,merxed,cw,sigrwd,end destined as indl®ted—,which-d tamer Airmtpn on the date pi ehipmem {Me word tamer being underalopd Throughout the contract as meaning any penwn or corporation in Stopper hereby terrifies that he is familiar with at Me lading tarns and conditions in the possession of tri property urder the termed}agrees to Cay to its usual place of dell at said da". governing classtgration and the sold terms and candlUons ere hereby agreed to by the shipper and notion,If pin Its male,oprerwiae d deliver 10 another carder m Me mule to said bestnaticn II is mato- accepted for himself and his aseigns. ally agreed as M each tamer of at or any of,said property over ail or any portion G laic room to bas- ` , £R Fr w t&�& Lkwkd Sdire-ni DiatilGY (East Urtill CARRIER ChemirA TrwalPett kitrODF1A PER Hd�) PER A F ALJ� DATE _ f L� 1 .- ermanenl post-office address of shipper. STYLE CF3754 02012 LABELMASrE& {800)11321-5806 www.labelmaster.com m �r.n ae.eeu.�A w�INK