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CO0054444 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0054444 (2)
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Entry Properties
Last modified
1/25/2023 4:40:58 PM
Creation date
1/25/2023 4:35:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054444
PE
2546
STREET_NUMBER
1495
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21307084
ENTERED_DATE
11/10/2021 12:00:00 AM
SITE_LOCATION
1495 E PESCADERO AVE
RECEIVED_DATE
11/10/2021 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Guaranteed delivery <br />Cl F.* le Monday I El Window LI agow env am o, star, deur End date Won noon <br />Cl Bodot.3:30 pm I Sr he..,. End time. nroonton No.+. Authorization (print): <br />Phone : <br />Fee Or errmd lintet, Wenn mod conobtlom tiuth ry Mrulestad <br />HtHMANEN I PUS! OFFICE <br />ADDRESS OF SHIPPER <br />(914) 789-8100 <br />Printed on <br />Recycled Paper <br />-Refrigeration Required <br />45°F(7°C) <br />Placards Tendered <br />Inside Delivery Required <br />Appointment Required <br />ATTENTION: CARRIER- <br />MAIL YOUR FREIGHT <br />BILL WITH FREIGHT <br />CARRIER'S COPY OF <br />B/L TO: <br />FUJIFILM <br />200 SUMMIT LAKE DRIVE <br />VALHALLA, NY 10595-1356 <br />16:20:35 <br />PAGE: 1 OF. 2 <br />CONSIGNED TO AND DESTINED FOR:. <br />VILLAGE INSTANT PRINTING INC <br />1515 10TH ST <br />MODESTO CA 95354-0726 <br />s\Ai p <br />FROM: <br />FUJIFILM North America Corp <br />Graphics Systems Division <br />6200 PHYLLIS DRIVE <br />Cypress , CA 90630 <br />THIS SHIPPING ORDER must be legibly lilted In, In Ink, in indelible <br />Pencil, Olin Carbon, and retained by the Agent. NOT NEGOTIABLE. <br />RECEIVED, subject to the claseifications and tariffs In affect on the date of Cr. Issue ol this SHIPPING OROS <br />BILL OF LADING: GC20018655 <br />Master B/L #: <br />DATE SHIPPED: 11/09/2021 <br />STAGING AREA: <br />FROM: <br />8200 PHYLUS DRIVE <br />FUJIFILM North America Co <br />Cypress,CA 90630 <br /> 11111111111111111111110iiiiiiilljp11111111IIN <br />TO: VILLAGE INSTANT PRINTING INC <br />1515 10TH ST <br />MODESTO,CA 95354-0726 <br />PRO Number: <br />111TE!.E11111121111111111 <br />FUJ WI LM 11/09/2021 <br />Customer <br />P0:14861 <br />Staging: <br />SCAC code:RETL <br />11111111111111 <br />• <br />FUJIFILM <br />do National Traffic Consultants <br />P.O. Box 4367 <br />Lgs Angeles, CA 90078 <br />FOR <br />CHEMICAL <br />EMERGENCY <br />CALL CHEMTREC <br />(DAY OR NIGHT) <br />800-424-9300 <br />If charges are to be prepaid, write <br />or stamp here, "To be Prepaid." <br />PREPAID <br />C.O.D. <br />AMOUNT <br />COD FEE <br />Prepaid <br />Collect $ <br />TOTAL <br />CHARGES $ <br />t The fiber boxes used tor this ship- <br />ment conform to the specifications <br />set forth In the box makers certificate <br />thereon and all other requirements of <br />the National Motor Freight Classif <br />Cation. <br />ROUTING: RETL Reddaway <br />FREIGHT TERMS: PP PRO # 6046158608 <br />Trailer Number: Seal Number: <br />DO NOT DOUBLE STACK FREIGHT <br />SPECIAL INSTRUCTIONS: <br />CUSTOKKR PO# <br /> DEPARTMENT <br /> QUANTITY <br />14861 <br /> <br />(C) <br />SUMMARY OF FREIGHT SHIPPED: <br />QUANTITY HM DESCRIPTION <br />100 1.000 <br />DryPiates or Films,unexposed,NOI,in box <br />X 70 44.000 <br />UN1814, POTASSIUM HYDROXIDE <br />SOLUTION, 8, PG II. ERG* 154 <br />4G FIBERBOARD BOX <br />900000036 <br />X 7b 45.000 <br />UN1814, POTASSIUM HYDROXIDE <br />44.000 <br />45.000 <br />SHIPPING ORDER <br />801650468 <br />CLASS NET WEIGHT GROSS WEIGHT <br />(LBS) <br />1.000 <br />Chemical shipments subject to NMFC <br />toe I 60000: The declared value of <br />the property is hereby specifically <br />stated by the shipper to he not <br />exceeding 165 cents per pound for <br />each distribution package. <br />Subject to Section 7 of conditions <br />of applicable bill of lading, If this <br />shipment is to be delivered to the <br />consignee without recourse on the <br />consignor, the consignor shall sign <br />the following statement: <br />The carrier shall not make delivery <br />of this shipment without payment of <br />freight and all other lawful charges. <br />FUJIFILM <br />Of.. C., <br />TNi is to certify that the above-named materials are propeety *milted, described, packaged, marked and labeled and cab proper condition for traruponation according to Ma epplicebie regulations oldie Deprulment ol T rtelich. <br />The wood/ demand atom In &Kw. pod cede, oldeot on mod (canon* end conSdans 0 conlonit olvotttopos unlooctott nrdnoth oono5rtod adi dna/odd on IntIonotl snow. WW1 old mint Me Iotind ntolImIted no""r'd e.".4 <br />. , <br />On/Pono tdonot Condo.) woos to catty on usual Paco dollvory .1 .014 dean....,IT on No ntult5 Wore. to Mont te onouot pt. on ore moo son doodnogon. n mow, wood. ne to omit mas, ot an or and Ed .014 toopony Dow ode, Gm pxnod or oaId our. C dootioodoo. INS .1 b... 00.0 WI • <br />000 500.1.0 In an or•nd soks progeny ...I owl send= lo Wormed Wunder dad S. on*. on ad ma tonna and wakes of ths sod,. Ottenoolle tend,801 Id WIN OM MT (I) In Unto. Frog* C1sonilloglon 51 end on IN MO Went. I Min Itt tel tod.woltot Ohdoto.5 50 121. 550.04. <br />dasaelation at MMI n dots log mann order stnponall <br />Woo. 1=1 M Imo0, ion re Inn en,. add 0.0100ts c4 the dad eu is Indind Indudng PIM 0050 500 50001. latkein 5, Ine awake or wet eNct Gomm dd tronoponollon 01 410 oldrnnont. ond NI Mid terrna ornt Maims ant Many wood lo by Ito slidoot ond Ildnorn. 00 *0.' <br />arotrn <br />If the shipper moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is owner's or'shIppers weight. NOTE —Where the rate Is dependent on value, shippers <br />required to state specifically In writing the agreed Or declared value of the property. The agreed or declared value of the property Is hereby spedflcally stated by the shipper to be not exceeding <br />02007Mx..cfnrn <br />Signature of Consignor rA""
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