NATIONAL
EPA Region 5 Records Ctr.
235226
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ITASCOp, a BOX isr
SUMMIT; tumois eosoi
INVOICE
6306
NATIONAL STARCH CORPORATION3641 S. WASHENAW AVE.CHICAGO, IL 60632
INVOICE DATE
6/8/81OUR ORDER NO.
275UYOUR ORDER NO.
P.O.#05-31326
HET 15 SUMMIT, IISALESMAN
GLENN WELLKANSHIPPED VIA
\ CUSTOMERSHIPPED TO
SAMEPPD.OR COIL.
J«QUANTITY DESCRIPTION PRICE AMOUNT
350 GAL ALIM TOTE TAKKS GLEAMED. D.O.T. RETcSTEO.D.O.T. MODIFIED, BRIGHTENED, PAINTED 6- REPAIRED.
STANDARD CLEANING CHARGE
D.O.T. RETEST CHARGE
ADDITIONAL CLEANING CHARGEREQUIRED TO MANUALLYREMOVE HEAVY QUANTITIES OFDRIEC CONTAMINATION FROMS TANKS
DISPOSAL OF 3WASTE CONTAMINATIONREMOVED
TANK REPAIRS MOO I F I C AT 1 0*J?
1} 9 0.0. T. BOTOH VALVE GUARDS INSTALLEDi) 9 O.O.T. TOP VENT GUARDS INSTALLED3} 1 TAKK COLLAR REPAIRED TAfcK
6% SALES TAX
* TOTAJ.
TANK KUHBERS; 01, 259, 260. 270, 271, 0775," 6 2 6 0 , 6525, 8367
$65.00EA
35.00EA
85.DOEA
8S.50EA58.COCA&5.00
585.00
315.00
705.00
796.5G522.00
AWR. N. J. O8O31
TASCO CUSTOMER ORDER
ORDER DATEORDER RECEIVED BY:
SHIP TO.
5/28/81Q ORDER NUMBER -5/28/27-54-( ) MAIL ( ) PHONE - PLACED BY
BILL TO:
NATIONAL STARCH CORPORATION3641 S. WASHENAW AVE.CHICAGO, IL 60632
SAME
/ L T T N :
P.Q. #•
QTY.
SHIPPER
INVOICE #_ •INV.
D E S C R I P T I O NUNITPRICE T O'T A L
350 GAL ALUM/TOTE TANKS CLEANED, D.O.T.RETESTED, D.O.T. MODIFIED, BRIGHTENED,PAINTED AND REPAIRED.
"POT
tt-tc
TANK NOS.^/~^ *.TV -It** - Z?C -3»*>J .Cmr- fr^CP
D.O.T. RETEST INFORMATION-.
SEND TO: MR.
RETEST
REMARKS
C E R T . MFR.
7 /t;
T T A S C O OFFICE COP_YPRODUCTION WORK ORDER ~~*
DATE 6/1/81 ( ) RUSH $0$ MUST COMPLETE BY A.S.A.P. "' ORDER"/ 275*1
COKPANT N A T I O N A L STARCH CORP. CITT/STATE C H I C A G O . 1L 60632
NO. TANKS 21 GAL. CAP. 350 TYPE SQUARE CONST. ALUM/S.SMFR. TOTE SYS.
TANK NOS.:
RETURN SHIPPER CUSTOMER CONTACT N I C K NAKUS PHONE 532-6332
REMARKS;
CLEANING & TESTING AND FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
2) ALL WASTE MATERIAL TO BE DISCARDED.
3) ALL TANKS TO BE: NOT PRIMED - AND PAINTED SILVER.PAINT TO BE SUPPLIED BY ITASCO.
k) DO NOT PAINT S.S. TANK.
[REPAIR DEPARTMENT1) D.O.T. RETEST PLATES TO BE INSTALLED ON ALL TANKS.
2) D.O.T. TOP VENT GUARDS TO BE INSTALLED ON ALL TANKS.
3) D.O.T. BOTTOM VALVE GUARDS TO BE INSTALLED ON ALL TANKS,
4) REPAIR ALL TESTING LEAKS FOUND.
5) REPAIR AND INSTALL NEW BOTTOM ELBOW ON TANK #6325.
6) REPAIR BROKEN VENT ON TANK #260.
7) REPLACE MISSING LEG ON TANK #175.
8) REPAIR ALL OTHER DAMAGE FOUND - LIST IN DETAIL ON CHECKREPAIR SHEETS.
FIHAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL-TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES t FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BT
AJMtx » i t'/M CktU » 1
COMPANY NATIONAL STARCH CORP LOCATION CHICAO IL ORDER # 2704
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/ / TANK R E C E I V I N G REPORT U
?/-7 /I/ A/ ^O/ <•<>' J- CUSTOMER/V// /'V' /k', >tsty9<:f<s REC'D FROM "^f<Sr
/ S I Z E 35"<-> CONST. A<s"^7 COLOR S'c^t-'r
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NrH^EEDS REPAINT
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D . O . T .
TEST
DATE
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DAMAGE
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ii1
NATIONAL STANCH CORP. CHICAGO, IL __ _ 2736
1 350 SQ/AL-UM
01
iWM !(
COMPANY STaPfM f. rvFM|.A LOCATION CINCINNATI. OHIO ORDER #_ZZLi.
SIZE ?sn RAI" CONSTV/TYPE SQ/ALUM
!t ..,,„...,t
i
— r~i ri i ir""T r*;/i L !
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•STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE DESIGNATE WITH AN (X)
BY TRUCK D FREIGHT DMCIIVED, subject to the clawifKatiofis «rtd tarifh in effect en the dot* or huue ef I hi* Original till •! lading.the p/op»rty described below, in apparent {pood order, euept at noted (contentiand condition of content* o( package* unknown), marked, contigned and dettined as indicated below, which toid carrier (the word carrierbeing understood throughout this contract at meaning any person or corporation in possession of the property under the contract) agrees to carry to it* usual place of delivery ot laid destination, if on rt* route, otherwise
« to deliver lo another carrier on the route to laid destination. It it mutually agreed, at to each terrier of atl or any of tout property owr all or any portion of toid route to destination, and ot to each party at any time interest-ed .In atl or «nv of said property, that every service to be performed hereunder shall b* subject to all the terms and condition! ot the Uniform Domestic-Straight Bill of Lading set forth. (1) in Uniform Freight Claui.icalion ineti£Cl on th^oate hereof, if this it a rail or a rail-water shipment, or (2) in the applicable motor carrier classification or tariff if thii it a motor carrier shipment. ~ ~"~ ~""~- -
Shipper hereby certifies thai he it familiar with all the terms and conditions of the Mid bill of lad in a, including thot* on the back thereof,, set for* in the classification er tariff which governs the trantpt-rta-tion of this shipment, and the taid term* and conditions ate hereby agreed to by the shipper andacwpted tor himself and hii assigns.
From
At
1 .W.7738
1. INDUSTRIESW. 61ST PLACE*SUMMIT, IL 60501(Mail or street address of consignee— For purposes of notification only.)
DATE ,« IS
MJfcCfTCARRIER
\19
1
81
SHIPPER'SNO.
2562CARRIER'S NO.
rCONS,ONEE NATIONAL STARCH & CHEMICAL
3641 S. WASHTENAW AVE.CHICAGO, IL 60632ATTN: NICK NAKUS
ROUTE DELIVERING CARRIER
CAR OR VEHICLEINITIALS S. NO.
HOTPACJAGES
ofrHAZARDOUSMATERIALS
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. , ALUM/S.S. PORTABLE TANKS
CLEANED, D . O . T . RETESTED, BAINTED,AND REPAIRED. . ...
EMPTY TOTE TANKS -CONT. BULK COMMOD TY^
SHIPPING OLD, USED NN SHEET STEEL 1 A"
THIpKtteSS^OF WALLS OR THICKER.
A?ANK # ' s) &3£o - 0*77f- *&"$ &~7\^ ^^S -f-x3X ' ^s^y ^-70/2
P.O. #05-30496 63LaNT/cUrf.-./'2-7/ /£>/
* WEIGHT(SUBJECT TO CORK.)
<£<>
CLASSOR RATE
705
v'
SHIPPERS CERTIFICATION: T hit is to certify that the above-named materials are proper)/ ' ' • .classified, described, packaged, marked and labeled, and ore in proper condition tor trans- ** •portation according lo the applicable regulation! of the Department of Transportation. S"?MATURF TIT1F
* If the shipment move* between two ports by o carrier by water, the low requires that the bill of lading shall stole whether it it "corner'! or shipper's weight."t Shipper s imprints in lieu of stamp; not o part of Bill of lading approved by the Interstate Commerce Commission.Note — Where the rate it dependent on value, shippers ore required to slot* ipecifically in writing the agreed or declared value of the prop*™* AThe agreed or doctored value of the property t» hereby ipteifically stated by the shipper »• b> not exte*dinp / c V •
THIS SHIPMENT IS CORRECTLY DESCRIBED. J Th« (ibr. bo,., .»d lor .hi, .hipm.^contorrn .0 Ih. ,p.ci; \ ]Jl0&\/\
CORRECT WE,GH7,S 1|K olh«r r«quiren»int> of lh«" ConKjIidm'. Freight clatlification. per ] ][ ( Shipper— • — : — . 1 1 /
Subject to Sectton 7 of conditionof applicable bill of lading, it thishipment is lo be delivered to trnconsignee without recourse on rhconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight and all other lawful charges
Per(Srgnarur* of Convenor)
If charges are to be prepaid,write or stamp here, "To be Pre-poid" COLLECT
«e,.iH.rf 1to apply m prepayment of thecharges on the property describedhereon.
p.-(The signature here acknowledgesonly the atnountt prepaid.)
Choraei Advanced :
1
C.O.D. SHIPMENT
C O O.Amt
Collection Pefl . _ ..
Total Charges
Shipper, Per
Permanent post office address of shipper
1FORM 12003. ORMS. BELLMAWR. N.J. O9O3 I
FREIGHT HISTRAIGHT BILL OF LADING—SHORT FORM—ORIGINAL-MOT NEGOTIABLE'•ECEIVED, subject to the classification! and tariff* in effect on the date af issue of this Original till of Lading. BY TRUCK
the property described below, in opporent good order, except at noted (contents and condition of content* or packages unknown), marked, consigned and destined os indicated below, which said c<being unc1. * food throughout this contract as meaning ony person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, ifto deliver to Another carrier on the route to said destination. It i* mutually agreed, as to each corner of all or any of said property ow alt or any porttpn of *oid route to destination, and 01 to eoch paled in all or any of said property, that every service to be perfornwd hereunder shall b* sublet to oil the terms and condition! of the Uniform Domestic Straight " " ' " ' ' *' ' " 'effect on the date hereof, if this is a roil or a rail-water shipment, or (2) in the applicable motor carrier classification or tariff il this it a motor carrier shipment.
Shipper hercVy certifies that he i» familiar wirh alt the terms and conditions of rhe said bill of lading, including those pn the back thereof, let forth in the classification or tariff which governs the transporta-tion of this shipmonl, and the said term* and conditions are hereby agreed to by the chipper ana accepted lor himself and his a'
[the word carrierroute, otherwise
Fy at any time intereit-reight Classification in
rrorri
AT
I.W.I. INDUSTRIES7738 W. 61 st Place • Summit, Illinois 60501(312) 458-8700
DATE
9/28/8119
CARRIER |
SHIPPER'S NO. -
CARRIER'S NO.
CONSIGNEEAND
DESTINATION
NATIONAL STARCH3641 S.WASHTENAWCHICAGO,ILL
~l fTASCO TRUCK
ATT; NICK NAKUS DELIVERING CARRIER
L JCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
1
•
"V^cViAiS:5DESCRIPTION OF ARTICLES, SPECIAL
MARKS AND EXCEPTIONS
350 GAL. ALUM. TANK REPAIRED
TANK NO.
s\
LALs
275 ,s~*± I
A If
AA
/\lykjyu i •i/
classified, described, packaged, marked and labeled, and ore in proper condition for trans-portation according to rhe applicable regulation! ot the Deportment of Transportation.
•WEIGHT(SUBJECT TO CORK )
CLASS j /OR RATE 1 »
« -
Sir.WiTIIBf / TIIIF
* It the shipment moves between two ports by a corner by water, the law requires thai the bill of lading shall stair whether il is "corner's or shipper's/weight.1
•t Shipper t imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission. /No*e — Where the rote is dependent on value, shippers are required tc« non specifically in writing the agreed or declared value of the property. / —The agreed or declared value of the property it hereby specifically stated by the shipper to be not exceeding jf\ M -f jf~ 1
THIS SHIPMENT IS CORREC71Y DESCRIBED.
rooBFn wFir.ni n m*
* The fibre boxes used for tiS , shipment conform to the spec,- ( \* W st&Aj } I
other requirements of the Consolidated freight Classification. per \J If / I ' Shipper
Sub|ect lo Section 7 ot conditionol applicable bill af lading. '' thishipment ii lo be delivered to Inconilgnee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverof this shipment without payment afreight and all other lawful charges
Per(Signature ol Conlloror'
It/tTialges are to be prepaid*wryC.ritomr. here/ "To be W
fM -L«rt-77^f < pply (//prepayment of thecltar ies on Vie property describedhaW n.
Per
i The signature here acknowfedgesonly the amounts prepaid.)
&
C.O.D. SHIPMENT
C.O D Ami
•~ ni'u*e*\n~ Ffe
lolol Charge,
I.W.I. INDUSTRIES7738 W. 61st Place • Summit, Illinois 60501
Shipper, Per_ V . Agent, Per.
Permanent post office address of shipperF: FORM 12OO3. REGENT FORMS. BELLMAWR. N.J. OBO31
THIS MEMORANDUM QV " " d"«ilkaN, c~«nngthe property named herein, and r» intended tatty far M.ng er record
MCEtVf D^ubiect le the claMrfkatiem and tariff* in effect en the date ef receipt bv the carrier ef the properly described in the Original Ml er lading, BY T RUCKthe-property described below, in apparent good order, except as noted (contents and condition of contents ot packages unknown), marked, consigned and destined as indicated below, which said coi
"being understood throughout thi* contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to Hs usual place of delivery ot said destito deliver *N Another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any ot said property over all or any portion of said route to destination, and Qi toed m oil or onv of said property, that every service to be performed here under shall be subject to oil the terms and conditions of the Uniform Domestic Straight ail) of Lading set forth (I) ineffect on the date hereof, n this is o roil or o rail-water shipment, or (21 m the applicable motor corner classification or tariff if this 11 a motor carrier shipment.
Shipper hereby certifies that he tt familiar with all the term* and condition* af the *aid bill ef lading, including these on the back thereof,-tet-ferth in the dauihcejtien er tariff which-govern* the transporto-.tion ef this >hipmenl, and the »a»d term* and conditions are hereby agreed le_by the chipper and accepted tor him*elf and hi* assigns.
FREIGHTcarrier
ute, otherwisetime intereit-
lassification in
From
At
LW.l. INDUSTRIES7733 W. 6lst Piece • Sura*. Wnoie 60801(312) 460-6700
DATE
9/26/8119
CARRIER |
SHIPPER'SNO _
CAKJIEH'S NO. -
*) <x ;NAKONAL STARCH
S.WASHTEHAWI-TASCO TRUCK '
DESTINATION CH 1 CAuQ . 1 LL
LNO.
PACKAGESI
1
HAZARDOU?MA1ERIAI5
ATT; N ICK NAKUS
CAR OR VEHICLE| INITIALS & NO.
DESCRIPTION OF ARTICLES. SPECIAIMARKS AND EXCEPTIONS
350 GAL. ALUM. TANK REPAIRED
T*NK NO. 275
/"' ^
/ \ |
i
1 ' ' '| v AD1 /':-'
i -
SHIPPERS CERTIFICATION: Thij ii to certify that the above-named materials are properlycloiiified, described, packaged, marked and labeled, and are in proper condition for trani-portation according to the applicable regulations of the Department ot Transportation.
• WEIGHT(SUBJECT TO CORK.)
.„
....
DELIVERING CARRIIR I""'
N^J ' ''
CLASSOR RATE
v#
.-M
y^
:.V
SIGNATURE / TITLE - -
,/
);J^v
'&
\i V" ':
* If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shoM state whether it ii "carrier's or thipper's/veight."t Shipper * imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission. /Note — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value ot the property. / .._The agreed or declared value of the property it hereby specifically stated by the chipper to be not exceeding /""Y jf /* ^Tl
THIS SHIPMENT IS CORRECTLY DESCRIBED.
LW.L INDUSTRIES
t The fibre boxes used foriicotioni set forth in the boother requirementi af the
7739 W. 61st Place • Summit, HQnot* 60501
rhi* thipment conform 10 the ipeei- 1 \l/f.^^^^^^ I •
Conwlidaled Freight Cloii.deol.on pff \J l/~ j 1
Shipper, Per / >— '
1 1
*
Shipper
AS ent
Subject to Section 7 of conditionof applicable bill of lading, if thshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier *hallfl*t make deliverof this »hiprnent"Virhoirt payment ofreight ond^all other lawful charge
(Signotun of Contigeor)
M XtiorVjes ore to be,, prepaid,wfrt* or ftamp~;herejfl"**tQ be Par
J ^ i A r_j»fT7\HM i in *7'l^ST pljplv in/ /pre payment of thechVrOf* on "*e Pr°Pmrty desc/ibedherein.
(The ilgna ure heie acknowledgesonly th^ amoDfiar^repaid.)
, ~" fit horgcs. Advanced :i • __ —— '
i.
C.O.D.SHIPMENr-
r o n. Amtrnllprttn"r>fr.i*p
-•Total Charoes .
, PerV
Permanent post office address of shipper — . v
BY TRUCK D FREIGHT Dimd rrfcC.mv/IVf-*i'»»*wt.» ^ ^ •.dwpi.caie. cwering the pre««rtY n.amed herein, and it intended s*My Ur filing or word.
•.ECf IVf D, subtext to th« dossifiealians and tariffs in effect «n the dot* «f receipt by the cairie* of th* p*op*rty described in the Original MM *f Lading,the property described below, in apparent good order, except as noted (contents and condition of content* of package* unknown), marked, consigned and destined at indicated below, which said cower (the word carrierbeing understood throughout thii contract as meaning any person or corporation in possession of the properly under the contract) agrees to carry to rU usual place ot delivery at said deitmation, if on its route, otherwiseto deliver to another corner on the route 10 said destination. It it mutually agreed, as to each carrier of all or any of wid property over all or any portion of said route to destination, and as to each party at any time interest-ed in oH or any of said property, thai every service to be performed hereunder shall be sub|ect to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Uniform freight Classification ineffect on the dote hereof, it this if a rail or a rail-water shipment, or (21 in the applicable motor carrier classification or tariff if thii is a motor corner shipment.
Shipper hereby certifies that he it familiar with all the term* and condition* of the said bill of lading, including those on the back thereof, e»t forth in the dartificotioA *r tariff whfcft ~gove>nt the transporta-tion *f Ihii shipment, and the said terms and conditions are hereby agreed to by the shipper ancTaccepled tor himself and his assigns.
From
At
1 .W.7738
1. INDUSTRIESW. 61ST PLKE*SUMMIT, IL 60311(Moil or street address of consignee— For purposes of notification only.)
DATE J
MXRqlr1
'198!CARRIER |
SHIPPER'SNO. —
2562CARRIER'S NO.
r ~iCONSIGNEE
ANDDESTINATION
LPACKAGES
4r
•
HAZARDOUSMATEkiAi:
-
-•
NATIONAL STARCH & CHEKICtL W-^ y W* t36M S. WASHTENAW AVE.CHICAGO, IL 60632ATTK, NICKNAKUS J CA-O-VEHJOE
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
350 GAL., ALUM/S.S. PORTABLE TANKS
CLEAfiED, O.O.J. RETESTED, BAlK'TEn,
AND REPAIRED.
EMPTY TOTE TAfJKS COKT. BULK COMMODITY-
SHIPPING OLD. USED MK SHEET STEEL !/-:«
THIprtKtSfisJ)F WALLS OR THICKER.
i TANK #'SJ £3{c - 0^7 - <&3 &~7
^—~-^ r ~^?F - ^^^^U J2.-70/7P.O. *05-?0496 63^^/5 J"f /-2-7//i>7
• WEIGHT(SUBJECT TO CORK. |
,
S ^yt>
{.DELIVERING CARRIER t
CLASSOR RATE
705
</
SHIPPERS CERTIFICATION: This is to certify that the above-named materials ore properlyclassified, described, packaged, marked and labeled, and are in proper condition for trans- ^portorion according to the applicable regulations of thr Department of Transportation. ClttNfATtr'fff TITIF
* It the shipment moves between two ports by a carrier by water, the low requires that the bill of lading shall state whether it n "carrier's or shipper's weight."t Shipper s imprints in lieu of stamp; not a port of Bill of Lading approved by the Interstate Commerce Commission.Note — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the prooeTV..^The agreed or declared value of the property is hereby specifically stated by the shipper to be net exceeding f r\
THIS SHIPMENT IS CORRECTLY DESCRIBED. f The libr. bo... u>.d lo, lh» ,hipm.n,_ conform ,„ lh. ,p.«i; / \ ' [j/^^V !
CORRECT WEIGHT IS.p^ OTh«r requir.mcnrs of th* Consolidated Fr.ight Clarification. pfif \ ] [.'
v dShipper, Per , \~ ,
Shipper
Subject to Seciwn 7 ft -conditionof applicable bill ot lading, if thshipment is to be delivered to tfaconsignee without recourse on thconsignor, the consignor shall tigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight and all other lawful charges
Per(Signatwr* of Consignor)
If charges are to be prepaid,write or stomp here, "To be Pre-
"'"COLLECT-R*r*iwrl i
to apply in prepayment of thecharges on the properly describedhereon.
Agent or Cashier.
Per
(The signature here acknowledgesonly the amounts prepaid.)
Charges Advanced:
&
C.O.D. SHIPMENT
r n n Am*("oll i-tion r-t>» ,
Total Charges
Agaai, Per
Permanent post office address of shipperFORM 1 2OO3. REGENT FORMS. BELUMAWR. N.J. O8O3 1
DEPT.PRODUCTION WORK DRIER
' TUTE 3/30/8\( ) RUSH (X* MUST COMPLETE BY **S.A.P* ORDER #- * • • . . " * -
rnxPANY NATIONAL STARCH COftP. CITY/STATE CHICAGO, it. - - .• ..•• i ————i«—
'.".HO. TANKS 1 GAL. CAP.- '350 TYPE SQUARE .: CONST. *LW ' MFR.—"iit UAJb. WAIT. s*rv Li.rc> •**&*• *•-"•* • \j\jam, - — - • ru.n.»
TANK NOS.:
RETURN SHIPPER CONTACT PHONED
REMARKS? £1 •
JCLEANING & TESTING AND FINISHING DEPARTMENT
TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
IREPAIR DEPARTMENT
1) D.O.T. TOP VEKT GUARDS TO B£ IMSTALUO - T/iNK #6325.
2) INSTALL NEW BOTTOM ELBOW AND NIPPLE.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( > ALL COVERS, VALVES & FITTINGS REPLACEDLVES & FITTINGS REPLACED /
T' COMPLETED / ' ~- s// (IDATE COMPLETED^. S- JT/CHBCESD El*-7'
DATE TANK * D E S O F R E P A I R S MATERIALS USEDTOTALHOURS
REP.BY
r
l_
SUtftftT, ULASOSS «BM
NATIONAL STARCH CORPORATION3641 S. WASHENAWCHICAGO, IL 60632
_l
INVOICE DATE
6/12/81OUR ORDER NO.
275**YOUR ORDER NO.
KET 15 SUMMIT, ILSALESMAN
GLENN WELLMANSHIPPED VIA
CUSTOMERSHIPPED TO
SAME JxxQUANTITY DESCRIPTION PRICE AMOUNT
12 350 GAL ALUM TOIE TANKS CLEANED, D.O.T. RETESTED,C.O.T. MODIFIED, BRIGHTENED, PAINTED fi- REPAIRED.
STANDARD CLEANING CHARGE
D.Q.T. RETEST CHARGE
ADDITIONAL CLEANING CHARGEREQUIRED TO MANUALLYREMOVE HEAVY QUANTITIESOF DRIED CONTAMINATIONFROM 12 TANKS
DISPOSAL OF A,8>OLESWASTE CONTAMINATIONREMOVED
TANK REPA t RS AND HOD i F I.CATI QNS1} 12 D.O.T. BOTTOM VALVE GUARDS INSTALLED2) 6 D.O.T. TOP VEKT GUARDS INSTALLED3; $ TAKK COLLAR REPAIREO OH TAMC #1314;Si
HE PLACED MISSING LEG OJiINSTALLED NEW D0TTOM ORAlK FITTING 0^
SALES TAX
TOTAL
KUHEERSt 080, CS7, 13». 175, 205, 175, i35r,_ ijAt. _ r.77fj r".77L A!"-A A356, iftoi. C770,
35.00EA
85.00EA
.06LB
88.50EA56.DOEA65.0057.00
780.00
420.OC
1,020.00
291.OC
I,Of2.00
t>s!oc57.0C
$^331.16
FORM 1A4O5. REGENT FORMS. BELLMAWR. N J. O8O31
ORDER DATE
ORDER RECEIVED BY:
SHIP TO:
JTASCO CUSTOMER ORDER
ORDER NUMBER
( ) MAIL ( ) PHONE - PLACED BY_
BILL TO:
ATTN:
P.Q. #•
QTY.
SHIPPER
I N V O I C E # •INV. DATE
D E S C R I P T
p^^p^pfciNATIONAL STARCH AND CHEMICAL CORPORATION
rSUPPLIER
SHIPPEDTO
Wellco Chemical (Itasco)7738 W, 61st StreetArgo, Illinois 60501
"I
?
8 4 2 4 3DATE
L
National Starch S Chemical Corp,3641 S. Washtenaw AvenueChicago, Illinois 60632
H8-13-81
SHOW OUR DEBIT MEMO NUMBER
ON YOUR CREDIT MEMO
JSHIPPED VIA
PREPAID D COLLECT D
•
T A N K N
D . O . T .
QUANTITY
1
OS .
R E T E S T I NM» *
D E S C R I P T I O N
6% Sales tax not to be paid on following:(T, Fudacz/C. Wellman - 8/7/81)
Standard cleaning charge, D.O.T. retestcharge, Additional cleaning charge, and @disposal of waste S.
Tax to be paid only to 50% of $1575.00 or 8$789,00 @
0 AtN'A ^ ^j^wJ7^^^
x
in^mT Muri^n^DEBUT MEMOS"> !
U N I T PRICE
150,66
8XXZS47>16
tf 4
TOTAL
150 [663&XX82X
gX&f47\lo
>\ c \ ' - \ j lb£l_Lj* — * —
• i —i
SEND TO:
RETEST
REMARKS
MR RECEIVED BY
SIGNATURE _/
)
LSVENDOR'S COPY
ITA3COP. O. BOX 2V7
SUMMIT; nuNOit{3U} 458-WOO
-
.„„. 6306
r ~lNATIONAL STARCH CORPORATION364! S. WASHENAW AVE.CHICAGO, IL 60632
1_ _l
INVOICE DA
OUR ORDER NO.
2754YOUR ORDER NO.
P.0.#05-31326
NET 15 SUMMIT, ILSALESMAN
GLENN WELLMANSHIPPED VIA
CUSTOMERSHIPPED TO
SAMErro. Oft COLL.
XXQUANTITY DESCRIPTION PRICE AMOUNT.
350 GAL ALUM TOTE TANKS CLEANED, D.O.T. RETESTED,0.0. T. MODIFIED, BRIGHTENED, PAINTED & REPAIRED.
STANDARD CLEANING CHARGE
D.O.T. RETEST CHARGE
ADDITIONAL CLEANING CHARGEREQUIRED TO MANUALLYREMOVE HEAVY QUANTITIES OFDRIED CONTAMINATION FROM
»*"""
$65.00EA
35.00EA
DISPOSAL OFWASTE CONTAMINATIONREMOVED
85.00EA
.06LB
TANK REPAIRS AND MODIFICATIONS
V I) *f D.Q.I. BOTTOM VALVE GUARDS INSTALLED23)) 1•CO.O.T. TOP VENT GUARDS INSTALLED
TANK COLLAR REPAIRED TANK>< i
TANK NUMBERS;
080 -
LLMAWR. N.J. OOO31
.. CHOI. -
15
.CHICAGO. .11.
350 . , ..
,,T ' t.'f i- > • . •< ' • - „ il
/iLUM/S.S.-
6266
8367 jf
280/6260
465/70
HB205
T T A S C OPRODUCTION WORK ORDER
P R O D U C T I O N M G R
DATE : . ; /? / f t - , ( ) RUSH (-} MUST COMPLETE BY A .«;. 1. o.
COMPANY 11 /. - i n - >. \ r- .. or^ rnp p CITY/STATE r. -H "..>r.'.'! !'
ORDER # ?7 f>-4
NO. TANKS_
TANK NOS.i
GAL. CAP. ac.M TYPE c CONST. ^.{^MM/r rMFR. ynTf 3 •-• 5 1
RETURN SHIPPER
REMARKS;
CONTACT PHONE
JCLEANING & TESTING AND FINISHING DEPARTMENT
1; ,M1 T^riKS TO ': :: SPOTLESSLY CLE.ifiF.I) iNSU^E ^iJH OUT.
?.'. ALL VMSTE r^TF.Hl^L TO B^ DISC^DEIO.
*} ALL TANKS' TO !'£; N-OT PUIrMSH - AMC1 P.MKTEu SILVER.PAINT TO BE SUPPLIED BY ITASCO.
k) 00 140T PAINT S.S. TANK.
IREPAIR DEPARTMENT
1) D.O.T. RETEST PLATHS TG SE IN^T/LLEC OK ALL TAV-;s.
2} D.C.T. TOP VENT GUARDS TO BE IHSTALLEC ON ALL TANKS.
3) D.O.T. BOTTOM VALVE GUARDS TO BE INSTALLED ON ALL TAKKS,
k) REPAIR ALL TtSTIKG LEAKS FOUND.
5) REPAIR AND IHSTALL WEW BOTTOM EL30W OK 7AIJX #6325.
6) REPAIR BROKEN VEK7 ON TANK #260.
7} REPLACE KJSSSr^G L^u CU 7^.iK#»75.
E) REPAIR ALL OTHER DAMAGE FOUND - LIST IN DETAIL ON CHECKREPAIR SHEETS. .
/'
FIHAL INSPECTION REPORT
INSIDE CLEANING OK (X OUTSIDE CLEAKLUG OKFINAL TANK TEST OK F.O.T. RETEST DATEALL COVERS, VALVES fc FITTINGS REPLACEDALL REPAIR WORK COMPLETED
DATE COMPLETED^ I' " I U 'CHECKED
P R O D U C T I O N M G R «
PRODUCTION WORK ORDER
DATE 3/30/ol( ) RUSH (X^MUST COMPLETE BY *'S»**f- _ ORDER # 2
COMPANY NATIONAL STARCH CORP. CITY/STATE C H I C A G O> >L
NO. TANKS * GAL. CAP. 350 TypE SQUARE CONSTt **• " M F R > _ _
TANK NOS.:
RETURN SHIPPER CONTACT PHONED
REMARKS;
CLEANING & TESTING AND FINISHING DEPARTMENT
TANK TO BE SPOTLESSLY GLEAMED INSIDE AND OUT.
IREPAIR DEPARTMENT
1) D.O.T. TOP VENT GUARDS TO BE INSTALLED - TANK #6325.
2) INSTALL NEW BOTTOM ELBOW AND N I P P L E .
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BY
P R O D U C T I O N M G R
PRODUCTION WORK ORDER
DATE • , / . : • - / P.i ( ) RUSH (yj MUST COMPLETE BY t . S . A. P . _ ORDER # 2 7 1 1
COMPANY K i / T i n h ' & » cT*r.f>i E r H F M J C A L CITY/STATE C I N C I N N A T I , O H I O
NO. TANKS ;, GAL. CAP. ?. RQ TYPE SQUARE CONST. HUH MFR.TOTE SYSTEMS
TANK NOS . : •> c.o __ ? An __ 770 __ ?71 _____
RETURN SHIPPER CONTACT PHONE_
REMARKS;
JCLEANING & TESTING AND FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
2) ALL ALUMINUM TANKS TO BE ACID BRIGHTENED.
3) ALL WASTE MATERIAL TO BE DISC/UlDEO.
IREPAIR DEPARTMENT
1) D.O.T. DOTTOh VALVE GUARDS TU DE INSTALLED - TANK #260.
2) RZPAIR ttr-cOKF-i-: VEliT TANK #260.
3} REPAIR ALL TANK DAMAGE - LIST IK DETAIL OK TANK. REPAIR SHEETS.
FIHAL INSPECTION REPORT
( ) INSIDE CLEANIKG OE ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK . D.O.T. RETEST DATE( ) ALL COVERS, VALVES Ic FITTINOS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETE) CHECKED BT_
P R O D U C T I O N M G R
PRODUCTION WORK ORDER
DATE s / f . / h t ( ) RUSH (^ MUST COMPLETE BY /. c; p
COMPANY friTtrv1*' c->prt-' TORPOR/: T > OK CITY/STATE C H I C A G O . \L 606?::
NO. TANKS i GAL. CAP. ? c;n TYPE srn.i/ ,RF CONST. A: i'M MFR. TOTE g
TANK NOS . : , , _
RETURN SHIPPER CONTACT PHONE_
REMARKS;
CLEANING & TESTING AND FINISHING DEPARTMENT
1; IVNK TO r-i SPOTLCCPLY CLEANED IMS IDE £UD OUT.
2} T/i!''K TO !?E AC IT BFJGMTE^Er.
3} ALL '•'.-•:TTE MATERIAL TO BE DISCARDED.
IREPAIR DEPARTMENT
1; D.O.T. BOTTOM VALVE GUARDS YD '. r. l,:i.TALLF.r 0! TAuK 01
FIHAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVIS It FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
DATE REC
NO. TKS .
T T A S C OTANK R E C E I V I N G REPORT
HFDT1^ C- T U
CUSTOMER REC'D FROM' V I A
S I Z E r » C O N S T , COLOR t\ <-* (} NEEDS R E P A I N T ( ) OK
TANK
NOS.
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T T A S C OPRODUCTION WORK ORDER
P R O D U C T I O N M G R
DATE c/? it /ftp ( ) RUSH £ ) MUST COMPLETE BY .' . 5 . f . * . ORDER l
COMPANY M/mmo/! <;T&pr^ g! r H r M t r * » CITY/STATE Rp in r .Fv in - ' »
NO. TANKS sn GAL. CAP. ? en
TANK NOS.:
TYPE cm'y.pc CONST. MFR.
RETURN SHIPPER^
REMARKS;
CONTACT PHONE
ICLEANING & TESTING AND FINISHING DEPARTMENT
•) ALL TANKS TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
2} ALL WASTE MfiTtftUL TO b£ DISCARDED.
3) ALL TANKS TO BE NOT PRIMED-AND PAINTED SILVEE.PAINT TO BE SUPPLIED TV JJTASCO.
IREPAIR DEPARTMENT
1} D.O1} BOTTOM LEGS TO LE REPAIRED ON TANK #054,208,175,293,240,4167,2372} REPAIR ALL DAMAGE FOUND.3) REPAIR BOTTOM VALVE GAURD TANK #054.4} REPAIR COLLARS ON TANK #045,040,314.5) REPLACE MISSING LEGS ON TANK #054,206,175,293.
t:\
FINAL INSPECTION REPORT
( ) INSIDE CLEANINO OE ( ) OUTSIDE CLEAHDJG OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COTORS, VALVIS It FITTINGS REPLACED( ) ALL REPAIR WORT COMPLETED
DATE COMPLETED CHECKED BI
DATE R E C ' D _
NO. TKS. /
CUSTOMER
SIZE 3V^_
TANK RECEIVING REPORT
REC'D
COLOR
U t H I • " REPAIR
V I A
CONST, Q^EEDS REPAINT ( )OK
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REMARKS:
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P A l i l T AND P^RTS R E C E I V E D W I T H TANKS,
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a i KAtvjrl I blU. Oh LAUIINvj — — OIUUMIMML — it^t i W l l n A I N ( A J
RECEIVED, subject to the classifications and tariffs in effect ontht property described below, rn apparent good order, except as n
the dote of issue of this Original Bill of Lading BY TRUCK D FREIGHT LJ
ef<*ct on the 'date hereof. If this is a rail or o rail-water jhiprm,.f, or (2) tn the applicable motor carrier classification or
Shipper hereby certifies rhat he it familiar with all the terms and conditions of the »aid bill of lading, includinglion of this shipment, and the said teims and conditions are hereby agreed to by the shipper and accepted 1
From
At
I.W.I. INDUSTRIES7738 W. 61st Place • Summit,(312) 458-8700
Illinois 60501
louM if trm ts a motor cornet shipment.
or himself and hit assigns.
DATE
JUNE [ | 19 81
CARRIER |
SHIPPERSNO. ~
2754CARRIER'S NO
rCONSIGNEE
ANDDESTINATION
NATIONAL STARCH CORPORATION3641 S. WASHTENAW AVE.CHICAGO, IL 60632
DEUVERING CARRIER
CAR OR VEHICLEINITIALS & NO.
NOPACKAGES
12
HAZARDOUSM A T E R I A L S
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. ALUM TANKS CLEANED, TESTED,
BRIGHTENED, AND REPAIRED.
01, 276, 022, 080, 131, 0770, 077^,
17£f 6266, 356, 205, I aTp"11 _ --
SHIPPERS CERTIFICATION: This is to certify that the above -nomclassified, described, packaged, marked and labeled, and ore in pportation according to the applicable regulation* ot the D«portm<
d • i i )CsSroper condition for tronj- II ^f/Jnl ol Troniporlalion srr.NATIIBF / ('~A/~
•WEIGHT(SUBJECT TO CORR.)
CLASSOR RATE
705
^~
»/
•• "-s
J J?d¥l/J-
* If the thipment moves between two ports by o earner by water, the law requires that the bill of lading shall stale whether IT is "earner's or shipper's weight." *^ * w^^1*+ Shipper s imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Ccmrr.iision.Note — Where the rate is dependent on value, shippers ore required to state specifically in writing the agreed or deflared value of the property.The agreed or declared value of the property 11 hereby specifically stated by the shipper to be not «xceedinq ' /
THIS SHIPMENT is CORRECTLY DESCRIBED
rnoBcrr wFir.wr re. i d<.
t The fibre boxes used for thii thipment conform to the ipeci- K\ J l*£^9^^^^^*^
other requirementi ol Ihe Coniolidoted freight Clouificotion pe\\^ J[ jf Shipper
Subject to Section 7 ot conditionof applicable bill of lading, if thshipment is to be delivered to thconsignee without recourse on t)iconsignor, the consignor shall tigthe following statement.
The carrier shall not make deliverot this shipment without payment o
Per(Signature of Conuonori
It charges are to be prepaid,write or stomp here, "To be Pre-
Paid COLLECT
«~.i..d sto apply in prepayment of thecharges on the property describedher eon.
Per
(The signature here acknowledgesonly the amounts prepaid.)
\\ Charges Advanced:
f
C.O.D. SHIPMENT
C 0 D AmtTnllertinn ppp
Total Charae*.
I.W.I. INDUSTRIES7738 W. 61st Place • Summit, Illinois 60501
Shipper, Per_ . Agent, Per_
Permanent post office address of shipperFORM 12OO3. REGENT FORMS. BELLMAWR. N.J. O8O3 t
1 Ml** UIPIUIOD AfsintlM l» «" ae»nowt**.gm«iii .m.. a MII 01 Lacing na> Q«en itsueo ana i« noi me imgmai out 01 Loamg. not nFCllt~KlATP WITU AKJ /¥ \I ni JVltlVIUKAIMUUfVI (|C.py.>fdwp|K.|.ljC.w.rin9 the property named herein, anet it intended seJely f*r filing or retard. DESIGNAIt WITH AN (X)
RtCEIVED. subject to the claswfeatiem and tariffs in effect en the date af receipt by the carrier of the pieperty described in the Ordinal Ml ef Lading, BY T RUCK EH FR EIGHT C
the property described below, in apparent good order, except 01 noted (contents and condition of contents of packages unknown), marked, consigned and destined as indicated below, which said carrier (the word cornerL - - - mderstood throughout this contract as meaning any person or corporation in possession of the^ property under the contract) agrees to carry to its usual place ol delivery at said destination, it on its route, otherwise
... ite to said destination. It 11 mutually agreed, as lo each carrier of all or any of said property over all or any portion of said route to destination, and as to each party at any time mterest-or any of said property that every service to be performed hereunder shall be sub|ecl to all the terms and conditions ot the Uniform Domestic Straight Bill ol Lading set forth (1) in Uniform Freight Classification inthf.dote hereof, if thii is o roil or o rail-water shipment, or (2) - "- 1: —L1 :- -'—=' '—:" :1 -— -L
to deliver to another corrieied m all o
. effect n the applicable motor carrier classification or tariff it this i rrier shipm
Shipper hereby certifies that he is familiar with all the terms and conditions ef the said bill ef lading, including those *n the back thereof, set forth in the classificatien er tariff which governs the transporta-tion of this shipment, and the said terms and conditions are hereby agreed to by the shipper and accepted lor himself and his assigns.
From
At
I. W.I. INDUSTRIES7738 W. 61st Pfeoe • OuMmH. Ottnoi* «0801(312) 458-6700
DATE
JUNE |.|
CARRIER
1981
1
SHIPPER'SNO.
215kCARRIER'S NO.
r n »CONSIGNEE
ANDDESTINATION
NATIONAL STARCH CORPORATION3641 S. WASHTENAW AVE.CHICAGO, IL 6G632
DELIVERING CARRIER
LCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
12
HAZARDOUSMATERIALS
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
350 GAL. ALUM TANKS CLEANED. TESTED.
BRIGHTENED, AND REPAIRED.
01^276, 0?7. 080. 131. 0770. 0774.
175, 6266, 356, 205. X _£j£"
• WEIGHT(SUBJECT TO CORR.)
i
CLASSOR RATE
705
v
SHIPPERS CERTIFICATION; Thii is lo certify that the above-named motenols are properly X^ ' / *L^ i \. fclaitified, described, packaged, marked and labeled, and are in proper condition lor trans- '/ /** y , J ' / jtLt / ' 1 / ,^portation according to the applicable regulation! of the Department of TranjportoKon. Mr.M4TilBF If /JlA*-Si TlTfF S1 .? f / '^"
• If the shipment moves between two pom by a carrier by water, the law requires thai the bill of lading shall ftaie whether it it "carrier1! or shipper'i weight." '-^ ^v. --*-*t Shipper i imprint* in lieu of »tamp; not a part of Bill of lading approved by the Interstate Commerce Commission.Note — Where the rate » dependent on value, shippers ore required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property it hereby specifically stated by the shipper to be not exceeding ^
THIS SHIPMENT IS CORRECTLY DESCRIBED t Th. ,,„„ ,,„., ulfd ,„, ,„„ *,,„,„ „„,„„ „ ,h. ,p«, fa /l ^ '
CORRECT WEIGHT IS |M other requirgmtnti of the Contolidatcd Freight Clau'ilicolian. pgAV^ J jl Shipper
LW,L INDUSTFUES ShiPPe,r P.r V A.773ft W. 61ct Ptece • Summit, U8note 60501
ent
Subject to Section 7 ot conditionof applicable bill of lading, if lhshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverot this shipment without payment ofreight and all other lawful charge!
Per(Signatuie of Consignor)
If charges are to be prepaid,write or stamp here, "To be Pre-paid."
COLLECT
lo apply in prepayment of thecharges on the property describedhereon.
Agent or Cathier.
Per
( The signature here acknowledgesonly (he amounti prepaid.)
"N Charges Advanced:
1
C.O.D. SHIPMENT
r o r> AmiTollerlian Fe*
Total Charges
, P«r
Permanent post office address of shipperFORM 12OO3. REGENT FORMS. BELLMAWfl. N.J. OBO31
T T A S C O REPAIR DEPT.PRODUCTION WORK ORDER
( ) RUSH X ) MUST COMPLETE BY ^S.A.P. ORDER
COMPANY NATIONAL STARCH £ CHEMtCAL CITY/STATE BE IDCEV !£».'. IL
NO. TANKS 30 GAL. CAP. 350 TYPE SQUARE CONST. aLUK. MFR.
TANK NOS.:
RETURN SHIPPER rncTrfvaep CONTACT PHONED
REMARKS; ^^^^^^^^^^^^^^^^^^^^^^_^^^^^^
JCLEANING & TESTING AND FINISHING DEPARTMENT
ALL TANKS TO BE SPOTLESSLY CLEANED I N S I D E AND OUT.
2) ALL WASTE MATERIAL TO fc£ DISCARDED3) ALL TAttKS TO BE fIST PI
PAINT TO 8E SUH'LIES LY iTASCQ.
IREPAIR DEPARTMENT
i) C.O1) BOTTOM LEGS TO BE REPAIRED QH TANK£} REPAIR ALL DAMAGE FOUND.3; PXPAIR BDTTOI4 VALVE GAU&>i*j REPAIR COLLARS ON TANK5) REPLACE HISSING LEGS ON
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK /( ) FINAL TANK TEST OK D.O.T. RETEST DATE (/ - Q. -( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED (
DATE COMPLETED -' CEECKED BI
TANK # D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTnot
(p
fa / fa "*zL D#O ) (f)
(0
(0
(/)''2.
,.
DATE TANK # D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTAL-HOURS
REP.BY
C// 0.
7 / r//
if <
0 /
"7 /7
0 -V
Ven
REPAIR DEPT.PRODUCTION WORK ORDER
DATE km/fil ( ) RUSH ( tf MUST COMPLETE BT A.S.A.P. ORDER # 27*1
COMPANY MATIOMAL STARCH g. CHEMICAL CITY/STATE C l H C I H H A T I , OHIO
NO. TANKS k GAL. CAP. 350 TYPE SQUARE CONST. ALUM MFR. TOTE SYSTEMS______ ~~——— - , ^
TANKNOS.: /5Z9\ 260 270 /iTT)
RETURN SHIPPER CONTACT PHONE_
REMARKS;
JCLEANING & TESTING AND FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY GLEAMED INSIDE AMD OUT.
2} ALL ALUMINUM TANKS TO BE ACID BRIGHTENED.
3) ALL WASTE MATERIAL TO BE DtSCABBED.
IREPAIR DEPARTMENT
1) D.C.T. BOTTOM VALVE GUARDS TO BE !tf£T/H.LED - TANK #260.
2} REP/if f t BROKEN VENT I*?:T, #260.
3} REPIER ALL TANK OAHACE - L!ST JK DETAIL.-ON TANK REPAIR SHEETS.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI_
DATE TANK * D E S C R I P T I O N O F R E P A I R S MATERIALS USED «TOTALHOURS
REP.BY
TTASCO REPAIR DEPT.* PRODUCTION WORK ORDER
DATE S/o/fil ( ) RUSH (K> MUST COMPLETE BY A.S.A.P . _ ORDER
COMPANY M*TiOt;AL ST&RCK CORPORATION CITY/STATE CHlCAfiO. »L 60632
NO. TANKS 1 GAL. CAP. 3 SO TYPE SqUfrRC CONST. M.UH MFR. TOTE SYS
TANK NOS. : 01 ________
RETURN SHIPPER CONTACT PHONE_
REMARKS:
JCLEANING & TESTING AND FINISHING DEPARTMENT
70 lit St'QTLEbSLY Ct£»NEb INSIDE *Ui) OUT.
2} T/iNK 10 bL ^CIL BRlGU
3) ALL \;>:STL MATERIAL TO U£
IREPAIR DEPARTMENT
D.O.T. BOTTOM V^LVE GUARDS TO BF. IKSTAUEO ON TMK 01
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
REPAIR DEPT.
DT.
*
TKJ* D.OI REPAIRS MAILS. -
i
t
HR
REPAIR DEPT. ORDER*TK»|D.Or] REPAIRS MAILS. HR
TTASCO REPAIR DEPT.PRODUCTION WORK ORDER
DATE 6/1/81 ( ) RUSH (X* MUST COMPLETE BT A..S.A.P. ORDER # 27S*> - .
COMPANY N A T I C K - r t STAPflH CORP, CITY/STATE CHICAGO, II 60632
NO. TANKS 21 GAL. CAP. 350 TYPE SQUARE CONST. ALUM/S.9FR. TOTE SYS.
TANK NOS.: '
RETURN SHIPPER CUSTOMER CONTACT HICK fJAKUS PHONE 532-6322.
REMARKS;
JCLEANING & TESTING AND FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
2} ALL WASTE MATERIAL TO BE DISCARDED.
3) ALL TANKS TO ES: NOT FfcWEB - AND PAINTED SILVER.PAINT TO BE SUPPLIED BY ITASCO.
*0 '00 NOT PAIKT S.S. TAKK.
, 1 . >IREPAIR DEPARTMENT |I) 0.0.T. RETEST PLATES TO BE MiSTALL-ID OK ALL T>»;KS.
2} O.O.T. TOP VENT GUARDS TO 5£ 5HSTALLEC ON ALL TPN)^.
3) D.O.T. BOTTOM VALVE GUARDS TO BE INSTALLED OW ALL TANKS.
4) REPAJf; ALL TEST IMG LEAKS FOUND.
5] REPAIR AMD HISTALL NEW BOTTOM ELBOW OK TAUK £
6} REP*IP, BROKEN VEKT ON TANK fF2oi>.
7; REPLACE HJSSiwG LilG 0«t TAt4K £175.
8; REPAIR ALL OTHER DAMAGE FQUWtf - LIST IH DETAILREPAIR SHEETS.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
; o , -6
ITASCO. O.BOXXE7
tuuots
INVOICE6031
r ~lHATIORAL STARCH CORP.36*»t S. WASHTENAW AVE.CHICAGO, IL 60632
L _J
INVOICE DATE
9/25/80OUR ORDER NO.
8/4/2533YOUR ORDER NO.
05-30496
NET 15 SUfffUT, ILLINOISSALESMAN
GLEBN WELLMANSHIPPED VIA
JOHNSONSHIPPED TO
SAMEPPD. Oft COLL.
QUANTITY DESCRIPTION PRICE AMOUNT
IO/350GAL ALUMIMlt* PORTABLE TAUKS CLEANED. D.O.T. RETESTED.8RI6HTEHEO & REPAIRED.
STD. CLEANING CHARGE
0.0.T. REJEST CHARGE
.. JJKIAKIHATIONCLEAN ItwfCHATBSF-REQU I REDTO HAKUALLY REMOVE 6,700
\Les. WASTE MATERIAL FROM9:TA«KS^DISPOSAL OF 6,700 LBS.HASTE .MATERIAL
TAHK REPAIRS
1 }
2}
3)
REVELOED CRACKED LEG OK TAJIK
I STALLED MEW BOTTOM VfcLVE G»AT;DS ON TANKf*S: 6293y <>2S3 & 07S^ MATER! At & LABOR
REPLACED >ilSSIHG BOTTOM ELBOW Q® TAKK #0/84
RE«£LOES) BOTTOM ORAIR ON TAKK
6% SALES TAX
TANK6338, 63^1, 8373,
$55.00
25.00
35.00
.0VLB
3S.OO
88.50
64.00
$550.00
250.00
315.0C
268.00
58.00
265.5C
64.00
.I07..7S?
14dO3. REGENT FORMS. BELLMAWR. N.J OBC31
ITASCO CUSTOMER ORDER
ORDER NUMBER 6A/2533ORDER DATE 8A/80
ORDER RECEIVED BY: ( ) MAIL ( ) PHONE - PLACED BY.
SHIP TOt BILL TO;NATIONAL STARCH CO. SAME3641 S. WASHTENAW AVE.CHICAGO. IL 60632
P.Q.SHIPPER
INVOICE #Iff • -• . M •*• "
INV. t)ATE
QTY. DESCRIPTION UNITPRICE T O T A L
/*> 350 GAL., ALUMINUM PORTABLE TANKSCLEANED, «•••), D.O.T. RETESTED,
D, BRIGHTENED, PMOTlW AND REPAIRED.
CLEANING CHARGE
D.O.T. RETEST CHARGE
TANK NOS.
D>Q.T. RETEST INFORMATIONt
SEND TO: MR. N tCK NAK
RETEST DATE
REMARKS
CERT. NOS- 7//- &?&? MFR. BY
7/y.
T T A S C O OFFICE C O P YPRODUCTION WORK ORDER
DATE 8/4/80 ( ) RUSH # ) MUST COMPLETE BY A.S.A.P. " 'ORDER'T 2533
COMPANY N A T I O N A L STARCH CO. CITY/STATE C H I C A G O , IL
NO. TANKS 8 GAL. CAP. 350 TYPE SQUARE CONST. AUUM.SSMFR. TOTE
TANK NOS.:
RETURN SHIPPER CUSTOMER CONTACT JOHNSON TRUCK PHONE 594-6330
REMARKS; ____^__
CLEANING & TESTING ANP FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY CLEANED INBIBE AND OUT.
2) ALL WASTE MATERIAL TO BE DISCARDED.
IRE?PAIR DEPARTMENT
1) D.O.T. RETEST PLATES TO BE INSTALLED-TANK #ALL.
2) INSTALL NEW BOTTOM DRAIN ELBOW ON TANK #8379.
3) REPAIR BOTTOM DRAIN ELBOW THNK #6338.
4) INSTALL NEW BOTTOM VALVE GUARD ON TANK #6288.
5) REPAIR ALL DAMAGE.
FINAL INSPECTION REPORT
( ) IHSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL-TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES Ic FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
SHIPPER'S NUMBER
*W p.oprrt, o*«>.Wd- b-k,. -oany p»t»« •• isiporotwo •> pot•4 io«d p**p"*r «*•( oft o> onr pvl tor* |H -> UfMto.ni FiCtfM Cho-. *l •* «Hd bJ •! tod*o. — tex*
_. . „ i n m< KkMWleogmnit Ihol Q »m el loamg nas Been liiueu gnu i» nui me >/• ly.ivi -.. v. ... .„,.,, ....I nlS MMttOrMlOUni a ce»» «t duplicate, <avering Hie property nomit) herein, end n intended lately tor (King er record.
l>«ii -< iMi • *.l •.*.•«. .1 »« ,..< b to i.ni«t .1 *t ..P..I fcw,k.J » *• Oi nri III .1 iW«IKIIVIt. > ni«t .1 *t P..P..I, fcw,k.J » *• Oi vnri III .
FROM NATIONAL STARCH AND CHEMICAL CORPORATION
AGENT'S NUMBER
i of pothc^it vnhMoni. twk«d (•nvig'vd and .l>i>.nMf at ind«l plow »t d>l.**M> «• wd dctl>n«t«in J e« n» •»«»« •*•—« te drl.-*.
*br ui>4«t *»i t* .11.MwIta. -ifh oil the krmt andIo.w4xot.on Of IWfiH vhitfi foornt «to Irejntportoiwn »f tk.t iheprnknl. g*d ttw toed h>n>i «m4 lenditof" ox h*.rbT «omd IP by *w thtpp*' o*d otupM
The paper bags used for this shipmentconform to specifications for paper bags,prescribed in the applicable "classification".
CONSIGNED TO
DESTINATION
The fiber containers used for this shipmentconform to the specifications set forth in con-tainer maker's certificate thereon, and all otherrequirements of the applicable "classification".
Company
We certify the weight shown hereon is inaccordance with our agreement with thegoverning Weighing and Inspection Bureau.
„ „ i*M ^» ' ;
/73?/ '> *v
• ^-
CAR OR VEHICLE INITIALS
rIV, -r-
ROUTE V ~
IN HM COLUMN
NO.
MtCMAOU
xV
TVM
PKO.
DR
DR
CTN
BAG
OR
CTN
BAG
OR
DR
TX:
HM
**f '
PUT.cuu*
11
12
13
17
18
112
117
119
121
123
138
i44
US
&,.-.( r
1
i i
wn
'':..-rt..j- - JBELOW — ENTER AN X TO DESIGNATE A HAZARDOUS MATERIAL
OOCKIPTION OF ARTICLE*. MCIAL MAMIU. AND EXCKfTIONI
Adhesivos N.O.I., in bulk
Adhnives, NOS, Flammable liquid (in bulk)
Resin Solution, Flammable Liquid ( '."Thi.Tptoiv,' )
Adhesive, N.O.I., (££~ '.T.'.TTbiS'.1 <°"°P"b" )
Dextrin, declared value not exceeding $1.10 per Ib.
Liquid Dextrin
Compounds Thinning Liquid, Flammable Liquid ( ih .'gVom'p'o'Jn'j* J
Adhesive, NOS, Flammable liquid ( .TIT: "')
Starch, N.O.I.
Water Clarifying or Purifying Compound, ( "i ilo.? .,..d )
liquid Synthetic Plastic N.O.I.
Chemicals, N.O.I. • declared value not exceeding $1.10 per Ib
Corrosive liquid, NOS, Corrosive Material ( """I,™ "^T*"1 )
<^/vi/-*-7V —7~^ /<. f( ' I -Z. L^ hi r~ C\ fl K <"" t r. i / - f ^if ' '•
•WCIOHTIMtMCI I* Cvr.l
}74O
Cl-0
HATE
S/M
CK.
00 1_
1 } CHECK WHtIV PI Ar.ARH.q Fi IRMIfiHFn TO DRIVFR- nPiv'FP'P ^ tT; t_ ( *.
If chBrgo* are to be prepaid, writeor (tamp here, "To be Prepaid."
VALUE, SHIPPESPECIFICALLYDECLARED VA
THE AGREED CPROPERTY ISED BY THE SH
SUBJECT TO SEAPPLICABLE BWENT IS TO BSIGNEE WITHOSIGNOR, THE CFOLLOWING S7
THE CARRIEROF THIS SHIPhFREIGHT AND/s
NATIONALC
(SIGNA"
THE CHARGES ON
AGENT OR CASHIER
CHARGESADVANCED $
C'-ff^-^C
THE RATE IS DEPENDENT ONRS ARE REQUIRED TO STATEIN WRITING THE AGREED ORLUE OF THE PROPERTY.
)R DECLARED VALUE OF THEHEREBY SPECIFICALLY STAT-PPER TO BE NOT EXCEEDING
$1.10 PER LB.
CTION 7 OF CCLL OF LADINGE DELIVEREDUT RECOURSE;ONSIGNOR SHATEMENT.
SHALL NOT Mf1ENT WITHOUTLLOTHERLAW
STARCH AND CORPORATION
FURE OF CONS
THE PROPERTY DE
3NDITIONS OF, IF THIS SHIP-TO THE CON-ON THE CON-
ALL SIGN THE
^KE DELIVERYPAYMENT OF
FULCHARGES.
HEMICAL
GNOR)
1 PREPAYMENT OFSCRIBED HEREON.
(The s^naturc h«rc acknowlcdnesonly tnt imount prepaid.)
This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition fortransportation, according to the applicable regulations of the Department of TransportrtTon. __
NATIONAL STARCH AND CHEMICAL CORPORATION Shipper, Per Agent, PerPermanent post-off ice address of shipper,
REFUSED SHIPMENTS: CARRIER TO CONTACT ORIGIN PLANT
PER'S NUMBER
. n on Kkiwwleegmenl that a III ef Leaing has keen issued and K not the Original 111 of Lading, noiThis MentOrOnOUm e cepr at euptkoU, covering the property named herein, and is intended ivlely lor (ling or retard.
FROM NATIONAL STARCH AND CHEMICAL CORPORATION•if tvto* nki<ti iai4 caxojr (**• ~Ot4 tO"ft Winy (M4*r>*4od *.trttHOhow1 «Kfi
AGENT'S NUMBER
Company
The paper bags used for this thlpmentconform to specifications for paper bags,prescribed in the applicable "classification".
UNSIGNED TO
DESTINATION
The fiber containers used for this shipmentconform to the specifications set forth in con-tainer maker's certificate thereon, end all otherrequirements of the applicable "classification".
We certify the weight shown hereon Is inaccordance with our agreement with thegoverning Weighing and Inspection Bureau.
f f ^>$ (s l (*/ - f 5" CAR OR VEHICLE INITIALS
I'V
ROUTE UtiT'/ C
IN Wlvl COLUMNNO.
(=3\
TV**ma.
OR
DR
CTN
BAG
DR
CTN
BAG
OR
OR
MM
i
CLA»
n12
(3
17
IB
(12
117
119
(21
123
(36
(44
US
1
t
.
1
";" ,-*<-t,JBELOW — ENTER AN X TO DESIGNATE A HAZARDOUS MATERl/vL
DC*C«(*T*OM Or AftTtcLCS. tr-CeiAL MAMK1. AND CXCOTIOM
Adhetivei N.O.I., in bulk
Adhetivet, NOS, Flommoble Liquid (in bulk)
Reiin Solution, Flammable liquid ( '.JliUJUTJUJI" )
Adhnivo, N.O.I.. (r.£~,C"*ta.T "*"*")Dextrin, declared value not exceeding $1.10 per Ib
liquid Dextrin
Compeundt Thinning Liquid, Flammoble liquid ( ,h**1j"c'.mVo"'vii )
Adhetive, NOS, Flammable liquid ( '.VC -'t . ° ' )
Starch, N.O.I.
Water Clarifying or Purifying Compound, (p"d^d°H*or !.«»..()
liquid Synthetic flattie N.O.I.
Chemicals, N.O.I. • declared value not exceeding $1.10 per Ib.
Corroiive Liquid, NOS, Corroiive Material ( •™ ,™5fS* J
~7~~ ~- "? r
/ / . ^ f. / s '
-r^ fi - -^V/^-.; .. •_.- '• ' •?*• 5;/..-V
•wciowr<hM«c* M Cwrr.l
•!**•tn,
V
-^
fc?«
S/M
'i h2f
) CHECK WHEN PLACARDS FURNISHED TO DRIVER: - -DRIVER'S IKT
ex.C0i_
" ALS
If charges are to be prepaid, writeor ttamp here, "To be Prepaid."
NOTE-WHEREVALUE, SHIPPESPECIFICALLYDECLARED VA
THE AGREED CPROPEFiTY ISED 8Y THE SH
SUBJECT TO SEAPPLICABLE 8WENT IS TO BSIGNEE WITHOSIGNOR, THE CFOLLOWING S^
THE CARRIEROF THIS SHIPfvFREIGHT AND*
NATIONALC
(S)GNA'
THE CHARGES ON
AGENT OR CASHIER
CHARGESADVANCED $
p^'^xO
THE RATE IS DEPENDENT ONRS ARE REQUIRED TO STATEIN WRITING THE AGREED OR
LUE OF THE PROPERTY.
)R DECLARED VALUE OF THEHEREBY SPECIFICALLY STAT-PPER TO BE NOT EXCEEDING
$1.10 PER LB.
CTION 7 OF CCLL OF LADINGE DELIVEREDUT RECOURSE:ONSIGNOR SHATEMENT.
SHALL NOT M^1ENT WITHOUT(LLOTHERLAW
STARCH AND CCORPORATION
rURE OF CONS
fHE PROPERTY DE
3NDITIONS OF. IF THIS SHIP-TO THE CON-ON THE CON-
ALL SIGN THE
kKE DELIVERYPAYMENT OF
FULCHARGES.HEMICAL
GNOR)
' PREPAYMENT O'SCRIBED HEREO^
(The signature hvrfi kcknowtedonly thejimount preptld.)
This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition fortransportation, according to the applicable regulations of the Department of Transportation.
NATIONAL STARCH AND CHFMICAL CORPORATION Shipper, Per jL, V— . Agent, Per
Permanent post-off iw address of shipper,REFUSED SHIPMENTS: CARRIER TO CONTACT ORIGIN PLANT
T T A S C O P R O D U C T I O N M G R
PRODUCTION WORK ORDER . -•• -- . _
DATE 8/4/8Q( ) RUSH (X) MUST COMPLETE BY A.S.A.P. ORDER # 2533
COMPANY N A T I Q N A L STARCH CO. CITY/STATE CHICAGO, <L
NO. TANKS ^ GAL. CAP. 350 TYPE SQUARE CONST. AllUM.SSlFR. TOTE
TANK NOS.:
RETURN SHIPPER CUSTOMER CONTACT JOHNSON TRUCK PHONE
REMARKS;
CLEANING & TESTING AND FINISHING DEPARTMENT
i) ALL TANKS TO BE SPOTLESSLY CLEANED INBIBE AND OUT.
2) ALL WASTE MATERIAL TO BE DISCARDED.
IRE:PAIR DEPARTMENT
1) D.O.T. RETEST PLATES TO BE INSTALLED-TANK
2} INSTALL NEW BOTTOM D R A I N ELBOW ON TANK #8379.
3} REPAIR BOTTOM DPJilN ELEOV? TRHK '#*££$,..
4) IKSTALL NEW BOTTOM VALVf. GUARD ON TA«K #6286.
5) REPAIR ALL DAMAGE.
\L INSPECTION REPORT >
"NSIDE CLEANING OK (>Q OUTSIDE CLEANING OKTNAL TANK TEST OK D.O.T. RETEST DATE
" "-07ERS, VALVES It FITTINGS REPLACED
DATE COMPUTED
> / .DATE REC'D/ / //(/ CO.
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T T A S C O•TANK R E C E I V I N G REPORT
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NO. TANKS -^T GAL. CAP. 3&' TYPE SQOARE CONST. •ri&H.IKi. . . ' T O T ET£r"
TANK NOS.:,
RETURN SHIPPER ^»*^Uk CONTACT JOH&iSQK TRUCP.PHONE
REMARKS; IM-——•—
JCLEANING & TESTING AND FINISHING DEPARTMENT
i) *u T/.WKS TO EL SPOTLESSLY CLE/.NE.D JKSIDI *JJD OI/T.
2} ALL HASTE MfiTCPUL TO £E
IREPAIR DEPARTMENT
lj U.Q»1« KEitLT ^LA7£S Tu feE il<
3} R£FAiR SOTTO^i SRjfeiN tLBOk 7Mf»K
FINAD INSPECTION REPORT
(X INSIDE CLEANING OK ( XOUTSIDE CLEANING OK!v ) FINAL TANK TEST OK D.O.T. RETEST DATE_C ) ALL COVERS, VALVES It TITTINQS REPLACED 1 J *7\(\TALL REPAIR WORK COMPLETED C1} l^hH VA DATE COMPLETED' / / ' CHECKED BT
T T A S C O CLEANING DEPT.PRODUCTION WORK ORDER
DATE 6A/8q ) RUSH ( ^ MUST COMPLETE BY A«S.>«P« 0RDER ~#"~ 2533
COMPANY KATiOBM. STAKED CO. CITY/STATE CHICAGO, II
NO. TANKS <^^ GAL. CAP. 350 TYPE SQUARE CONST. ^UM.Sfrn. TOIL
TANK NOS.: '
RETURN SHIPPER COMUMEfrr CONTACT ^OH^SQK TRUCK PHQNE Si?**-635&
REMARKS:
CLEANING & TESTING AND FINISHING DEPARTMENT
?} AU. TAHKS TO B£ SPOTLESSLY CL£A!4£0 IK8ISE AMD OUT.
,*-L TO BE D!SC*R1
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DATE COMPLETED CHECKED BI
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~_ j it on ecluwwleegmeiit that o til of Lading has been issued and is. not the Original K3I of Lading, norThlS rWdHOrOnOUin a copy •' dvplicatc, covering the property named herein, and is intended solely lor IBing or record.
^•>**Di*i«t.'iai*u.w«fi
FROM NATIONAL STARCH AND CHEMICAL CORPORATION
AGENT'S NUMBER
in arppoirni food r>id*i. «M«pl at nalvd (coHttnft and condition o4 Lonknlt pi puthagci unknown), inofkfd. (onwg'vd. and dcii-nrd 01 •nd'tcatcd bcinv vhich w ^_
Ol Mrd pfArprrfty *«*>i aHo' o<Tr pottonftf toid >ouk 10 ti.niiMati.xi. and Oi to *oth party at any Iwv inf.trc.lcd «n oN QI anr 01 M»d propr'ty. thai r«fy u> i *K> H, to puriaimrd twrcwndrf thai) b« M**»(l to ol HW toimt and conditnm of «ht U•«»<..m DoiwMu &«>aigM •>• «H lading
wl tonvi (1) •> UftoiHi Fn*i«hl C*0»wU«tio« M «M«cl <KI Mir 4oft Iwnral. J *•* •» o 101) er 0 >*J wotri Uir mcni. «r (2} w At apphcabtr ««>*OF (on* (totnUaMxi «i t*"H >4 MII>jv a unloi COIIMI iK^Mcnl U»PP*' *»'«by wdilrct *oi n* n lani.iKii wilhoDAn hiiMi onrf tondj
t*«t •< (W Mrd b* «t larim«. Ml »v4t M •• c*Mu4xo4.a* «. tanH -fc.th ffownt I
At, 19. .Company
The paper bags u>ed for this shipmentconform to specification* for paper bags,prescribed in the applicable "classification".
The fiber containers used for this shipmentconform to the specifications set forth in con-tainer maker's certificate thereon, and all otherrequirements of the applicable "classification".
We certify the weight shown hereon is inaccordance with our agreement with thtigoverning Weighing and Inspection Bureau.
CONSIGNED TO
DESTINATIONUJ CAR OR VEHICLE INITIALS
C (
ROUTE
IN HM COLUMNNO.
PACKAOU
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(2
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17
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119
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123
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BELOVi/ — ENTER AN X TO DESIGNATE A HAZARDOUS MATERIALDescftirrioH or AMTICLU, tecciAi. MANKI. AND ucoiFTiom
Adhetivet N.O.I., in bulk
Adhetivei, NOS, Flammable Liquid (in bulk)
Retin Solution, Flommablo liquid ( '"^k' y^.°'t)
Adheiive, N.O.I., (" ' """ '"'""'"')
Dexlrin, declared value not exceeding $1.10 per Ib.
Liquid Dextrin
Compound! Thinning Liquid, Flammable liquid ( 1h*,"™*o"B!>""i! )
Adheiive, NOS, Flammable Liquid ^V^«'T.1^1 ° ' )
Starch, N.O.I.
Water Clarifying or Purifying Compound, (" ,1" " i^.a]
Liquid Synthetic Plaitic N.O.I.
Chemicals, N.O.I. - declared value not exceeding $1-10 per Ib.
Corroiive liquid, NOS, Corrotive Material ( ""' ™ -"fr"' *° )
<T 7^ /J> f^Cr^ . £'./W 1 I j?fL, , , ,-/f
r-S "^7 3 vJ (r-.O . fs* 3 %% r>
f- ' ~*> ¥ r/ '-_ _, — - ^,-
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1 CHECK WH = I\! PLACARD? Fl inwiP.h'Fn TO Dc:'\'i=R- DRIVFR'P INIITIAI s
If charges are to be prepaid, writeor stamp here, "To be Prepaid."
VALUE, SHIPPESPECIFICALLYDECLARED VA
THE AGREED CPROPERTY ISED BY THE SH
SUBJECT TO SEAPPLICABLE BWENT IS TO BSIGNEE WITHOSIGNOR, THE CFOLLOWING 57
THE CARRIEROF THIS SHIPlYFREIGHT AND*
NATIONALC
(SIGNA"
THE CHARGES ON
AGENT OR CASHIER
CHARGESADVANCED $
fVf***
THE RATE IS DEPENDENT ONRS ARE REQUIRED TO STATEIN WRITING THE AGREED OR
LUE OF THE PROPERTY.
)R DECLARED VALUE OF THEHEREBY SPECIFICALLY STAT-PPER TO BE NOT EXCEEDING
$1.10 PER LB.
CTION 7 OF CCLL OF LADINGE DELIVEREDUT RECOURSE;ONSIGNOR SHATEMENT.
SHALL NOT MA(ENT WITHOUTLLOTHERLAW
STARCH AND CORPORATION
PURE OF CONS
THE f-ROPERTY DE
JNDITIONS OF, IF THIS SHIP-TO THE CON-ON THE CON-
ALL SIGN THE
KE DELIVERYPAYMENT OF
FULCHARGES.
HEMICAL
GNOR)
1 PREPAYMENT OFSCRIBED HEREON.
fThe signature hare acknowledgesonly the amount prapald.)
This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition fortransportation, according to the applicable regulations of the Department of Tlra/rsportfltion.
NATIONAL STARCH AND CHEMICAL CORPORATION Shipper, Per. Agent, Per.Permanent post-off ice address of shipper,
REFUSED SHIPMENTS: CARRIER TO CONTACT ORIGIN PLANT
i>. KA.OH I ttlLL wr LMUH^V7 — driven i rwiuvt—wi\i\.vii*.»\i.—i*wi ittv^w i IMDLE: .-._^.\^.^n_ .....i m^ i,~j
IECEIVED, subject to tho classifications and tariffs in effort on the date of issue of this Original Bill of Lading. BY TRUCK CD FREIGHT D
the property described below, in apparent good order, except o. noted (contents and condition of contents of packages unknown), marked, consigned and destined os indicated below, which said carrier (the word carrier* being understood throughout this contract as moaning any person or corporation in possession of the property under th« contract) agrees to carry to its usual place of delivery at toid destination, if on rts route, otherwise
to deliver to another carrier on the route to said destination. It is mutually agreed, os to each earner of oil or any of said property over all or any portion of said route to destination, and os to each party at any time interest-ed'in all or any of scud property, that every service to be performed horeunder shall b* subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Uniform Freight Classification ineffect bn the date hereof, if this is a rail or a rail-water shipment, or (2) in the applicable motor carrier classification or tariff if trm is a motor carrier shipment.
Shipper hereby certifies that ho is familiar with all the terms and conditions of tho said bilt of lading, including these on tho back thereof^ sot forth in tho classification or tariff which governs the transporta-T tion of this shipment, and the said terms and conditions are hereby agreed to by the shipper ana accepted for himself and his asi"
From
At
I .W.7738
1 . INDUSTRIESW. 61ST PLACE*SUMMIT, IL 60501(Mail or street address of consignee— For purposes of notification only.)
DATE
SEPT.CARRIER
25 19
i
80
SHIPPER'SNO.
2533CARRIER'S NO.
r ~iCONSIGNEE
ANDDESTINATION
L
NATIONAL STARCH CO.36^+1 S. WASHTENAW AVE,CHICAGO, IL 60632
JOHNSTON TRUCKROUTE DELIVERING CARRIER
CAR OR VEHICLE_J INITIALS & NO.
NO.PACKAGES
10
HAZARDOUSMATERIALS
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. SQUARE ALUM./S/S/ TANKS
CLEANED, D .O.T. RETESTED, & REPAIRED.
1 / / / /^fy- G 3 *' S^f -?&'Y/'76f /g?7J
/ t t 1£2y/ (, 2^/ fc I***/ & if? / i fr 5
/\ * ~s*/y//^ 3o*-hj$a^ ^-^ffl&a**^ Jsd^/Pu f/0)
•WEIGHT(SUBJECT TO CORR.)
IcOO
CLASSOR RATE
705
V
SHIPPERS CERTIFICATION: This is to certify that the above-named materials are properlyclassified, described, packaged, marked and labeled, and ore in proper condition for trans-portation according to the applicable regulations of the Department of Transportation. SlftNAT^Bp TITIF
" If the shipment moves between two ports by a carrier fay water, the law requires that the bill of lading shall stale whether it is ''carrier's or shipper's weight."t Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by tho Interstate Commerce Commission. /Note — where the role is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. /IThe agreed or declared value of the property is hereby specifically stated by the shipper to bt not eicoeding y"\ / f
THIS SHIPMENT IS CORRECTLY DESCRIBED.
rnoBPri WPU-.HT ic IR<;
t The fibre boxes used for this shipment conform to the tpeci- / 1 V \ ^ s"**\ S*\S v^s.
other requirements of the Consolidated Freight Classification. D^r \ \ \ Y S*^ Y Shipper
Subject to Section 7 ol conditionof applicable bill of lading, if thshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall tigthe following statement.
The carrier shad nol make deliverof this shipment without payment ofreight and all other lawful chargei
Per(Sionatvrt ol Consignor]
If charges ore to be prepaidwrite or stamp here, "To be Pre-
poid" COLLECT
B.,.,~rf 1to apply in prepaym.nt of thlcharge! on the property d.tcrib.0hereon.
Agent or Cothier.
Per
(The lignature here acknowledge!only the amounts prepaid.)
Charge! Advanced:
t
C.O.D. SHIPMENT
r n n Ami
rnllortinn F»»
Total Charges
Shipper, Per_ . Agent, Per.
Permanent post office address of shipper
1FORM 1 2OO3. REGENT FORMS. BELLMAWR. N.J. O8O3 I
UtblONAIt WIIH AN (A)
BY TRUCK D FREIGHT CDthe property described below, in apparent good order, except at noted (contents and condition of content* of package* unknown), marked, consigned and destined at indicated below, which said carrier (the word carrierbeing understood throughout this contract at meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwiseto deliver to another carrier on the rout* to said destination. It is mutually agreed, as to each carrier of all or any of said property over all or any portion of taid route to destination, and as to each party at any time interest-ed ip all or any of taid property, that every service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Uniform Freight Classification ineffecl on the dote hereof, if this is a rail or a rail-water shipment, or (2) in the applicable motor carrier classification or tariff if this 11 a motor carrier shipment.
Shipper hereby certifies that he is familiar with all the terms and conditions «f the taid bill of lading, including those en the bock thereof, set forth in the classification er tariff which governs the transporta-tion of this shipment, and the said terms and conditions are hereby agreed to by the shipper ana accepted Tor himself and his assigns.
a copy or duplicate, covering the property named heroin, and »intended solely for Ming or record
KCHVIDr subioct to the riaosHScertions and tariffs in effect on the date of receipt by tho carrier of the property described in the Original till of lading.perty described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned an „. „.„ -,,™_, ,...„ ,-„.„ „...,..
being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwiseto deliver to another carrier on the route to said destination. H » mutually agreed, as to each carrier of all or any of said property over all or any portion of taid route to destination, and as to each party at any time interest
' " - . . . ... . . . . . . . . . . . . . . . . . . . . . - editions of the Uniform Domestic Straight Bill of L< " - • - •• • K - - •*• -i motor carrier shipment.
From I.W.I. INDUSTRIES7738 W. 6 1ST PLACE*SUMKIT, IL 60501
A' (Mail or street address of consignee— For purposes of notification only.)
DATE
SEPT. 25 19 80
CARRIER |
SHIPPER'SNO.
2533CARRIER'S NO.
r ~iCONSIGNEE
ANDDESTINATION
L
NATIONAL STARCH CO.3641 S. WASKTENAW AVE,CHICAGO, IL 60632
JOHNSTON TRUCKDELIVERING CARRIER
_ |CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
100
HAZARDOUSMATERIALS
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. SQUARE ALUM./S/S/ TANKS
C LEANED, 0 .O.T. RETESTED, & REPAIRED.
/ / / /A^ k^y<?3?7/ -7fy/76i'/#i?j, / i
fa 2 V / (fitful & ' / (? 2 9 3 / } fo3
./) /! fS
1& &&&*&>. -y /0. }'.,>£/ ,(/ }
•WEIGHT(SUBJECT TOCORR.)
3'CD'J
CLASSOR RATE
705
%/
SHIPPERS CERTIFICATION: This is to certify that the above-named materials are properlyclassified, described, packaged, marked and labeled, and are in proper condition tor trans-portation according to the applicable regulations of the Deportment of Transportation. $IQMAT^DP ' IITIC
* If the shipment moves between two ports by a carrier by water,t Shipper's imprints in lieu of stamp; not a part of Bill of UNote — Where the rate is dependent on value, shippers are requirThe agreed or declared value of the property ts hereby specif
THIS SHIPMENT IS CORRECTLY DESCRIBED.
TOBBPrT U/flt-.UT l« 1 RC
ding approved by the Interstate Commerce Commission. Ard to slate specifically in writing the agreed or declared value of the property. / \colly stated bv the shipper to be not exceeding f II
t The fibre boxes used for this shipment conform to the speci- / 1 / 1 il^J^^^^^\ ,
other requirements of the Consolidated Freight Classification, p 1 / / / Shipper
Subject to Section 7 of conditionof applicable bill of lading, if thshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall tigthe following statement.
The carrier shall not moke deliverof this shipment without payment ofreight and all other lawful charges
Per(Signature of CorrWflfMx)
If charges are to be prepaid,write or stamp here, "To be Pre-
-""COLIECT
» . d »to apply in prepayment of thecharges on the property describedhereon.
Per
( The signature here acknowledgesonly the amounts prepaid.)
Charges Advanced:
C.O.D. SHIPMENT
r n n Am.Colloninn p .
Total Charges
Shipper, Per_ . Agent, Per.
Permanent post office address of shipperFORM t 2OO3. REGENT FORMS. BELl-MAWR. N.J. O8O3 1
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT, ILL. 60501
A 2 3 2 2 3 2
CONSIGNEE, ADDRESS AND DESTINATION
Wellco Chemical7758 W 61st St.Argo II
SHIPPER. ADDRESS AND ORIGIN
Starch k Chem Corp,
DATE SHIPPED
9/1/80
— QUANTITY
4
CUST.OHDER NO. SHIPPER'S NO. FROM
W
DESCRIPTION
Mty Totes Clean and return
*
PpdWEIGHT
17W
RATE AMOUNT —
DATE DELIVERED
TIME DELIVERED
RECEIVED THE ABOVE DESCRIBED PROPERTY IN GOOD CONDITION EXCEPT AS NOTED
COMPANY NAMT^AND SIGNATURE INITIALS WOT ACCEPTED
CUSTOMER COPY
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT/ILL. 60501
A 2 3 2 4 4 4
CONSIGNEE. ADDRESS AND DESTINATION
• Wellco Chemical7738 W 61et St.Argo, 111.
SHIPPER, ADDRESS AND ORIGIN
• National Starch & Chemical
DATE SHIWED
8/5/80QUANTITY
A totes
CUSTORMBNO. SHIPPER'S NO. FKOM
W
DESCRIPTION
To Be Cleaned & Repaired
Ppd.WEIGHT
1740
RATE AMOUNT
DATE DELIVERED
TIME DELIVERED
RECEWtD THE ABOVE DESCRIBED PROPERTY tN GOOD CONDITION EXCEPT AS NOTED
COMPANY NAME AND SlfiWlCflJRE INITIALS NOT ACCEPTED
CUSTOMER COPY
PHONE594-6330767-O613
P. A. JOHNSON & UU.
7701 WEST 59th ST.
TRUCKING
P.O. BOX 152 SUMMIT, ILL. 60501
A 2 3 3 0 2 5
CONSIGNEE. ADDRESS AND DESTINATION
* Welles Chemical7736 V 61st St.Argc, 111.
SHIPPER, ADDRESS AND ORIGIN
Nations! Starch & Chemical
DATE SHIPPED
8/11/80QUANTITY
2 to tee
CUST.ORDER NO. SHIPPER'S NO FROM
wDESCRIPTION
To Be Cleaned & Rcpfiirec
Fpd,WEIGHT
55 tfF
RATE AMOUNT —
DATE DELIVERED RECEIVED THE ABOVE DESCRIBED PROPERTY IN GOOD CONDITION EXCEPT AS NOTED.
TIME DELIVERED
'- SHOW'COMPLETE COMPANY NAME ANTTsicNATURE • INH
CUSTOMER COPY
T T A S C OPRODUCTION WORK ORDER
DATE ( ) RUSH (>-) MUST COMPLETE BT *«S.*.P. ORDERNATIONAL STARCH CO. CHICAGO. IL
COMPANY ; CITY/STATE„- ^ 350 SQUARE MIUM.SE TOTE
NO. TANKS ' |0 GAL. CAP. TYPE v CONST. ^"~
TANK NOS.:
CUSTOMcH JOHUSOh TRUCKRETURN SHIPPER CONTACT PHONE
REMARKSt
CLEANING & TESTING AND FINISHING DEPARTMENT
1) VLL TANKS TO BE SPOTLESSLY CLE^HEO IHSIBE /IND OUT*
2} fiLL ^/PSTE MATERIAL TO BE DISCARDED.
REPAIR DEPARTMENT
1) D.O.T. RETtST PLATES TO fc£ INSTALLED-TANK
2} INSTALL NEW BOTTOM DRAIN ELBOW OK TANK
, 3} . jREFAlR BOTTOM DRAIN ELBOi TAiir. #«^3&A
4} IfsST^LL NEW BOTTOM VALVE GlURfc OJ. TAM;
5} REPAJR ALL ^AI^/^E.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK f/s)&
( ) ALL COVERS, VALVES & FITTINGS REPLACED /( ) ALL REPAIR WORK COMPLETED ff - //
DATE COMPLETED TS •',.. / / CHECKED BY
Vx"• T A N K
R E P A I R R E ' P O F . T COMPANY A A . / ; - . . - PAGE
TANKNUMBERS
ITASCOORDERNUMBER
WORKDATE
D.O T.TESTDATE
OQXJ3
Ot-o: totoo (J tO
to
00
TANK REPAIRS
DENTS, CRACKS, LEGS, OTHERS
R A WMATERIALS
USEDTOTALHOURS
2L
D- 0
ir*?
V -u
3
o * .-/•0
ITASCOp, aeoxtf?
INVOICE6096
rNATIONAL STARCH & CHEMICAL CO,3&4t S. WASHTEHAW AVE.CHICAGO, IL 60632
~1
L_ _l
isr .W.D.
SUMMIT, IL
WELLHAH
iHASf "TEXAS MOTOR FREIGHTSHIPPED TO
SAME. \\6k «, GREAT S.W. PARKWAY, CRAMD PRAIRIE, TX 75050m. on COLL
QUANTITY DESCRIPTION PRICE AMOUNT
'.0/350 ALUMIMUM PORTABLE TANKS CLEANED, TESTED, PAINTED,AND REPAIRED.
STANDARD CLEANING CHARGE
EfCESS CONTAMINATION CLEAN-ING CHARGE REQUIRED TO MAN-UALLY REMOVE 1.680 L8S.DRIED CONTAMINATION FROM10 TANKS
$55.00 $550.00
62.00
DISPOSAL OF 1.68Q LBS.EXCESS COUTAMIHATIQN *
TAMK REPAIRSLB
t) REWELOED CRACKED LEGS OH 3 TANKS-240,058, ,,„,2} INSTALLED MISSING BOTTOM VALVE GUARDS ON 3 TANK
058. 2 fO, 31** LABOR & MATERIALI) INSTALLED NE8 COVER COLLAR OK TANK #045*0 REWELDED BROKEN COVER COLLAR ON TANK £3!**5) STALLED MISSfKG LEG OK T K'K #293
LABOR & N£T£RiAL
SALES TAX
^6.00
88. OCUB.OD55.00
6S.GO
620.OC
C-7.20
138.00
264.00M8.0C55. OC
6 £.00
,860,20
HOTE: 20
5, 058, &3j, 2"87 & 6269tS QK DACK ORDER.
, 257, 2S2,
FORM 1A405. REGENT FORMS. BELLMAWR N.J OBO31
ITASCOp.
ICE\
NATIONAL STARCH £ CHEMICAL CO,7151 S. 78TH AVE.BRIDGEVIEW, IL 60455
1_
ToTftfto
YOUR ORDER NO..
05-30496TERMS
NET 15 SUMMIT,SALESMAN
GLENN KELLMANSHIPPED VIA
EAST TEXAS MOTOR FREIGHTSHIPPED TO
SAME, U64 H. GREAT S.W. PARKWAY, GRAMD PRAIRIE, TX 75050D. OR COLL
IXQUANTITY DESCRIPTION PRICE AMOUNT
10/350 GAL. ALUMINUM PORTABLE TANKS CLEANED, TESTEDAMD REPAIRED.
PAINTED
TANDARD SLEAH1NS CHARGE
EXCESS COtfTAMIHATION CLEANINGCHARG£\R£QUIREO TO MANUALLYREMOVEX680 LBS. DRIED COB-TAMIMATIOBsFROM ;0 TANKS
DISPOSAL OF\680 LBS. EXCESSAH I MAT I ON *.OVLB.
TANK REPAIRS
i)
5)
REWELDED CRACKED LEGS ON 3 TANKS #2 C,058,i>l87INSTALLED MISSING BOTTOM VLAVE GUARDS ON 3 TANKS$058,2<*0.3!'t LABOR & MATERIALINSTALLED NEW COVER COLUR OK TAWK #045REWELDEO BROKEN COVER COLUR ON TANKINSTALLED KISSING LEG OK TANK #293
LABOR & MATERIAL
6% SALES TAX
$55.00
62.00
.Ok
46.00
88.00.18.0055.00
68.00
TOTAL
TA«K#»S: 045, 058, 082, 240, 257t 292, 293,4jf/ S- 6269.
HOTEt 20 TAHKS OS SACK ORDER.
$550.00
$20. OC
67.2
138.00
26k.OGU8.0C55.00
68.00
$1,880.20112.8l
FORM 1*403. REGENT FORMS. BEU-MAWR N.J O8O31
«O*» " -<o o
/ :67*
— fe-r-^
//<f-£>0
ITASCO CUSTOMER ORDER
9/2W80 ORDER NUMB-ERORDERORBER RECEIVED BY» ( ) MAIL ( ) PHONE - PLACED BY
i.\! ',sHil*j.-1 — BILL T0t
NATIONAL STARCH & CHEMICAL 'CO.
ATTNtP.O.,
SHIPPER05-30496 INVOICE # INV.
UNITPRICEDESCRIPTION
.350 GAL,, PORTABLE TANKSCLEANED t TESTED,
, PAINTED AND REPAIRED.
CLEANING CHARGE
j*
,a>«-RETEST INFORM/
• 3
.D.O.T. RETEST INFORMATION:
SEKjyrlREWT'DATE
REMARKS
CERT. NOS. MFR. BY
THIS MEMORANDUM " «" » "'»H. """' thai . HI W la«n, hm bMn «.u~i ond » nM Ih. On*nol liN ml U*n,, n.,• ••••» •»«"*»"^*"»» i »e»*»*vi r«nv »f dueJM tj i»verinn the meueilv imnied herein ond M intended leltrlu fee filinei er r*t«mJ
DECEIVED, sut t« th* ctontficatiem and tariffs in effect en the dot* ef receipt by the Carrie* *f the pr*p*rty described in the Original Ml e* Lading,
DESIGNATE WITH AN (X)
BY TRUCK D FREIGHT Dtie property i*-emg undent;
«}«Jeliver to
Hodbelo* .troughout
w, in apparent good order, except at noted (content* and condition of content, of packages unknown),ut *hi! contract 01 meaning any person or corporation in possession ot the property under the contract)
irked, coniigned and destined at indicated below, which laid carrier (the word carrieragreet to carry to rtt usual place of delivery at toid deitmation, it on rtt route, otherwise
«}«leliver to 01. «r confer o.' the route to said destination. It it mutually agreed, ot to each carrier of all or ony of said property over oil or any pe*4ion-of said route to devtirraiion,nrrd as to •acfi-partf~ot-ony time interest-ed in all or any of said property, that every service to be performed hereunder shall be sub|ect to all the terms and conditions of the Uniform Domestic Straigh* bill of Lading set forth (I) in Uniform Freight Classifkation ineffect on the date hereof, if this is a roil or a rail-water shipment, or (2) in the applicable-motor carrier classification or tariff if this is a motor carrier shipment.
Shipper hereby certifies that he n familiar with all the terms and conditions *f the) said bill of lading., including those e>n the bock thereof, Mt forth in the claurfkatton e>r tariff which governs the transportotion of this thi went, and th* said terms and conditions are hereby agreed t* by th* shipper ancTaccepted tor himself ' '
,f ond his assigns.
From
At
CONSIGNEEAND
DESTINATION
i.W.i. INDUSTRIES7738 W. 61ST PLACB*SUMMIT, IL 60501
(Mail or street address of consignee—For purposes of notification only.)
rICAL CORP.
DATE
OCT. H4*80
nCARRIER '
SHIPPER SNO
2562CARRIER'S NO.
STARCH &\\6k K. GREAT S.W.GRAND PRAIRIE, TX 75050
DELIVERING CARRIER
_ |CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
10
YA-
HAZARDOUSMATERIALS
•^
JIL A.
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
350 GAL., ALUM. PORTABLE TANKS CEEANEO
TESTED. PAINTED & REPAIRED.
EMPTY TOTE TANKS CONT.. BULK COMMODITYSKIPPING OLD, USED NN SHEET STEEL I A"
THICKNESS OF WALLS OR THICKER.
-'i <' r>y<"/~''y ////37/>T7 /c?^. /J'/0 /£»? /=?-7^ /&£% /J23 /f
P.O. #05-39496/BRlDGEVIEw; IL'LOCATIO
SHIPPERS CERTIFICATION: This it to certify that the above-named mpleridirore properlyclassified, deter ibed, packaged, marked and labeled, ond are in .proper condition for trans-portation according to the applicable regulations of the Department of Transportation. SIGNATURf
•WEIGHT(SUBJECT TO CORR.)
^ QOC)
„
N
CLASSOR RATE v
TITIP
• If the shipment moves between two pom by a carrier by water, the law requires that the bill of lading thall ttote whether it is "carrier's or shipper's weight."t Shipper s imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission. ,• iNote — Where the rote is dependent on value, thippert are required fo state specifically in writing the agreed or declared value of the propertf"''. ' •The agreed or declared value of the property is hereby specifically stated by the shipper te be not exceeding / ' • ' • - •
THIS SHIPMENT IS CORRECTLY DESCRIBED.
rrtDDCrj WPIC1HT K l^Q
t The fibre boxes used for this shipment conform to the speci-fications Mt forth in the box makers certificate thereon, and oilotht uiremenlt of the Consolidated Freight Classification.
! J i/-' ^'~~ V /*^\
Per '• '. / /r ^*
Subject to Section 7 ol conditionof applicable bill of lading, if thshipment is to be delivered 1o thconsignee without recourse on thiconsignor, the consignor shall tigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight ond all other lawful charget
Per(Signature of Consignor}
M charges are to be prepaid,
P°id COLLECT
tW.iu.,4 1
to apply in prepayment of thacharges on the property describedhereon.
Per
( The signature here acknowledgesonly the amounts prepaid.)
Charges Advanced:
C.O.D. SHIPMENT
r lllrtinn Ffi*» • U ^
\ I'-frfMffF^Tofelh^eC^VX
' •vJ < '. V ' - i / / L/ J
Shipper, Per_ .Agent,
Permanent post office address of shipperFORM 12OO3. REGENT FORMS. BELLMAWR. N.J. O8O31
ITASCOp. a
INVOICE6118
KAT10KAL STARCH & CHEMICAL CO.36<*1 S. 8ASHTENAW AVE.CHICAGO, IL 60632
_j
OICE DATE
11/20/80OUR ORDER NO.
9/2V2562YOUR ORDER NO.
05-30496TERMS F.0.».
NET 15 SUMMIT, ILSALESMAN
GLEKK WELLKANSHIPPED VIA
YELLOW FREIGHTSHIPPED TO
SAME, 1350 TAHEY ST., NORTH K.S,,KAHSASD. Oft COLL.
QUANTITY DESCRIPTION PRICE AMOUNT
350 GAL., ALUMINUM PORTABLE TANKS CLEANED. TESTED,- -"'-"• AMD REPAIRED.
STANDARD CLEANING CHARGE
EXCESS COHTAMINATIOKMANUAL CLEANIKG CHARGE RE-QUIRED TO REMOVE !,|60 LBSDRIED MATERIAL
1,160 LES.KWASTE
TAHK REPAIRS1} REPAHIEO BROKEN LEflS'AtANK #41S & 20&S237
2} REPLACED Ht^StNG LEG pKK #Q$i* LABOR & MATERIAL
3; JHSTALLED HISSIHG VACVE. GUXROS TANK #Q5t, 20S6-237 LABOR £ MATERIAL
$55.00
92.OG
$275.00
, OG
LE
Mi, 00
68. oc-
as, oo
13S.QO
68.00
REPLACED BOTTOM ELBOW TASKLABOR £. MATERIAL
.06% SALES TAX
TOTAL
51,295.40
.77.96
TAKK > 208, 05 . 155
FORM 14^05. REGENT PORMS. BELLMAWR. N. J. OBO31
X
**•« »AII-4
C2-3
w 4
'_ C-*—-«g~
o
DATE J- '»HX D E S C R I P T I O N O F R E P A I R S MATERIALS USED HtX.
f
(f?
(tC* ^ ^,^» )(>} £r:j ,;
»?'/; ( / ) f^e- /> -' ^/-' ^ -7*'i X
•
ITA8COP.O. BOX 07
INVOICE6130
(SOJ
NATION*!.' STARCH3641 S. WASHTENAW AVE.CHICAGO. IL 606?2
"1
L _1
INVOICE DATE
12/5/60JR ORDER NO.
10/31/2590YOUR ORDER NO.
05-30426
NET 15 SUMMIT,SALESMAN
GLEHN WELLMANSHIPPED VIA
CUSTOHBR P/USHIPPED TO
SAMEPPD. OH COLL.
QUANTITY DESCRIPTION PRICE AMOUNT
4/350 GAL. ALUMINUH/S.S. PORTABLE TANKS CLEANED.
STANDARD CLEANING CHARGE
EXCESS CONTAMINATION MANUAL LABORCHARGE REQUIRED TO REMOVE
975 LB5r-a£J£D MATERIAL FROH 4 TAKKS
S. DRIED WASTEDISPOSAL OF 975MATERIAL
$55.00
92.OO/EACH
6% SALES /TAX
TOTAL
TANK #'S: 6268, 167, 099
$220.QC
$66 .62
FORM 144T5 REGENT FORMS. BELLMAWR. N. J. O8O3 I
» ORDER DATE 10/31/80
ITASCO CUSTOMER ORDER
... ORDER NUMBER_ ~l" 0/3 I /25?0_
ORDER RECEIVED BY: ( ) KAIL ( ) PHONE - PLACED
SHIP TO: BILL TO:
NATIONAL STARCH - SAME36*Jl S. WASHTEHAW AVE.CHICAGO, IL 60632
ATTN: SHIPPERP.O.. # 05-30 96 INVOICE •IMV. 'D-AT
T O T A i .DESCRIPTION r^'CE iGAL. , ALUM/S.H. PORTABLE TANKS
CLEANED ,
M03!r!F.D, BRIGHTENED,
GLEAMING CHARGE
^ . C - . T . RETF.ST IMFOjjMAT IDN_ :
Sr,"D TO: M:i. NICK MAKUS
RETE:T DATE CERT. I'lOS.. f..-.rp ry TOTE111 Iv • I '
STRAIGHT BILL OF LADING—SHORT FORM—ORIGINAL—NOT NEGOTIABLEDECEIVED. Hrbfoct to tho clatuticaliarn and larifh in offoct on Ih. dot* of i»uo ol thi, Original till «f lading.
the prop'being unto deltv.1
DESIGNATE WJTH AN (X)
BY TRUCK D FREIGHT D
J«d in all or any ot *aid property, moi .v«ry tervice to be pertorm*a nerouna.r man D« tuD|.ci to on tne term* ana conaitioni 01 me unitorm Lforrve>tic »traignteHect on th. dot. her»of, if thi» it o rail or o rail-water ihipm.nl, or (2) in th. applicable motor corrwr clottilication or tariff if thu it a motor carrier thipment.
Shippar haraby cortifiat that he » familiar with all the tormt and condition! of th. laid bill of lading, including Ihote an the back thoreaf, tat farth in tWe clauificatian ar tariff which govarni th. traniparia-tion of thit ehipmonl, and th. laid t.rmi and condition! arc horeby agreed to by th. thippar ana accepted tar himself and hil at]'al»ign>
From
At
I .W.I . INDUSTRIES7738 W. 61ST PLACE*SUMMIT, IL 60501
(Mail or street address of consignee—For purposes of notification only.)
r
DATE
n «CONSIGNEE NAT IONAL
DESTINATION 7351 S. /
B R I D G E V I E
LNO. I HAZARDOUS
PACKAGES | MATERIALS
*
y -
f
Srvfajt:
STARCH F. r.HFMIPAL rn , CARRIER'8TH AVE.•w, ii An/^t;
CAR OR VEHICLE| INITIALS & NO.
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. ALUM. PORTABLE TANKS CLEANED
TESTED, PAINTED & REPAIRED.
< s4J&- £36*3
/ &7
/ "7^& 99
P.O. #05-30496
• WEIGHT(SUBJECT TO CORR.I
DELIVERING CARRIES
CLASSOR RATE
705
%/
SHIPPERS CERTIFICATION: Thii i. to certify thai the above-named material, ore properlyclassified, described, packaged, marked and labeled, and are in proper condition for Iron,portation according to the applicable regulation! of the Deportment of Transportation. S'GNATURF TITIF
* H the shipment moves between two port, by a carrier by water, the law require, that the bill of lading ihall slate whether it it "carrier'. op*<nipp«/i weight."t Shipper s imprints in lieu ef stamp; net a part of Bill ef Lading approved by the Interstate Commerce Commission. /^ jrNote — Where the rate ii dependent on value, shippers ore required to slate specifically in writing the agreed or declared value of thexffroperty/^ ^ • _jrf-— •The agreed or declared value ef the property is hereby specifically stated by the shipper to b» not exceeding ,- s '• -*- ""
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CnpBFrTu/F|^HT1S '"C
t The fibre boxei uwd for Ihu ihipment conform to the ipeci* /— _sf^ -^''
other requirement* ol the Consolidated Freight Claiilficotion. p^ i ^d^^^^^ f
-
Sh,po.r
Subtect to Section 7 of conditionof applicable bill of lading, if ththipment ii to be delivered to thconsignee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight and all other lawful charges
Per(SiDrwtur* ol Convenor)
If charges ore to be prepaid,write or stamp here, "To be Pre-
" ' "COLLECTB-H-.i-. 1
to apply in prepayment of thecharget on the property describedher *on.
p.,(The signature here acknowledge!only the amount! prepaid.)
Charges Advanced:
C.O.D. SHIPMENT
r n n Ami
Cnllnrt'inn far
Total Charges
Shipper, Per. . Agent, Per.
Permanent post office address of shipperFORM 12OO3. REGENT FORMS. BEU-MAWR, N.J. O6O31
THIS MEMORANDUM * •" *c*>"T*'' ">>n> "-*« •" •* U^ J£%; J ,1^ ' •f'Ser'S' . J S*' "*' DESIGNATE WITH AN (X)f RECEIVfD.'ftwbiect to the ckmmcaliem and tarifh in effect en the dote ef receipt bv ttw carrwr of the p*p*rty drcri BY TRUCK D FREIGHT EH
the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown j, marked, consigned and destined as indicated below, which said carrier (the word carrierbeing understood throughout this contract ai meaning any person or corporation in possession ot the property under the contract) agrees to carry to Us usual place of delivery ot said destination, if on its route, otherwiseto deliver lo another comer on the route to said destination It is mutually agreed, ai to each corner of all or any at said property over all or any portion of said route to destination, and as to each party at any lime interest-
! ed in all or any of said property, that every service to CM performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight bill of Ladum-tet forth -(1) in Umf«*ro- fcwtgbt Classification ini eHect on the date hereof, it this is a rail or a roil-water shipment, or (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment.
Shipper hereby certifies that he is familiar with all the terms and conditions ef the said bill ef lading, including those en the back thereof, set fdrth in the dassifkatien ei tariff which governs the transporta-tion ef this shipment, an^d the said terms and conditions are hereby agreed to by the shipper ana accepted tor himself and his assigns. " //
From I.W.I. INDUSTRIES7738 W. 6IST PLACE*SUMMIT, IL 60501
(Mail or street address of consignee—For purposes of notification only.)At
rCONSIGNEE
ANDDESTINATION
NATIONAL STARCH & CHEMICAL CO.7351 S. 7PTH AVE.BRIDGEVIEW, IL 60 55
CAUSERDEUVESING CARBIER
L _lCAR OR VEHICLEINITIALS & NO.
PACNKA«S H£tE™?lf
xuftr-'jt^fHf^ff^
~^§m9y -t
*rr•%>,j£
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL. ALUM. PORTABLE TANKS CLEANED
TESTED, PAINTED & REPAIRED.
5 A/0- £362/ £~?j ~y <y
o 79
P.O. #05-30496SHIPPERS CERTIFICATION: This is to certify that the above-named materials arc properly
classified, described, packaged, marked and labeled, and are in proper condition for trans-
portation according to the applicable regulations of the Deportment of Transportation. StGHATURF
• WEIGHT(SUBJECT TO CORR.)
t
CLASSOR RATE
705
v
TITIP
* It the shipment moves between two ports by a carrier by water, the low requires that the bill of lading shall state whether it is "carrier's or shipper's weight."t Shippers imprints in lieu ef stamp; net a part ef Bill ef Lading approved by the Interstate Commerce Commission.Note — Where the rate is dependent on value, shippers arc required to state specifically in writing the agreed or declared value of the property. ,-r"~'~The apreed er declared value ef the property it hereby specifically stated by the shipper to be net exceeding --**""' T" -_ -
THIS SHIPMENT IS CORRECTLY DESCRIBED. t The libra boxes used for this thipmcnt conform to the speci-fications set forth in the box makers certificate thereon, and allother requirements of the Consolidated Freight Classification.
. - . - , - ' • '
Peri;- --." Sh""""
Subfed to Section 7 ot conditionof applicable bill of lading, if thshipment is to be delivered to tbconsignee without recourse on thconsignor, the consignor shall tigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight and all other lawful charges
Per(Signature of Consignor
If charges ore to be prepaid,write or stamp here, "To be Pre-
"^COLLECT
to apply in prepayment of thecharges on the property describedhereon.
Per
(The signature here acknowledgesonly the amounts prepaid.)
C.O.D. SHIPMENT
r-n n Amt
TnlUrtion FM
Total Charges
Shipper, Per_ . Agent, Per.
Permanent poit office address of shipperFORM 12OO3. REGENT FORMS. BELLMAWR. N.J. OBO3 1
I T A S C OP. O. BOX 11504
), ILLINOIS 60311(312) 45C-B70G
INVOICE-JWL.5551
r ~iNATICKAL STARCH CORPORATION5641 S. WaahtenawChicago,! H. 60632
l_ _J
INVOICE DATC
July 15tb,1978OUR ORDER NO.
1914YOUR ORDER NO.
Nick Nakiar.o.m.
Mat 10SALESMAN
Cl«nn WellaanSHIPPED VIA
Cuatamer pick-upIHIPPED TO PVD.OHCOLI..
QUANTITY DESCRIPTION PRICE AMOUNT
500 gallon Tote tanks repaired.
Tank * 9051 Repaired bettcm drain valve-
Tank (f 6820 Repaired 2 legs, bottom valve guard and leak atbpttom weld seam -
5 % Salea Tax :TOTAL :
Tank Number* : 6820 & 9051
$25.00
85.00
$25.00
85.00110.005.50
115.50
1A40£ REGENT FORMS. BELLMAWfl. N.J 08031
ORDER DATE
I T A S C 0
CUSTOMER ORDER
1TASCO ORDER #
BILL TO:
ATTN-
S^P.O. DATE SK:I
TOTAL NO. TANKS
TANK NOS:
:P?ED_
SIZE
INVOJ.f.E DATE V n\VSlNVOICE #
TYPE
ORDER DESCRIPTION
SPECIAL, OFFICE INSTRUCTIONS'
DATE . ,, ^ •P T ^
COMPANY
TTASCOPRODUCTION WORK ORDER
( ) RUSH ( ) MUST COMPLETE BY . ,
CLEANING DEPT.
ORDER
CITY/S TATE ^rr^ f -> Jn^-y
NO. TAMB_ // GAL. CAP..
TANK NOS.: .„,
TYPE
RETURN SHIPPKH "rur -micT-
REMARKSt
CONTACT „..
CONST. MFR.
PHONE
JCLEANING fc TESTING AND FINISHING DEPARTMENT
1- All tents to be spotlesely cleaned inside and out.2- All elu&iima tatiLe to be acit brightened.5- All tanl-s to be thoroughly tested:.4- All waste QGtcri&l tc be ciiscsrded.5- Re&prt any testing leaks found to Gletin Veil man prior to repair.
IREPAIR DEPARTMENT
SO REPAIRS UKLE££ F-. USD.
FINAL INSPECTION REPORT
[NSIDE CLEANING OK ( ) OUTSIDE CLEANING OKSAL TANK TEST OK D.O.T. RETEST DATE
ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETEDf /^--CHECKED BT
K5. Arlene S.9.Iron\Asst. Purchasing
UATIO.'JAL STARCH A'JD CHEMICALCORPORATION36l' 1 S. V.'ashtenav Ave. •Chicago, II. 60632Glenn We11rean
June 1?, 1??E
CO;>!TT?/iC'TOP AOPF^I-^TT1 FORM
Dear Ms. Salmon:
In reply to your letter dated June 9, 197B, I an enclosing aoirned copy of the Seller's Form, as per your request. However,In checkinr with our insurance carrier, the coverages you statedare not within the Units of our policy, and in order to amendour current policy to reflect your request would add a considerableamount of money to our premium cost. I, therefore, request thatyou waive your insurance request.
I hope the information contained in this letter is sufficient inanswering any questions rep:?.rdin~ this matter, and if furtherdetail is required, please contact me.
Very truly yours,
WSLLCO CHEMICAL COMPANY
Glenn Wellman
GW:pdEnc.
^^^^^^^A* 9^r v9^AA^^^^ STARCH AND CHEISTARCH AND CHEMICAL CORPORATION
3641 S. WASHTENAW AVE. * CHICAGO, ILL 60632 * AREA CODE.312-523-6333
June 9, 1970
v/ellco Chemical7738 vl. 6lst StreetArgo, Illinois 60501
D ear Srr:
To date, I have not received the agreement formand the certificate of insurance that I had sent toyou in December, 1977 for our blanket purchase order#05-286^7.
Enclosed, please find another form to be signedand returned to me.
Also, please make sure that the certificate ofinsurance has the follov.Ting provision:
"Contractual liability coverage is provided for holdharmless and indemnification agreement signed onand forming a part of purchase order ->'0."-2C6zi7. "
Any questions, please c&ll ise '.
ine erely,
Asst . Purchasing Agent
L." cf "--ice err 'nee-r e ~c f. >wev?- we nave no cc-rv-r- ' r
IH ACCEPTING THIS ORDER, THE SELLER AGREES TO_THE FOLLOWING CONDITIONS:
1. Th is order number and PURCHASER'S product code number must appear on eachinvoice and package.
2. Sel ler guarantees that all of the mater ia l suppl ied on this order has beenproduced in full compliance with all federal regulations-pertaining thereto.
3. No variation in jny of the terms, conditions, warrant ies (express or Im-p l ied ) , de l i ve r ies , pr ices, qual i ty , quantity and spec i f i ca t i ons of this or-der and no d isc la imer or e x p r e s s or impl ied warranty or l imi ta t ions ondamages recoverab le by buyer or remedies ava i l ab le to PURCHASER, i r respect iveof wording on s e l l e r ' s accep tance , and no mod i f i ca t ions made by sel ler onany copy of this order will be e f fec t ive without PURCHASER'S written con-sent.
4. A credit must be issued for any goods returned, and a new invoice issued forreplacements of such returns. Replacements must not be made on a memo basisto apply against the original invoice/
5. Sel ler agrees to indemnify and hold PURCHASER harmless from all l iabi l i ty ,direct or indirect, for patent infringement and from any other c l a im fordamages in which the se l ler may be involved a f f e c t i n g the material hereinordered, and to defend all suits against PURCHASER involving any suchc la ims.
6. Merchandise subject to PURCHASER'S inspection within a reasonable time afterarrival, notwithstanding prior payment.
7. Non-discrimination Clause for Subcontractors
The Non-discr iminat ion C lauses contained in Sect ion 202, Execu t i ve Order11246, as amended by Executive Order 11375, relating to Equal EmploymentOpoortunity for al-1 persons without regard to race, color, rel igion, sexor national origin and the implementing rules and regulat ions prescribed bythe Secretary of Labor (41 CFR Chapter 60) are incorporated herein.
THE FOLLOWING tS APPLICABLE TO ALL SELLERS/CONTRACTORS DOING WORK OH PURCHASER'SSl'TES:
SELLER/CONTRACTOR shall defend, indemnify, and hold PURCHASER, its agents andemployees harmless from and against all claims, act ions, judgments, loss andexpense (Including costs and attorneys' f ees ) for bodily injury, including deathat any time result ing therefrom, sustained by any person and damage to or lossor destruction of the property of any person, including loss of use thereof,ar is ing -out of or in any manner relating to the performance of work under thiscontract.
SELLER/CONTRACTOR must maintain the fol lowing minimum insurance coverageswhile performing work, hereunder:
A. Workmen 's Compensation and Occupat ional D i s e a s e Insurance, in accordance withlaws of the state in *tiich the work, will be performed and Employers' Liabili-ty Insurance in an amount not less than $100,000.
B. Comprehensive General Liability Insurance (including Completed Operations,Contractor's Protective, and Contractual Liability Endorsements).
*,Bodi ly Injury 5500,000 each occurrenceProperty Damage 5300,000 each occurrence
C. Automobile L iabi l i ty Insurance
Bodily Injury 5250,000 per person5500,000 each accident
Property Damage 5100,000 each accident
0. TH'IS CRDER SHALL HOT BE 01 HO IMG ON PURCHASER AMD NO WORK SHALL BE PERFORMEDHEREUNOER, UNTIL THE ACKNOWLEDGEMENT ATTACHED HERETO IS EXECUTED BY AH AU-THORIZED R E P R E S E N T A T I V E OF SELLER/CONTRACTOR AND RETURNED TO PURCHASER ACCOM-PANIED BY INSURANCE C E R T I F I C A T E S EVIDENCING COVERAGES REQUIRED ABOVE, WHICHCERTIF ICATES MUST PROVIDE THAT COVERAGE MAY NOT BE DECREASED OR CANCELLEDWITHOUT TEH DAYS PRIOR WRITTEN NOTICE TO PURCHASER.
.Ms. .Arlene Saloon;/ Asst; Purchasing; Agent^ NATIONAL STARCH AND CKEffTCAL CORP.%. 3641 S. Washtenaw Avenue
Chicago, II. 60632
Glenn Wellman
December 26, 1977
BLANKET ORDER SERVICL CONTRACT
Dear Ms. Salmon:
In reply to your letter dated December 20, 1977, I arc nleased to encloseour latest price schedule in relation to our tank cleaning, tectine andrepair services. I an also enclosing information relating to our newline of bulk liquid shipping tanks which we will be^in to manufacture asof January 1, 1978.
If you are interested in these items, please contact me and I will bepleased to discuss them with you in greater detail.
I hope the information enclosed is sufficient in answering your request,and if further detail is required, please contact me.
Very truly yours,
Z-TCLLCO CHEMICAL COMPANY
Glenn Wellman
Encs.
STARCH AND CHEMICAL CORPORATION
3641 S. WASHTENAW AVE. * CHICAGO, ILL. 60632 * AREA CODE 312-523-6333
December 20, 1977
Wellco Chemical7738 W. 6lst StreetArgo, Illinois 60501
Dear Sir:
For 1978, we will be issuing a blanket purchase orderfor your services.
Please send me a copy of the service agreement which wwill include service charge, labor charge and any othercharges per-taining to the agreement.
Also, please send me a copy of your certificate of in-surance. On that certificate, please type the following:
"Contractual liability coverage is provided for holdharmless and indemnification agreement signed onand forming a part of purchase order #0^-286^7."
This must be on the certificate. The above purchase orderwill be the blanket order number for 1978. The purchaseorder will follow as soon as we receive the terms of yourservices. Attached are two copies of the indemnificationagreement. Please sign the one requiring your signatureand return, and keep the remainnig one for your files.
Any questions, feel free to call me at 523-6337; ext. k2.
Sine er ely ,
/ ../ £^£^~" •"? /••'""'
A~rleneAsst . Purchasing Agent
enclosure
IN A C C E P T I N G THiS ORDER, THE SELLER AGREES TO THE FOLLOWING CONOJTIONS:
1. Th is order number and PURCHASER'S product code number must appear on eachinvoice and package.
2. Sel ler guarantees that all of the mater ial suppl ied on this order has beenproduced in full compliance with all federal regulations pertaining Uiereto.
3. No variat ion in jny of the terms, conditions, warranties (express or in-p l i ed ) , de l iver ies , pr ices, quality, quantity and spec i f i ca t ions of this or-der and no d isc la imer or exp ress or implied «'arr.inty or l im i ta t ions endamages recoverab le by buyer or remedies ava i lao le to PURCHASER, i r respect iveof wording on se l le r ' s acceptance, and no modifications made by seller onany copy of this order wil l be e f fec t i ve without PURCHASER'S written con-sent.
4. A credit must be issued for any goods returned, and a new invoice issued forreplacements of such returns. Replacements must not be made on a memo basisto apply against the original invoice.
5. Sel ler agrees to indemnify and hold PURCHASER harmless from all l iabi l i ty,d i rect or indirect, for patent infringement and from any other c l a im fordamages in which the seller may be invo lved a f fec t ing the material hereinordered, and to defend all suits against PURCHASER involving any suchc la ims .
6. Merchandise subject to PURCHASER'S inspection within a reasonable time afterarrival, notwithstanding prior payment.
7. Non-discrimination Clause for Subcontractors
The Non-discr iminat ion C lauses contained in Sect ion 202, Execu t i ve Order11246, as amended by Executive Order 11375, relat ing to Equal EmploymentOpportunity for a 1-1 persons without regard to race, color, rel igion, sexor national origin and the implementing rules and regulations prescribed bythe Secretary of Labor (41 CFR Chapter 60) are incorporated herein.
THE FOLLOWING IS APPLICABLE TO ALL SELLERS/CONTRACTORS DOING WORK OH PURCHASER'SSITES:
SELLER/CONTRACTOR shall defend, indemnify, and hold PURCHASER, its agents andemployees harmless from and against all c la ims, act ions, judgments, loss andexpense ( including costs and attorneys' f e e s ) for bodily injury, including deathat any time resulting therefrom, sustained by any person and damage to or lossor destruction of the property of any person, including loss of use thereof,ar is ing cut of or in any manner relating to the performance of work under thiscontract.
SELLER/CONTRACTOR must maintain the fol lowing minimum insurance coverageswhile performing work hereunder:
A. Workmen 's Compensation and Occupat ional D isease Insurance, in accordance withlaws of the s ta te in nhich the work wil l be performed and Employers' Liabili-ty Insurance in an amount not less Uian $100,000.
B. Comprehensive General Liability Insurance (including Completed Operations,Contractor's Protective, and Contractual Liability Endorsements).
Bodi ly Injury 5500,000 each occurrenceProperty Damage 3300,000 each occurrence
C. Automobile L iabi l i ty Insurance
Bodily Injury 5250,000 per personSSOO.OOO each accident
Property Damage 5100,000 each accident
D. THIS ORDER SHALL MOT BE BINDING OH PURCHASER AND NO WORK SHALL BE PERFORMEDHEREUNDER, UNTIL THE ACKNOWLEDGEMENT ATTACHED HERETO IS EXECUTED BY AH AU-THORIZED R E P R E S E N T A T I V E Of SELLER/CONTRACTOR AND RETURNED TO PURCHASER ACCOM-PANIED BY INSURANCE C E R T I F I C A T E S EVIDENCING COVERAGES REQUIRED ABOVE, WHICHCERTIFICATES MUST PROVIDE THAT COVERAGE MAY NOT BE DECREASED OR CANCELLEDWITHOUT TEN DAYS PRIOR WRITTEN NOTICE TO PURCHASER.
. IN.ACCEPTING THIS ORDER, THE SELLER AGREES TO THE FOLLOWING CONDITIONS::
1. This order number and PURCHASER'S product code number must appear on each ""Invoice and package.
2. Seller guarantees that alt of the material supplied on this order has beenproduced in full compliance with all federal . regulations pertaining thereto.
3. Mo variation in any of'the terms, conditions, warranties (express or im-p l ied) , del iver ies, prices, qual i ty, quantity and specifications of this or-der and no disclaimer or express or implied warranty or l imitat ions ondamages recoverable by buyer or remedies ava i lab le to PURCHASER,irrespectiveof wording on se l le r ' s acceptance, and no modifications made by seller onany copy of this order will be effective without PURCHASER'S written con-sent.
4. A credit must be issued for any goods returned, and a new invoice issued forreplacements of such returns. Replacements must not be made on a memo basisto apply against the original invoice.
5. Seller agrees to indemnify and hold PURCHASER harmless from all l iability,direct or indirect, for patent infringement and from any other claim fordamages In which the seller may be Involved affecting the material hereinordered, and to defend all suits against PURCHASER Involving any suchclaims.
6. Merchandise subject to PURCHASER'S inspection within a reasonable time afterarrival, notwithstanding prior payment.
7. Non-discrimination C lause for SupcontractorsThe Non-discrimination C lauses contained infection 202, Executive Order11216, as amended by Executive Order 11375, relating to Equal EmploymentOpportunity for all persons without regard to race, color, religion, sexor national origin and the implementing rules and regulations prescribed bythe Secretary of Labor (41 CFR Chapter 60) are incorporated herein.
THE FOLLOWING IS APPLICABLE TO ALL SELLERS/CONTRACTORS DOING WORK ON PURCHASER'SSITES: ~~ " ~
SELLER/CONTRACTOR shall defend, indemnify, and hold PURCHASER, its agents andemployees harmless from and against all claims, actions, judgments, loss andexpense (including costs and attorneys' fees) for bodily injury, including deathat any time resulting ttierefrom, sustained by any person and damage to or lossor destruction of the property of any person, including loss of use thereof,arising out of or in any manner relating to the performance of work under thiscontract.
SELLER/CONTRACTOR must maintain the following minimum insurance coverageswhile performing work hereunder:
A. Workmen's Compensation and Occupational D isease Insurance, in accordance withlaws of the state in «hich the work will be performed and Employers' Liabili-ty Insurance in an amount not less than $100,000.
B. Comprehensive General Liaoil i ty Insurance (including Completed Operations,Contractor's Protect ive, and Contractual Liability Endorsements).
Bodily Injury $500,000 each occurrenceProperty Damage $300,000 each occurrence
C. Automobile Liability Insurance
Bodily Injury $250,000 per person$500,000 each accident
Property Damage $100,000 each accident
D. THIS ORDER SHALL NOT BE BINDING ON PURCHASER AND NO WORK SHALL BE PERFORMEDHEREUNDER, UNTIL THIS ACKNOWLEDGEMENT IS EXECUTED BY AN AUTHORIZED REPRE-SENTATIVE OF SELLER/CONTRACTOR AND RETURNED TO PURCHASER ACCOMPANIED BYINSURANCE CERTIFICATES EVIDENCING COVERAGES REQUIRED ABOVE, WHICH CERTI-FICATES MUST PROVIDE THAT COVERAGE MAY NOT BE DECREASED OR CANCELLED WITH-OUT TEN DAYS PRIOR WRITTEN NOTICE TO PURCHASER.
ACCEPTED AND AGREED:
DATE:
SELLER/CONTRACTOR:EARLIEST SHIPPING DATE:
SIGNATURE:
TITLE:
STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE'RECEIVED, Mlbi«ct to 1h« claMifu tioni and taritU in *ffM:t on the dale of i«aue of this Original Bill of Lading
DESIGNATE WITH AN IX)
BY TRUCK D FREIGHTD
- properly described below, in afpurcnl pood order, cxrejjl as noted (contents and condition of contents of packages unknown ; , marked, consigned, and destined as indicated below, whirh said currier (tht- word carrier beingunderstood throughout this contract as mraninf; any person or corponition in possession of iru1 property undiT th»- conlrac1.') agrees tti carry to its usual place of delivery at aaid destination, if on its route, otherwise to deliver
L :. .1. _ . . . . . :J j,_.;„....._ i. : n ...,.j ~i „;,.. a|, or atlv'of fiajd [)ro,,,,rty ov,.r all or any portion o( said rnute in destination, and as to each party at any time interested in all orto another carrier on the routf to said destination. It is mutual ly ayri-cd, a.- i<> eachany of said property, t l i a t every service to IM- performed hereunder shall IM- eubji
vTlassifications in erTect on the date hereof, if this is a rait or a rai l -wal t-r ah ipm<ll t t i r Ir
ii, or <2] m ilrms und conditions of the Lniforni Domestic Strath! Bill of Lading ae^Jurih .dj-m O(1irial,.EvuilruiUi, WM
ppltcablr motor carrier classification or tar i f f if thif ih a mninr earner shipment.nd Il l inois Freight
Shipper hereby certrtie* thai It* it familiar with all th« terms and conditions of th* >aid bill of ladinc, includinc thos» on th* bach thereof, >«t forth in the ctasslftcatlon or tariff which tovvrnt th* transportation ofthis shipment, and the said terms and conditions ere hereby agreed to by the shipper and accepted for himself andlilc assigns.
At
From ITASC-0Argo, Illinois 60501
(Mail or street address of consignee — For purposes of notification only.)
r4*ATIONAL STARCH CORPORATION
CONSIGNEE 3641 3.0. Washtenaw AvenueDEST.NAT.ON Chicago. Illinois 60632
April 1978
CARRIER |
SHIPPER'S NO.
1914CARRIER'S NO.
ROUTE
L
DELIVERING CARRIER
Customer pick-up
Attn: Nick Nakis CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
j+ .
4^
^TOTAL *TPIECE^>|. Tanks
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
Aluminum and jneel tote tanks.
?/it/<? ~?7£ vjf- & ^^z-Empty tote tanks cotit. bulk commoditv-ahipping old. used NN sheet steel \"
thickness of walls or thicker.
/' & 1 A — 7^^£t> £^ /-"c ' t'** ^
»
•WEIGHT(SUBJECT TO CORfi.l
«d|SSalM|iU>{
/ <3<2&
CLASSOR RATE
. 705
CHECKCOLUMN
SuhjLVl tuScciiun 7 ut conditionsof applicable bill of lading, if ihiishipment ii to be delivered to UKcon^nec wnliuui recourse on UK-coiiiipnut. the consignor shall signthe lollowinf statement.
The carrier shall not make deliveryof (his shipment without payment offreipjit and all other lawful cliurpes.Per
(Sipnaiuit; ol Consignor.)
If chaigts are to be prepaid,write 01 sump here, "To be Pre-P*d' COLLECT
Received f-to ipply in prepayment of thecharges on the properly describedhercon.
Agent or C a shier.
Per( Ilit; signature here acknowledgesonly the amounts prepaid.)
Chaiecs Advanced:
of the Consolidated Freight Classification.
t This is to certify that the above-named articles ere properly classified, described, packaged, marked, and iaccording to the applicable regulations of the Department of Transportation.
t Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce CommitNOTK— Where the rate is dependent on value, shippers are required to atatc specifically in writing the apreed oThe agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS
abeleil. and
A nether it islion.r declared v
"carrier's or shipper's weight."
alue of the property.
Per^ t Shipper
j«i
S
C.O.D. SHIPMENT
C. O. D. Amt.
Collection Fee
Tot*8?^»-\I T A S C OP. O. Box 381 Argo, Illinois 60501
Shipper, Per. gent. Per \
VPermanent post office address of shipper
FORM 1200 REGENT FORMS, BELLMAWR. N.J. 08030
i«ii_i»iun/~u<iL^Kiii ^ ^ ^ duplicate, covering the property named herein, and it intended wiely ror nung or neonRECEIVED. aiibiac! to tha claatrficatioM and tariff* in affact on tha data of racaipt by th« carrier of tha proparty daacribad in tha Original Bill of Lading. DT IKUOK.LJ r-HtUJMILJ
the property deccribed below, in apparent, good order, except u noted (content* and condition of contents ol packages unknown), marked, consigned, and destined as indicated below, which said carrier (the word carrier beine.understood throughout this contract afi meaning any person or corporation in possession of the property under Iht- contract; agrees to carry to it* uaual place of delivery at^soid destination. If on its roult, otherwise to deliverto another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any of said properly over all or any portion of said route to destination, and as to each party at any lime interested in all orriViy of said property, that every service to bt- performed nereunder shall bv subject to all thr terms and conditions of the- Uniform Domestic Straight Bill of Lading sel forth (1) in Official, Southern, Western and Illinois FreightClassifications in effect on the date hereof, if (his is a rail or a rail-water shipment, or (2) in thr applicable motor carrier classification or tariff if this \n a motor earner shipment.
m*J&££
From
At^
r hereby c«rtitt»» that h, •nd th* »*W t»mi* an
a l» familiar withd condition* ara
I TASCO
Arjjo, Illinois 60501(Mail or street address
all tha tarharaby at
ml and condition! of tha >ald bill at ladraad to by tha (hlppar and accaptad for
of consignee — For
hTm»alf andnl* a»l(n». ' ° * ica on »r a Kovarm
purposes of notification only.)
i
DATE .
April
CARRIERBY
197E
t
tha transportation of
SHIPPER'S NO
1914CARRIER'S NO.
CONSIGNEEAND
DESTINATION
L
NATIONAL STARCH COKPOPxATICR3641 So«|jWashtenaw AvenueChicago, Illinois 60632
Attn: Nick Kal.is
ROUTE DELIVERING CARRIER
Customer picV-upCAR OR VEHICLEINITIALS & NO.
NOPACKAGES
J* •"-. ef
: - *S
<PIECED- Tanks
DESCRIPTION OF ARTICLES, SPECIAL
MARKS AND EXCEPTIONS
Aluminum end steel tote tanl-.s.> .„ -•• . •
-:,-• . ;/ f -' • i
Empts' tote tanle cont. bull: corarnoditv-
Ehipping old, used NK sheet fteel £'" ':
thickness of walls or thicker.
': -. — / . /'- . ,•:. .- ,f f. .^
.
•WEIGHT(SUBJECT TO CORR.I
• Hf OOsHibe
v <2<-/e:-)s f
.- . r:
„,' *• .' • • -
/ ~ ~ • • '
CLASSOR RATE
. 705
,'"
'•' - -
CHECKCOLUMN
t The fibre boxes used for this shipment conform to the specifications set forth in the box maker's certificate thereon, and at) other requirements of Rule 41,
of the Consolidated Freight Classification.
t This is to certify that the above-named articles are properly classified, described, packaped,- marked, and labeled, and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.* If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight,"t Shipper's imprints in lieu of stomp; not o part of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writinp trje apreed or declared vaJuc of the property.T"hp nnrppri or rtpclflrprt valup of thp nronprtv is hprphy sppf ifirnlly itatfrf hy thp ^hipnpr tn hp nnt p^rnprtinrj
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS
ShipperLBS Per
SutiK'ti u< St'Lijoii 7 (i| luiidiiioiiul upplicabk' bill nt jjdini;, il Hubshipment ii to ht delivered iu llit.cons.unec withuui rccnuiic on tluconsiciiDt. Hie cnnsicnor sliall sign(lie tullowinp sutiTiicr.t
The carrier sJial] not make dt liveryof this shipment wnhoui pjynicnl offreight and all oihci lawt'ul charpcsPer
(Sipiaturr of Coniipncit }
If charges are to be prepaid.write or stamp here, "To be Pre-paid "
COLLECT
Rrccivi-ri $to apply in prepayment of thecharges on the. propprly.,de$cribe(ihereon. • •
Agent or Casliier.
Per
only the amounts prepaid.)
<
C.O.D. SHIPMENT
CO n Ami
Tnllprrinn FRF
Total Charoes
ITASCO
P. O. Box 381 « Argo, HKnofe 60501Shipper, Per. Agent, Per
Permanent post office address of shipper FORM 1200 REGENT FORMS, BELLMAWR. N J 08030
_.TTASCOPRODUCTION WORK ORDER
Kb. trc. r
DATE_//-,T ( ) RUSH / ) MUST COMPLETE BT / c / P.
COMPANY KATION M gTA^rr ORPOELATIOy CITT/STATE (
ORDER #
. imncv>
NO. TANKS
TANK NOS . :
/ GAL. CAP. TYPE CONST. MFR.
RETURN SHIPPER
REMARKS:
CONTACT rir.?-__KT.^ -> PHONE
CLEANING & TESTING AND FINISHING DEPARTMENT
3- Ajl tcn^E tc be spotlessly cleaned iiveide end out.2- /.I] ciu^-iiiuc tar.l.t uc Lt. iicic. Li5- All teiii.i EC i>t tl.orouj..r.i;' ttf.ttJ
5- Re|prt any teotinjr tounc tc Glenn Wellmpn prior tc repsir.
[REPAIR DEPARTMENT
KG REP/.ir£ L?:LESf: LSr'J.5 ARE
\
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES tc FITTINGS REPLACED(. J/ALL REPAIR WORK COMPLETED / //
DATE COMPLETEDW- / GHEC*6
EED BI
DATE .TANK # D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTAL I REP
BY
X.
1 T A S C 0P.O. BOX 11504
CHICAGO, ILLINOIS €0611(312) 458-3703
INVOICE
-J80. .5543
r "lNATIONAL STARCH CORPORATION3641 S. VashtenavChicago.Illinois 60632
l_ _J
INVOICE DATE
Jun« 15th,1978OUR ORDER NO.
1914YOUR ORDER NO.
Verbal Kiel NakisTERMS
Net 15r.o.B.
Argc.Ill.SALESMAN
Glenn UellaanSHIPPED VIA
Customer pick-upSHIPPED TO
Saw As Above XX ADDQUANTITY DESCRIPTION PRICE AMOUNT
11 550/500 Gallon aluminum and stainless steel tote tankscleaned,tested, and brightened.
6 tanks cleaning charge 350 ga5 tanks cleaning charge 500 ga
Disposal of 10,625 Ibs. of excess waste material removed fromtank interior-
5 % Sales tax:TOTAL
Tank numbers: 275. 609. 664, 683, 5149, 6820, 6822, 9048.9049, 9051, & 9932:-
$45.0055.00
.025 Ib
$270.00275.00
366.00611.0040.55
$851.55
FOB'-' 11405 >;.EGENT FORMS. BELLMAWR. M J 08031
I T A S C 0
CUSTOMER ORDER
-ORDER DATE
SHIP TQ:
4/7/76
NATIONAL STARCH CORPORATION3641 So. Waahtenav AvenueChicago, Illinois 60632
. . ITASCO ORDER #_
BILL TO:
SAME
1914
^.TTN-
TOTAL NO,
Nick Nekir
DATE SHIPPED
TANKS SIZE
SHIPPER
INVOICE DATE /yvflNVOICE #
TYPE
TANK NOS:
SPECIAL OFFICE INSTRUCTIONS
6/7
ORDER DATE
SHIP-TO:
I T A S C 0
CUSTOMER ORDER
. JTASCO ORDER #_
,L TO:
ATTN;
P.O. DATE SHIPPED
TOTAL NO. TANKS SIZE
INVOICE DATE INVOICE #
TYPE
TANK NOS:
QUANTITY ORDER DESCRIPTION JNIT PRICE TOTAL PRICE
SPECIAL OFFICE INSTRUCTIONS
6/7
• •TANK RECEIVLNG REPORT
DATE RECEIVED
TOTAL TANKS RECEIVED
COMPANY_
TYPE:
TANKS INSPECTED BY
PAINT AND COMPONENT PARTS_RECEIVED WITH TANKS:
( ) ROUND - SIZE_
REMARKS:
«— JP^ ^CONSTRUCTION
TANK
LUMBERS
'(tf'l/y
ifl*
J1?}*
?jy/?/4^f
304?t#f/&&?*&4>y*^ft*^if*
TYPECOVER
r~-
O
0
6o064
0&0
Oo
STA
ND
ARD
XA£>
0
x/
YxXX
fYPE BOT.VALVEGUARD
m
H
OP
XKPCX*
/XX06p
0
STA
ND
ARD
0<206
$6
dX%XX
TYPE TOPVENT
GUARD
r-.m
H
O
n
0
^£
fi
#
&
O
aoa&
STA
ND
ARD
^*^<2^3
^)
0£>
O6
&
MISSING TANK COMPONENT PARTS
o w-i >
Q >
XPC/XVXXAXXX
VA
LVE
HA
ND
LE
60
&
4
6OXXXX0
-4 PH
0
a&0#a06
06
£>
d H> i-J0 OU pq
XX
$o#aXaO0fr
A O
D Mo ^
Xx00XX/XXXX
CO
VER
CH
AIN
S
0a6Gaooe>0&^
>
H U
*
O
oX)(XXX
oK
STA
CK
ING
RIN
G
6
a&&0o60a0&
STA
CK
ING
EAR
S
*y^^
XAXK
XXXX0
INSIDE TANK CONDITION
RUST
nMS
^
^X
VKX
^tfX0
HEA
VY
0^
^
^a6
XX<5
*
EXCESSWASTE MATERIAL
T Y P E
flrO-$i/Vfl}^ — .J&yfA-
^^-~*Afr£
WMrfrtfter?hSA&e
NO.GALS.
/^
^^
^
/^
^<f
6<^
r^/ir^/^
OUTSIDETANK CONDITION
ow
)f
X
^«xp<«
^<X
H
W
O CR
AC
KS
•
OTHER
DES-
CRIBE
REMARKS;
OFFICE COPY
I T A S C 0
DATE REG 'P.
COMPANYNO. TANKS_
TANK NOS.:
-PRODUCTION WORK ORDER
( )RUSH - MUST COMPLETE
P(+«~&S _ CITY/STGAL. CAP. TYPE CONST.
RETURN SHIPPER G,
REMARKS
CLEANING. TESTING AND FINISHING DEPARTMENT
All tanks to be spotlessly cleaned inside and out.All aluminum tanks to be acid brightened.ALL rust to be removed from inside tanks.All tanks to be thoroughly tested.All excess material to be saved and labeled.All waste material to be discarded._ _ type fittings to be replaced.
9 0 ( )not primed - and painted( ) customer
All tanks to be: ) primedPaint to be supplied by ( ) WellcoReport any testing leaks found to Glenn Wellman prior to repair.
REPAIR DEPARTMENT
( ) D.O.T. retest plates to be installed - tank # _( ) D.O.T. top vent guards to be installed - tank # _( ) D.O.T. bottom valve guards to be installed - tank #_( ) Cover chains to be installed on - tank #( ) Tanks to be renumbered from _( ) Dents to be repaired on - tank #( ) Bottom valve guards to be repaired - tank f-( ) Bottom legs to bo repaired on - tank #( ) Weld leaks to be repaired on - tank
to
#( ) Stacking rings to be installed on - tank #( ) Repair all testing leaks found.
1/78
SHIPPER'S NUMBER
TLIIC *AC»Ar»DAKirMI(U i'°P otl"'0«^Bm.«. .hot „ Kill «) lading Ka. L>**n 1Mort ood .. no, A. O»g.»al B.H «< lad.ng.THIS MEMORANDUM nor « copy o' auplitOt. to..f,n0 IK* prop«rtT iHim«d h.,*m. and ,1 mt.nd.d tol«lr lor t.l.ng or r.cord.
RECEIVED, tub|«et to ih» (lati'litationi and laritti m «M»ti on in* dot* of lh« r«c*ipi bv <h« torrMr of it* property dvtcnbcd m th« Original B'" o*
A r _
.s NUMBER
NATIONAL STARCH AND CHEMICAL CORPORATIONp*od •rdv •«*pt » nwW 11 •«*•«** »ntf €•***«•*> •» »•**•"*« •< p»r*o«»r wnkno-nl morttd <w*brfn*d o-«J Vvtt.nMl «« • i
* • * in p0u*uw> O* *• prop*tT undo tt» lanlrerii oar**, |O c*itin*t>o« H <t mwiw*!^ «g'»*d 01 le •«>> to<»>*i o* o>< v «Mid *r*e«rtT >Koi rv*ry »»-.rft 10 b« p*Ho"K«d hv*vno>'W*ti>Mi and Hl.no<i Frv^hi CtOHifwof*"! •" •««' *" <h.
rn«> ttiipmvn'. „ th. Web .
.19. . Company
The paper bagt used far thit shipmentconform lo fpeciftcations for paper bagt,prescribed in the applicable "classification".
The fiber container! used for this shipmentconform to the specifications set forth in con-tainer maker's certificate thereon, and all otherrequirements of the applicable "classification".
We certify the weight shown hereon is inaccordance with our agreement with thegoverning Weighingandlnspection Bureau.
DESTINATION / , ,,
ROUTE
CONSIGNEDTO L '.'' /' ;- C-v L-* -*•"• •*--"-»••*
' •• ^ ,J 6/ '•: ; -! • • ' V
CAR OR VEHICLE INITIALS
NO.
S/M
H charges ore to b« prepaid, writeor stamp here, "To b*Prepaid."
DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS
^
DR
CTN IS
CTN 17
(3
BAG, 18
CTN
DR
CTN
(10
(12
f!5
f!6
(17
DR (18
CTN (19
BAG- (21
Adhesives N.O.I., in bulk
Adh«sives N.O.I., in bulk . FLAMMABLE LIQUID
Liquid Synthetic Plastics, Resin Solution • FLAMMABLE LIQUID
Adhesive N.O.I., in gloss in boxes - FLAMMABLE LIQUID
Adhesive N.O.I., o. 8io.... bo..nntri. O/T collopiibl* iub*i
Dextrin, declared vofue not exceeding 50c per Ib.
Adhesive N.O.I., in collapsible tubes, in boxes
Liquid Dextrin
Adhesives N.O. I., 'iii FLAMMABLE LIQUID
Synthetic Plastic (other than Liquids) N.O.I.
Compounds, adhesive or resin thinning, FLAMMABLE LIQUID N.O.S.
Lacquer in Q/T tubes - FLAMMABLE LIQUID, N.O.5.
Adhesives N.O.I. c•i. O/l„, 0|.,, in bo,., FLAMMABLE LIQUID
OR
DR
Starch N.O.I.
f23
(38
Ul
(44
.. - Nol MMixaMd no,f Clarifying or Purifying Compound p»Hum«j N.O.I uq
Liquid Synthetic Plastics N.O.I.
Compounds, Adhesive or Resin Thinning
Chemicals, N.O.I.- declared value not exceeding SOc per Ib.
NOTE-WHERE THE RATE IS DEPENDENT ONVALUE, SHIPPERS ARE REQUIRED TO STATESPECIFICALLY IN WRITING THE AGREED ORDECLARED VALUE OF THE PROPERTY.
THE AGREED OR DECLARED VALUE OF THEPROPERTY IS HEREBY SPECIFICALLY STATEDBY THE SHIPPER TO BE NOT EXCEEDING
SOc PER IB.
SUBJECT TO SECTION 7 OF CONDITIONS OFAPPLICABLE BILL OF LADING, IF THIS SHIP-MENT IS TO BE DELIVERED TO THE CONSIGNEEWITHOUT RECOURSE ON THE CONSIGNOR.THE CONSIGNOR SHALLSIGN THE FOLLOWINGSTATEMENT.
THE CARRIER SHAH NOT MAKE DELIVERYOF THIS SHIPMENT WITHOUT PAYMENT OFFREIGHT AND ALL OTHER LAWFUL CHARGES
NATIONAL STARCH AND CHEMICALCORPORATION
(SIGNATURE OF CONSIGNOR)
REC'D $THE CHARGES ON THE PROPERTY DESCRIBED HEREON.
-TO APPLY IN PREPAYMENT OF
AGENT OB C4SHIER
CHARGES ,-" '•ADVANCF'D S
(The lignatur* her* acknowledge!only the amount prepaid.)
This is to certify that the above named articles ore properly classified, described, packaged, marked and labeled, and are in proper condition (or transportation, according to theapplicable regulations o( the Deportment of Transportation. * ,. ;. ' ^ s -.
Agt*t'r'p'?r~g-NATIONAL STARCH AND CHEMICAL CORPORATION skipper, Pfr• ^ •' '•'*• ' ' ' r'*~' ( 5K" A\^' AV-~ Permanent pott-office address of shipper,
C.::;v,;.k,, LL. 60632 *" "'
; '• -
STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE BY
the pruprriy described U^nw, in uppurriu u«md nrtlcr, oxct-pl us noted (contents and condition of cnnlcntu n( jiucka^cs unknown',
;iny of Raid firopc-nv, thai fvrry »•:» u; i>- Iw tirrSorm-ii brrr-undn Khali ).•• MilijiTl n- nil the ti-rins und condiiinnv nf t in- l"iiif<.;ii: 11
narked, cuiisi^nt-d, and d<?5ii
inn-slit- Si ninthi Hill <>'. Ludi
Shipper h«reby certifies thM he ts familiar with «ll the terms and conditions of the laid bill of ladlnk, Includlnr those on the bach thereof, set forth inthit ahlpiHent. ant' the »ald termc and conditions are hereby agreed to by the thlpper and accepted tor himself and ms assicns.
From I T A S C O
At Argo, Illinois 60501(Mail or street address of consignee — For purposes of notification only.)
r~ ~i
DAT£
April
CARRIER
ird ai indicuicd ht-lnw. whicli saH currn-r uh" word carrier l»c
ni." sr; f.orih 'JJ ji- Official, Snutt-rrr., \V.-.t.-rn .,nd Illinois Fr.-ir carrier shijiineni. ""
the classification or tariff which governs the transportation
19 78
t
or
of
SHIPPER'S NO.
1914CARRIER'S NO.
CONSIGNEEAND
DESTINATION
NATIONAL STARCH CORPORATION3641 S. Washtenaw AvenueChgo. IL 60632 ROUTE
L
DELIVERING CARRIER
Customer -pick upCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
;*"
&)"
/r>TOTAL •»-«-PIECES <f pr
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
Aluminum and steel tote tanks.
2 ~?^- <££3£ -&£?—<£ &<?Empty tote tanks cont, culk commodityshipping old, used nn sheet steel ythickness of vails er thicker.
JJ Lff " ^$~*^
(1) I Av 'A
•WEIGHT(SUBJECT TO CORfU
4,400 IbB.
hJ-^~ f
" &-(,-
CLASSOR RATE
705
7$
CHECKCOLUMN
t The fibre boxes used for thit .thipment conform to the specifications set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
t This is to certify that the above*named srtieleG are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccording to t he applicable regulations of the Department of Transportation." If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."t Shipper's imprints in lieu of stomp; not a port of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.Shipper
Per
Subject lo Section 7 oi cundiiiciniof applicable bill ol' lading, it tinsshipment is lo br delivcicd it) tinconsipner widi'uui recourse uii tin-consignor, (he consignor trial! signtht followmp statement.
The carrier shall not make deliveryof this shipment without payment olfreight and all other lawful charges.Per
(Sipmure of< ortiifnoi )
If charges are to be prepaid,write or }-«rTip.hfre. 'Tr> be Pre-paid." collect
Received Sto apply in prepayment of thecharges on the property describedhereon.
Agent or Cashier.
Ter
C.O.D. SHIPMENT
C. O. D. Arm
Collection Fep
Total Charms
I TASCOP. O. Box 381 • Argo, Illinois 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS, BELLMAWR, N.J. 08030
.r-ilS MEMORANDUM 's an acknowledgment that a Eill ct Lading has been issued and is nut the Onyuidi uu o. uau<na. M-.^ a copy or duplicate, covering the property named herein, and is intended solely for filing or record
RECEIVED, Mit»«ct to the claisificalions »nd tariffs in effect on the date of receipt by the carrier of the property dr. sen bed in the OriginBY TRUCK U FREIGHTLJ
Classii.'-.iuons-rf.irnii-(j hf'---uiic!i»'-sd:ili •- suLii-n i,, ;![| 1|.. i.-nr- ;md cund.l inn- "(" (In
-nil i.r .1 r 'i Itili "1 l-iai',.- sri f . j r i f i ••] - ir, Orhri«l. So.
1 Shipper hereby certifies that h« is familiar with all the terms end conditions of th* said bill of totfinx, including tho*e on the bach thereof, set forth in the classification or tariff which^ovtrns the transportation otthis shipn-^m. a^a the said terms and conditions are hereby agreed to bv the shipper and accepted lor himself anr* his assigns.
-on ITA8CO
:_, Afpo, Illinois 60901
DATE
April 19
SHIPPER'S NO
78; 1914
r(Mail or street address of consignee - For purposes of notification only.l C£ R R' t R \
CARRIER'S NO.
CONSIGNEEAND
NATIONAL STARCH CORP(KlATias'3641 S. Washtenaw Avenue
DESTINATION l>tlgO.IL 60632 ROUTE DELIVERING CARRIER
Customer -pick up1 | CAR OR VEHICLE1 — 1 INITIALS & NO.
NO.PACKAGES
^J**jjjP . ...
*" . S
f -j
TOTAL ^TjlPIECES <SS»»
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
Aluminum and steel tote tanks.
2 7 -•' ~ ^- <i: "-»& ~ £jx ! y' ~~ <^o 'T"Empty tote tanks coat, culk commodity0hippui£ old, used nn sheet sttel ^thickncse of walls or thicker.
s/ ' • / -? ' s •• > >-
! ^ ' /' "'
•WEIGHT(SUBJECT TOCORR.)
4,400 Ibs.
^J •>.- ;>^
CLASSOR RATE
705
'
1
CHECKCOLUMN »' iippliL'jhk' hill n| liidnit- il tins
sJiipnioiii ,s 10 h - dflnvfi-d In rlnciin^cnvi- wnliout lecnursc on I hecoiisicnoi. the otusi^nui shall MLIIihi1 folluwmi; stutiTitcr.!.
Tlic cjiner slial! not makf deliveryi»r (dii ^lupiitcnf ttiiliout payment of
Per(Sienaiutr of Consignor )
IT Lharpes arc lo be prepaid,write oi sUmp Jitfe "To be Pre-
Htceivcd Sto apply in prepayment of lliecharges on the property describedhcreon.
Agent oi Cashier.
Per
only the amounts prepaid.)
Charges Advanced.t The fibre boxes used for fbi* shipment conform to the speciflcatioru set forth in thi> box maker's certificate thereon, and all other requirements of Rule 41
of the Consolidated Freight Clarification.
t This is to certify that the above-named articles art properly classified, described, packaged, marked, and labeled, and areaccording to the applicable regulations of the Department of Transportation.* If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "cart Shipper'* imprint* in lieu of «iamp; not a part of Bill of Lading approved by the Interstate Commerce Commiiiion.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS
rier's or shipper's weicht."
of the property.
PerShipper
S
C.O.D. SHIPMENT
C. O. D. Amt.
Collection Fet
Total Charges
ITASCO
R O. Box 361 • Argo, Illinois 60501Shipper, Per. Agent, Per
Permanent post office address of shipperFORM UOO REGENT FORMS. BELLMAWR. N.J. 08030
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT, ILL. 60501
A 193642
CONSIGNEE, ADDRESS AND DESTINATION
Wellco Chemicals7738 W 61st PIChicago 111
SHIPPER. ADDRESS AND ORIGIN
. National Starch & Chemical Corp
DATE SHIPPED
4/6/78-
OUST ORDER NO.
W FpnQUANTITY DESCRIPTION WEIGHT RATE AMOUNT
11 Empty Totebins 55003?-
DATE DELIVERED
nut DELIVERED
SHOW COMPLETE COMPANY NAME AND SIGNATURE • INITIALS NOT ACCEPTED
CUSTOMER COPY
INVOICE
ItascoP.O. Box 11504Chicago, Illinois 60611(312) 45&-e?00
_.. -NO. __-5324
DATEYOURORDER NO. K. Kajci8
2.977
SOLD TO • Rational Starch Corporation3641 Sooth Mashtenaw AvenueChicago, Illinois
SHIPPED TO
SAKE
OUR ORDER NO. SALESMAN
1740-1749 Glenn WellnanQUANTITY
ORDEREDQUANTITY
SHIFFED
5
TERMS F.O.B. DATE SHIPPED SHIPPED VIA
Ket 30 days Ar^orlll. 7A/T Customer PAlSTOCK NUMBER/DESCRIPTION
300 Gallon aluminum tote tanks4990 Ibs. excess waste material reaovwifrom Tank #616-628 e
& Sales Tax
TOTAL
Tank Ktoabers 616-623-669-625-276
UNIT PRICE
$45 00/<
.02J
UNIT
e.
;At
AMOUNT
$225
*¥&$349$17
$367
00
7^75*9
Q
|Cr3->Linf | FOBH «-4I2 4-PARTS
TRIPLICATEWILSON JONES COMPANY • © 1061 • PRINTID IN U.S.A.
»74
ORDER DATE_
SHIP TO:
I T A S C 0
CUSTOMER ORDER
June 14, 1977 ITASCO ORDER 1740 >
NATIONAL STARCH CORP.3641 South Washtenaw Ave.Chicago, Illinois
BILL TO:
ATTN- Nick Nakis SHIPPER Customer LA3-6332
P.O.- 4^** Date Shipped Invoice Date*7--/ Invoice #
TOTAL NO.
TANK NOS:
TANKS 3 SIZE 30° Gal« TYPE Aluminum
616 628 669 <£ 2 " 2. 7 C
QUANTITY
'*&£•" '*••" '*-?F-V
*<2 . -u*«,
ORDER DESCRIPTION
300 Gallon aluminum tote tanks cleaned,brightened and tested.
^ £-3*f 't.l'C'i'SJ t«sAST*l rr»*r-9*.'+-\*O fft --_- 'j-Jt-0/4?J& £-/£.-/!. ~f> **
r J~<t
UNIT PRICE
T~. cz>
~*
• r a•**
«.< 7" k.
TOTAL PRICE
•2_2->r. oo
/ 7. i-.-)*r
2^9 -7^r/7 • 9
7^7.2-^
SPECIAL JOB INSTRUCTIONS
I T A S C O
CUSTOMER O3DER
ORDER DATE June 2P, 1977 ITASCO ORDErt # 1749
SHIP TO: BILL TO:
National Starch fc Chor'.ical Company3f41 Fo. r7ashtenav.T AvenueChicaao, Illinois
ATTN: Mr. Nick fjakis SHIPPED Customer I,7i-3-6332
P.O. DATE SKIPPED
TOTAL NO. TANKS SIZE
TANK NOS:
INVOICE DATE INVOICED
TYPE
QUANTITY! O3DER DESCRIPTION TJNT.T- R -JTCE 'TOTAL
Mu™. tote tan1:?.., cl^-ansr1, hri-hte^ed
SPECIAL OFFICE INST.^UCTIONS
6/7
$
« *"-
TANK RECEIVING REPORT
DATE RECEIVED COMPANY ^//^f,
EIVED 7 TYPE TANKS
^-7l/>U////-
(MFR.)
^/xM'^vrV,--/"^ '}'£?'
ty-t/ SHIPPER ^5x
SIZE ~€ .^ ^ ;'' < 7 co:
FRT. ui..—
CONSTRUCTION
PAINT AND COMPONENTPARTS RECEIVED WITH TANKS TANKS RECEIVED BY
!
T A V I VA N IV.
NUMBERS
£ ' £
^ -i" «/^^/5
^7
TYPECOVER
»H•
O•a
— -,
-_
^>
*
etottVf'
MISSING TANK COMPONENT PARTS
CO
VE
RS
VP'
r?>'/•"
CO
?:Mofi
X*y/:'V .'-•
W)
5o03
Vi^i//J
BO
TTO
MV
ALV
E
ve/J'-y<;
VA
LVE
HA
ND
LE
Vii^! /
/ " -'"'
?!'
cu qsi< &> o
wnoV. i/ U'
fe^w <> u
/f>vejo
Q
g§W 0> 0
/*MA
CO
VER
CH
AIN
S
/I/,;/^//^
OTHER
INSIDE TANK CONDITION
t~006
Alt
#*A/£>
EXCESSIVE MATERIAL
T Y P E
M//4^/rUAZlf__^
NO.GALS.
$J£
te'4/>/,>!'
OUTSIDE TANK CONDITION
EsX^x^yA/^
CR
AC
KS
?i
/v, t
•/\
OTHERDESCRIBE
REMARKS:
OFI-.
TTASCOTANK RECEIVING REPORT
DATE RECEIVED ,'.- -
NO. TANKS RECEIVED
'COMPANY SHIPPER
TYPE TANKS (HFR.) SIZE
FRT. CHARGES'^ PPD. ( ) COLL.^CONSTRUCTION *$ /, / ]
PAINT AND COMPONENTPARTS RECEIVED WITH TANKS TANKS RECEIVED BY
T A M VPi. N IS.
NUMBERS
,-<• /// / (^
', ; ?••'
TYPECOVER•
E-•0•
Q
-
-
•
ein:/(•v1.1 •/ '
MISSING TANK COMPONENT PARTSC
OV
ERS
\f- ;i" <•'•
V'j 'f '•
RIN
GS
/A-V i!
5o09
th,1.
BOTT
OM
VA
LVE
; ,
y/.iV
ALV
EH
AN
DLE
/
VA
LVE
GU
ARD
. r
, .'
g*gJ^^ '. i'\. -v'r:'i
Q
^^U3 C3£>0
:-/-./«
\
COV
ERC
HA
INS
/'.-'
/•;^
>.
OTHER
INSIDE TANK CONDITION
E-»od
'>-
r
EXCESSIVE MATERIAL
T Y P E
...
NO.GALS.
3
/)
OUTSIDE TANK CONDITION
to
S
.<?.!}.•!
CR
AC
KS
• y/1
OTHERDESCRIBE
•
i
«*•REMARKS: ' . , ,f r . .
I T A S C 0
( ) R U S H ! ! ( ) MUST COMPLETE BY
DATE June 14. 1977 COMPANY _ KA7IOKAL STARCH
PRODUCTION WORK ORDER
RETURN SHIPPER Custoracr _ CONTACT Nick Nakis ' ' PHONE '^3
TOTAL NO. TANKS_3 _ SIZE 300 Gal. _ CONSTRUCTION Alum. _ MFR.
TANK NUMBERS: .616 626 669 ______ ___ ______
CLEANING, TESTING AND FINISHING DEPARTMENT
1. All tanks to be snotlcssly cleaned inside oncl out ant to be brightened,
excess v;,-,£ Lc r.uit-cricU
( ) TANKS TESTED. OK. ( ) LEAKERS FOUND: TANKS NO.
SPECIAL INSTRUCTIONS:
iVtS : VS£
REPAIR DEPARTMFNT7
TANK NOS. DESCRIPTION OF REPAIRS NO. HRS_. DATE
10/6
I T A S C 0
(" ) R U S H ! ! ( ) MUST COMPLETE BY ^ ~- -- (--)~ROUTINE
DATE Jun» 2 P j . 1Q77 COMPANY National Starch & Chemical Co.
PRODUCTION WORK ORDER
RETURN SHIPPER_ CONTACT Nick Nakis' PHONE LA-3-6332
TOTAL NO. TANKS__? SIZE 3QOnal. CONSTRUCTION Alum. MFR. tote
TANK NUMBERS: •*
CLEANING, TESTING AND FINISHING DEPARTMENT
(1) ALT, TAT;rr TO BT FPOTLF.SSLY CLrwTrn IN n IDE AND OUT(2) ALL TATJKS TO 3 r 3 riGHTEKED - 7iL'JV!I?TUH
(J) TANKS TESTED. OK. ( ) LEAKERS FOUND: TANKS N0.
SPECIAL INSTRUCTIONS;
REPAIR DEPARTMENT
TANK NOS. DESCRIPTION OF R E P A I R S N O . HRS. DATE
10/6
STRAIGHT BILL OF LADING—SHORT FORM—ORIGINAL—NOT NEGOTIABLED. subject to the ct»»»ifir l«on» end tariff* in effect on th* d«te of i*»u« of this Original Bill of Lading,
. . .
BY TRUCK D FREIGHtO
iKr property drtmlit-d U-low, in apparent pood order, fxri-pi as noicd (tontfmp urn! rondiuoti i>f romrms of jiaolmgi-F unknown), marked, consiynt-d, and deaiinod as indicated below, which ftaiH currier (the *'ord carrier bein^understood ihroujrhnut this contract us meaning any JMTBOH <ir corporal inn in possession of the (jruri<>riy undw ihc runtrarP MJTWS i» carry it, its tumal {>)«<-*• of delivery ai Mid destination, if on its route, otherwise lo deliverlo anothpr carrier un (he rouii- to said drsiinulion. H is mutually agreed, as lo each earner of all or ;iiiy of said projieriy over all o: uny porlion.of s:iid route in destination, and ftR to each party at any litnf interested in all orany of said |>roj»-T-i>, ihyt rvrry sen ire to \>r performed hrrr-unrier shall lw euhject u» all tin- terms and conditions of thr Uniform Dompptio StrmifhrUill of Ladmt; wlMirth (l}.in_ Official, S.iufhrm. Westprn and Jllinois Freipht(;iassifiKati«H5 in etli-n on the dati herfof, if this i* n rail nr ;i ratl-unlf-r shil'nt^nt, or (U) in the H[r)>lira)>le motor rarrjer rlttssifirution or tariff if ihip is a motnr ramer shipmenl. -
Shipiw hersby cvrtlfiei th*t h» tt f«mlli*r with all th* t*rms fend condition* of the Mid fall! of Udine, Including those on the back thereof, ««t forth In the ci«tsiric«tion or t»rtf1 which governs th» tr«n»»ortat)on otthU »h(prnent, and the **M t«rm« «nd conditions are hereby *«r««d to by the *htpp»r *nd accepted for him»*H vndlits ••ftttn*.
From
At
I T A S C O
Argo, Illinois 60501(Mail or street address of consignee - For purposes of notification only.)
DATE
June 28.—^ ..CARRIER
1977
t
SHIPPER'S NO
1749CARRIER'S NO.
CONSIGNEEAND
DESTINATION
National Starch & Chemical Company3641 So. Washtenaw AvenueChicago, Illinois ROUTE
L Attn: Mr. Nick Nakis
DELIVERING CARRIER
P/Tl
_JNO.
PACKAGES
2/300
t~~-
PI°ECES 2/300
DESCRIPTION OF ARTICLES SPECIALMARKS AND EXCEPTIONS
Gallon Alum, tote tanks (empty)
t
"S./SX^ ?--?<-» -£2-^
•WEIGHT(SUBJECT TO CORR.I
550
CLASSOR RATE
CHECKCOLUMN
SutiKxi U) SiVlron ~! dl conditiono) applu'abU' hill vi bdnic >1 ihi«,iJiipnietn j> i. bi Ji-livrj^d ui ilucnniifiiec without rccovmc on ifivcniisijinnt. the consictKir shall signIhc (*ol|(iwiiii> siatcmcni.
T>tc earner shall not make deliveryul this slupmcni wnlinui pavmenl D}"fieiplii and all oihcf lawful chatpc-.Per
(Sipiiturr of Connpnoi.J
If charges we lu be prepaid,wiilf or stamp here, "To be Pre-paid."
COLLECTReceived Sto apply in prepayment of itucharges on the property describedhercon.
Agent or Casruer.
Per(The signature here acknowledponlj the amounis prepaid.)
of (he Consolidated Freight Classification.
I T A S C OP. O. Box 381 • Argo, Illinois 60501
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELUMAWR, N.J. 08'
TUIC MEMORANDUM '«•" acknowledgnwnt that > Bill of Uding hn been jawed and is not the Original Bill of Lading,THIS MtmunMni/um t ^ w dupi ;,ei covering the property named herein, and Is Intended aoMy for filing or reco
RECEIVED. aub|»ct to tt» claumcalKm amlorifli in a««ct on the daM of racalpt by tha eamw of tha property da*crit>afl in Uw Original BID ol lading.
, norr record BY TRUCK D FREIGHTLJ
KMBBOr tttraby earHflaft that he to familiar wfth all the term* and condition* of the «ald bill or lading. InchidhlK thI •Mpment. end the »ald terrnand condition* are haraby atraad to by the ahlpper and accepted lot hlm««H aodTil*
tho*e on th« back thereof, »t forth in the claMHIcatlon or larlff which cove'rrw the transportation of
From IT AS CO
At Argo, fflinol* 60501(Mail or street address of consignee - For purposes of notification only.)
DATE
June 28,__, CARRIER
I BY
1977t
SHIPPER'S NO
1749CARRIER'S NO.
C"EENational Starch 5 Chemical Company3641 So. -fashtenaw AvenueChicago, Illinois
(_Attn: Mr. Nick Nakis
DELIVERING CARRIER
P/T1CAR OR VEHICLEINITIALS & NO.
NOPACKAGES
2/300
PIECES 2/300
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
lallon Alum. tote tanks (eirrpty)
- ^ ,<• -'-'-" ., j / ... /r. > _-""
'WEIGHT(SUBJECT TO CORR. I
550
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes used for this thipmenl conform to the specification* set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Clatctflcatton.
1 This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for trnaccording to the applicable regulations of the Department of Transportation." If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper'? weight."t Shipper's imprints in lieu of ttamp; not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically staled by the shippnr tn hn nnt t>vr.*et\\nq
THIS SHIPMENT IS CORRECTLY DESCRIBED-
CORRECT WEIGHT IS " . LBS.
,-s^j Shipnsr
Per .-' , st'''"*
SuhK'iM it> SiTiiini ~i ul lOitdiuoiiof applicable bill «.'! lading, if ihnshipnKni i> in be delivered io tin.consifni'i.1 wittii.,u( rccmirsc on Itufojisipimr. tlic consignor shall si ithe folluwinp itatemci.i.
Tlic carticr sliallnm make dclivci>ot thi^ stupnicnt without payment ofrejphi and 3!) ollici lawlnl clurpi-sPel
(Sjgniiuir ef C'Dosi nof )
If charges a/c to be prepaid,write or stamp her«. "To be Pre-paid . "
COLLECTRtceived SID apply in prepayment of Ihccharges on the piopetty describedh«reon.
Agent or C»hier.
Per(The signature here acknowledgeonly the amounlSjjrepaid.)
*
C.0.0. SHIPMENT
C. O. D. Amt.
Collection Fee
Total Charaes
1TASCOP. O. Box 381 * Argo, Hlfnois 6-G50:
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR N.J 080
"STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE BY
my of *ai<i proprrtj . (hat every wrvicv lo bo iK-r/crm-'d hpreundiT shall )w aub}crl it, all the trrms and rondiimn* uf 1}Ctusifwat ions in cflWi ori f h** "date- hrrenf, if I his is " ra'' i'i" ;t rail-* uirr shipnu-iil , or '.-} in 1 hi1 applicable mnior cari
Shlppar hareby certifies that he Is 1«ml1l»r with all the term* and conditions of the »ald bill of lading. Includlnthis thlpmcnt. mnet tfi« *aid terms and condition* *r* h*r*by agreed to toy th* chipper and Accepted tpr himself and
From IT AS COAt Argo, Illinois 60501
(Mail or street address of consignee - For purposes of notification only.)
wnrd tamer U-in
r I'niform Dnmcslir SirWTH Hill uf Lading w^Jiifth ijj in (Wicm!. Southern. \Vvstprn and Tllmoif Fn-iRhlpr classificulion or larifl if ihif; is a motor earner shiprnohi. * *— — — -
C those on tn« oack thereof, set forth In the clat fllftcation or tariff which governs the transportation ptn)S as»icns.
~1
DATE
June 19 Ti
CARRIER f
SHIPPER'S NO
L740CARRIER'S NO.
CONSIGNEENATIONAL STARCH CORP.3641 South Uashtenaw AvenueChicago, Illinois
L
DELIVERING CARRIER
CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
3
TOTALPIECES
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
300 Gallon '.aiumimm tote tanks$'f*4S/J£rt:Q£ ' -ST frf<L/-^
Attn: Nick Nakis
Tank nos: 616, 628, 669
•WEIGHT(SUBJECT TO CORR.)
~7g^&
CLASSOR RATE
CHECKCOLUMN
t The fibr« box«c tried for rhii chipmvnf conform to the specification* set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
1 This is to certify that the above-named articles are properly classified, described packaged, marked, and labeled, and are in proper condition for transportation,according to the applicable regulations of the Department of Transportation.* If the ahipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."t Shipper's imprints in lieu of stamp; not o part of BiM of Lading approved by the Interstate Commerce Commission.NOTE— Where the rate is dependent on value, shippers arc required to state specifically in writing the apreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shioger to be no^Mcfeding
THIS SHIPMENT IS CORRECTLY DESCRIBED. / \ ^
CORRECT WEIGHT IS .X. / /> , >C '' Shipper
LBS. X S> , S/ ^
Subject iu Sec nun 1 o) condition?,of applicable bill uf lading, it (his
consigner without recourse on theconsipnoi, the consipnur shall iipn
The carrier shall not make deliveryof ihis shipment without payment o
Per
If charges are to be prepaid,write or stamp here, "To be Pre-paid."
COLLECT
Received 5to apply in prepayment of thecharges on the property describeehereon.
Ageni or Cashier.
Per
only the amounts prepaid.)
s
C.Q.O. SHIPMENT
C. O.D. Amt.
Collection Fee
Total Charoes
I T A S C OP. O. Box 381 Argo, Illinois 60501
Shipper, Per Agent, Per
Permanent post office address of shipperFORM I20C REGENT FORMS. BELLMAWR, N.J. 08030
THI^ MEJVJOnAIMDUM IS an acknowledgment mat a bin ot i_aauig has oten isjutu ana i^ no: UK uri;jm,ii om u> uaun<u. HU.a copy or duplicate, covering the property named heren., and is intended solely for filing or record
Sh*pp«r hereby certifies that he Isthis shipment, and the sain terms anu Co
, .-l.-ra-<l 1 i-u|.T«li.-.r. I,.- .•.«!.;.-.- 1 ..'II'.. i.Tm.a-,ii|.,.|jfiM. ,.!.«..' ill. 1 l,:lnrn. Dim
• '
Fro ITASCO
;. . Argo, Illinois 60S01(Mail or street address of consignee — For purposes of notification only. I
r~ i
b.c hertal.stt art i.-i th»
DATE
JuneCARRIER
BY TRUCK LJ FREIGHlLj
— - _ ' ' ! - . wcim*si1tc*tton or tarlt w Jth guv m& thr t.an&portation ol
(SHIPPER'S NO.
1
19 7)7 17401 CARRIER'S NO
CONSIGNEEAND
DESTINATION
NATIONAL STARCH CORP.3641 South Uashtenaw AvenueChicago, Illinois ROUTE DELIVERING CARRIER
L CAR OR VEHICLEINITIALS BL NO.
NO.PACKAGES
3
TOTALPIECES
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
300 Gallon aUnrotn tote tanks-*'
Attn; Hick HAkis
Tank nos: 616, 628, 669
'WEIGHT(SUBJECT TO CORR.I
.. .-.'"
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes used for this shipment conform to the specifications set forth in the box maker's certificate thereon, and all other requirement* of Rule 41,of the Consolidated Freight Classification.
1 This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccord inp to t he applicable regulations of the Department of Transportation.' If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."f Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE— Where the rate is dependent on value, shippers are required to state specifically in writing the apreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to ftp n°t p*rpp/iinfl
TMSSH/PMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
„--
,' ./ ShipperPer . ' - -
SllllKLl ll.Si.Vlli.il • ill CUHlilllOl^
i>: jpplicjhk- bill ••>! ludinv it' Hu*iliipinrii1 ;•• h> hi di'liwrvJ u> llutnni.pnco witluiut rccmir^ mi UKfoiisipiiix. IJiL ftHi.sjtiior iljjH SJL'<llu tullrtwiiiu1 Matcnicr.l.
Ttic fjrficf iJtal) rjol make dch\ef>of tins slupnicnl wuhoul pavim-nl oIrcidil amt all otficr law ltd' cturfe:I'i-l
(Sipjiaiurf of (.'oiiiipnoi |
If chaifes aic lo be piepatd,write or stamp here, "To be Pre-paid."
Cf)7.T.rrfReceived S10 apply in prepayment of tlttcharges on the property desciibeihereon.
Agent or Cashier
Per
only the amounts prepaid.)
S
C.O.D. SHIPMENT
C. 0. D. Amt.
Collection Fee
Total Charoes _
ITASCOP. p. Box 381 « Argo, Illinois 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS, BELLMAWR. N.J. OB030
CD
1TASCOF.O. BOX 11504CHICAGO, IL 60611(312) 4^8-8700
INVOICE
NO. 5342
DATE July 2g, 1977YOURORDER NO. 05-28040
SOLPVJO- NATIONAL STARCH & CHEMICAL CO,. • : • • • • . ' " ' 364l S. Washtenaw Avenue
'.-«: • Chicago, IL 60632
Attn: Nikle
SHIPPED TO SAKE
OUR ORDER NO.
1759QUANTITY
O8DECED
-
SALESMAN
G. We Una nQUANTITY
SHIPPED
9
TERMS
Net 30 daysF.O.B.
Arfco, ILDATE SHIPPED
S-l-77STOCK NUMBER/DESCRIPTION
350 Gallon Aluminum Tote1 Tankscleaned, tested, and repaired.Replace Missing Leg on Tank -O076Disposal of 4849 Ibs. excess wastematerial removed from tanks
5$ Sales Ta;
TOTAL
Tank #»• 97^8, 0076, 6291, 8379,7002, 634, 1221, 0772, 617.
SHIPPED VIA
P. A. Johnson TruclUNIT PRICE
55
58
.00,
,00
UNIT
-A
AMOUNT
495,
58.
J. 121.
67^.33.
£707 «
00
00
23
2371
t}4
FORM 44-412
TRIPLICATEWILSON JONES COMPANY • I »«!• FBINTED IN U.S.A..
S74
'STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL—NOT NEGOTIABLERECEIVED, uibjvct to the cl*uifir«ttont and tariff* in effect on the date of ieiue of thit Original Bill of Lading,
DESIGNATE WITH AN IX)
BY TRUCK D FREIGHTD
'he- pniptT'y di-srrihcd ln-ldv., in appitrtTl pood ordfr, exrt'pt a* nou-d (contents iind rendition uf conteniF nf packages unknown,', marked, <"i»n*iKJii'il, and d<'sUru-d as indicali-d liflu*-, v-'hirh Raid carrifr ilhc- v.ord carrier bt-intund--TslOD(J tnroughout ihis contract at rufumnp any pcrsnn or rnrptir:if um in pnssc-sinn <>! l t ^ • t.rupcrly undt-r thr coniradi a^rf^v to c,irry to it* usu;jl plarr n! d(-livcr.v ai said dtetinalion, if on its n>uit; oJhpr»i.v 10 drlivrr
• to another c-arncr on the route to S:iid destination, ll is mulually ayn-cd, as to <-m-h carritr of all or any uf »aid proprru in.-: nil nr iiny portion u( said route in dcsiinati'in. and tm re, each party n\ any timi- init-rcstfd in all orKIIV of said propt-ny. that rvery snrvirc to in- prrfornicd hrn-undn shall !>»• sul.jcrl to atf ihi- terms and condidons of the 1 niforni JJonieBiir Stfair/Ki Bill of Lading sffffifth'iT> fn (Jrhriar; KwrtiWrr-.-HesCTi, «nd JJIinr/is Frt-ifhiriaffiinrations in effert on the date hereof, if this IB a rail or a rail-wnter nhijinienl, or (2j in Ihr applicable mnior rnrricr clasaihcaliun or tarift if thic is a motor carrier shipment.
Shipper hereby c«rttfi*s that h« U familiar with alt the terms and conditions of the Bald bill of lading. Including those onthis •hlpment. and th* ca(d t*rms and conditions »r» hereby aireed to by the thipper and accepted tor himself andltl« astign
From IT AS COAt Argo, Illinois 60501
(Mail or street address of consignee - For purposes of notification only.)
NATIONAL STARCH & CHEMICAL CO.CONASrEE 36^1 S. Washtenaw Av.
DES™AT,ON Chicago, Illinois
DATE
July
.CARRIERBY
ROUTE
1977t
SHIPPER'S NO.
1759CARRIER'S NO.
, J3&j£*«~7ir*y'.DELIVERING CARRIER
'J>.
Customer P-UL Attn: Nick Nakis CAR OR VEHICLE
INITIALS & NO.
NO.PACKAGES
^/300 Gall
TOTAL X"PIECES {£
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
)n Aluminum Tote TAnks
#'s 8379, 7002, 634, 1221, 0772
•WEIGHT(SUBJECT TO COR R I
- 6 /7
i(L &\t>m.\
CLASSOR RATE
i SI
CHECKCOLUMN
' ' ' /t The fibre boxes used for this shipment conform lo fhe specifications tet forth in the box maker's certificate there n, o d ay other requirements of Rule 41,
of the Consolidated Freight Classification. ' jT This is to certify that the above-named articles are properly classified, described, packaged, marked, and Ube)e( . and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.• If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall stnte w hethfr it is "carrier's or shipper's weiplil "t Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE— Where the rate is dependent on value, shippers are required to state specifically in writing the apreed or dec arerf value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to he not exceeding^
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBSSnipper
Per
SubKd u» Section 1 ot condition*of applicable bill i» lading, it thisshipment is lo be delivered 10 tluconsignee without recourse on ihtconsignor, tlic consignor shall signIhf following statement
The carritr shall not make deliver)of this shipment without payment offreight and all other lawful chargesPer
(Sipnituie of Conupnoi )
If charges are to be prepaid,write 01 stamp here, "To be Pre-paid."
Customer PIReceived Sto apply in prepayment of thecharges on the property describeeher con.
Agent OT Cashier.
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C O D. Arm.
Collection Fee
Total Charges
I T A S C OP. O. Box 381 • Argo, Illinois 60501
Shipper, Per_ Agent, Per
Permanent post office address of shipperFORM IZOO REGENT FORMS. BELLMAWR, N.J. 08030
STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLERECEIVED, »utaj«ct to the clftMHirations end Urifft in «f1«ct on th« dat« of i**u« of this Ori0ina> Bill of Lading,
DESIGNAlt Wiin MI* \*t
BY TRUCK D FREIGHTD
„... _, -Aid property, that «-very nervict Lo be perf<_ _ — -- .... . - _ - - -_ ._- . . _. „Classification* in rffcol on th*> dgte hereof, if this is a rsiil or a rail-wiitiT shipmriit. or (2) rn fh*- npplicahlf motor carritr cljwsificalion or Isrinif 0>Ja is a motor carflcr i
Shipper hereby c«rtifla« that h« M famHUr wtth all th» t*rmi and condition* of tha »ald bill of ladlne, Includtnc thos* on the back thereof, »*t forth In the cle»»lftcatlon or tariff which ejovernc the tran«portatlon ofthis shipment, and the said term* and conditions are hereby agreed to by the shipper and accepted for hlmseli amOils aiftlft-ns.
DATE
From IT AS COArgn, Illinois 60501 July 1977
(Mail or street address of consignee — For purposes of notification only.) CARRIER T
SHIPPER'S NO.
1759CARRIER'S NO.
CONSIGNEEAND
DESTINATION
L
National Starch & Chemical Co.3641 S. Washtenaw AvenueChicago, Illinois
Attn: Nick Nakis
ROUTE DELIVERING CARRIER
Customer P-UCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
i 300 Gall
.5
TOTAL .... -.PIECES «TliJ~
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
Dn Aluminum Tote Tanks Cleaned,
Tested and Repaired.
.-. c •'?V
•WEIGHT(SUBJECT TO CORFU
1*
t j/Q Ji \ fi/t
CLASSOR RATE
—
CHECKCOLUMN
T The fibre boxes vcari for 4hi« shipment conform to the specifications set forth in the box maker's certificate thereon, anyoUPCTheL^quiifeAicnts ci( inli yiof the Con«olido»Mf*ieiBhl'Classincalion. / '' j/f A? "^ /
' This is to certify that the above-named articles araccording to the applicable regulations of the Departmer" If the shipment moves between two ports by a carrier 1
NOTE — Where the rate is dependent on value, shipperThe agreed or declared value of the nronerty is here
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
1 properly classified, described, paekayed, marked, and labeled , ai'd are i^rfroper condition for tr^t of Transportation. / /y water, thy law requires that the biH of Jadmp shall state w helher it is "caper's or shipper'? weipht."of Lading approved by the Interstate Commerce Commiition. I/3 art- required to state specificallv in writini: the agreed or declared value of the nropercy.by specffically stated by me shipper to be not exceeding
nsportutiui..
ShipperPer
Subfcct 10 iccijpi) 7 u) taitdniomor applicable bill of laduij:. it tinsshipment is 10 be delivered n» lln.consipnrc wilJioui recnuisc on UKctmsicnur, the consignor shall sipi(he fulfowmp staicmcni.
Tlii? carrier shall not make deliveryof ihib shipmeni without payment offreight and all oiher la*l»l cliarpesPer
(Sipuiure of Coniifnoi )
If charges are to be prepaid,write or sump heic, "To be Pre-paid."
Received Sto apply in prepayment or thecharges on the property describeehereon.
Agent or Cashier
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Amt.
r.nllnrrinn Fee
Total CharOGS
I T A S C OP. O. Box 381 Argo, Illinois 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS, BELLMAWR. N J. 08030
THK MFMOR ANDUM» tn acknowledgment that a Bill of Lading has been iuued and is not the Origintl Bill of Lading, nor DESIGNATE WITH AN (X)i nio mcm\snnivL/unri ^ ^ duplicate, covering the property named herein, and Is intended solely for filinfl or record BY TRUCK D FREIGHTEDRECEIVED, subject to the classifications and tariff* in eMect on th* date of receipt by the carrier of the property described in the Original Bill of Lading.
» Ihr property described below, in apparent good order, except an noted (content* and condition of contents ol packages unknown), marked, consigned, and destined •* mdickwd-bclow, wtiMtcwMd-carrier (the word carrier Ix-mi:understood throuchout thin contrari nt> meaning any person or corporation in possession of thr properly under the contractj agree* to carry to it* usual place of delivery »( said destination, if on its route, otherwise to deliverto another carrier on the route lo si* id destination. It is mutually apretd, us to each currier ol till or any of said property ovt-r nil or any portion of ttnid rout*- to destination, and as to each party at any lime interested in all orany ol said property, that every servici- lo U- perform«-d her*-undcr shall be subject in all the lerma and conditions of thr Uniform Domestic Straight. Bill of Lading set forth fl) in Official. Southern, Western and Illinoia,FreithtClasaifratinna in prTwl nn thr datf hereof, if ihir IP a rail or u rail-wuter shipment, or Cl) in the upplicablr mntor carrier classification or tarifT if this is a motor carrier shipment.
this thipment, and the said termt and conditions are hereby agreed to fay the shipper and accepted tor himself andlilt asilcns.
From 1TASCO
A, Argo, Illinois 60501(Mail or street address of consignee - For purposes of notification only.l
•*• National ^tzrcYi £• Chemical Co.CONSIGNEE ~. •- i, ~ ,-, , * ,
AND ".t?^! S, v-vaEhtenaw j. venaeDESTINATION ~ . - . - ,
CnicGCO* j-J-iinois
|_ K 1 1 n : Iv l c i -. i^4 k is 1
DATE
July iS77"CARRIER 1
SHIPPER'S NO.
1755CARRIER'S NO.
BY
BOUTE DELIVERING CARRIER
CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
g^300 Gall(
2"
TOTALPIECES
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
>n A.lur,rinur:. Tote Tanks Cleans 6,
Tor tec sno hepslrec.
t
-
•WEIGHT(SUBJECT TO CORR.I
r. /• -- 1
CLASSOR RATE
— •
CHECKCOLUMN
t Th« fibre boxes v»»d for thit shipment conform to the specifications set forth in the* box maker's certificate thereon, anr all other requirements^pJJcvl ff lrof the Consolidated Freight Classification. ' '' /S'" '
~ This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccordinp to the applicable refrulations of the Department of Transportation." If the shipment moves between two ports by a carrier by water, the law requirefi'that the bill of lading shall state whether it is "carrier's or shipper's weight. "t Shipper's imprints in lieu oF stomp; nor a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writinp the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shippor m hp nnt eirenrlinn
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
-Shipper
Per
iuhfiM 10 Six-min 7 <>l (.-tMKjfiiuM*or applicable bill ot lading, if 1|mshipment is lo be delivered u» iluconsijince wtthnul rvcnuisc- on 1 uconsicnoi . llic cunsijinor shy II M Ichc followmr suienicr.i.
Tttc tmnrr itul! nm make dclivfiv
(rci^tn and all otliL-i |jw|ul ch:iti>e^PCI
(Sicnaiurf of Consipnor t
If charges arc to be prepaid,write or stamp here, "To be Pre-paid."
Received 5.lo apply in prepayment of thecharges on the properly describethereon.
Agent or Cashier.
Per
only the amounts prepaid.)
s,
C.O.D. SHIPMENT
C. 0. D. Amt.
ColterJinn Fee
Total Charoes _
I T A S C Op. O. Box 381 * Argc, Illinois StJ£01
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR, N.J. 08030
.1GHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE BY TR"y DE D subject to th* cU«H»c»t.<m« «nd tariff* m *ff*ci on th« d»t* of i*»ua of thit Original Bill of Lading, . U i . , _rrrtv dfsrribt-d tit-low, in apii-an-m c/»od ordrr, except as noted (contents and rtmdiiinn of contents of pafkuKOs ui.J;n'iU-n), marked, consigned, and destined SF indicated below, which eaM rurru-r llhr word carrier bcintmd'throughout this rohlran a? mi-.inin|; any person or corporation in posanaifm of the proj/prty under (h i - contract agrees m carrv to its usual place of delivery at Mid d«*linmian, if on iu rouit, othprwjtw to deliver
nrr rmripr on ihf r-oule to Said dfslinuiinii. h i- niu.ually acrn'd. as lo f»ach carrier of all »>r any of uaid proper ry ovrr till or uny portion of said rnutc to destination. tmd as to «-ach party tn any time interested in alt or*-nd property i hat ever-v s*rvicr u> U- perlorm(-d hen-undcr shall In1 subject Ki ill the lerniK and conditions of thf V r n f n r m Domestic Siraipht Hi!) of Lffdinn »<•( fo r th fl) in OrTiciaU Southern, WCSHTH and Illinois Freight.r'anonn irt effen nn the dflU- hereof, if this )f a rail or n r^i(-»-ytpr sh ipment , or (it hi t r u - applirahlf- motnr carrier clux^ification or l a r i fT if thi« is a motor carrier shipment.^. _^htnnttr h»r.tbv e*rtttl«« that hr Is f»miil»r with atf the f *rms and conditions of the tcld bill of ladine, Including thoic on th* back th*r*ol. **i forttUn the claHlficatlon or tariff which cov«uuth* tr*n»portatton ofhipmtnt, and KtT>rtd Utm* and conditiont Br> h.r«oy *gr««d to byth* »hipp»r and accepted lor hTmMif andlil« Miignt. ^ .*^ -
rom I TASCO
Argo, Illinois 60501(Mail or street address of consignee - For purposes of notification only.)
r n
DATE
September
CARRIERBV
1977
t
SHIPPER'S NO.
1795CARRIER'S NO.
CONSIGNEEAND
DESTINATION
NATIONAL STARCH & CHEMICALS3641 S. Washtenaw Av.Chicago, IL
L_ Attn: Nick Nakis
DELIVERING CARRIER
P. A. Johnson TruckingCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
3
TOTALpiECEsj/300 Gs
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
300 Gallon Aluminum Tote Tanks
J./ '\ . J> ^Jf
/• — - ^-
_.'• "'' •-''- '
s — , •• - .
lion Tanks
•WEIGHT(SUBJECT TO COflR.)
f
1
V
CLASSOR RATE
\1 \
[ )CL/C »
CHECKCOLUMN
/
v«y
W"/ ^ f
t The fibre boxes used for this shipment conform to the specifications set forth in the box maker's certificate thereon, and att other requirements of Rule \k _^'of Ihe Consolidated Freight Classification. ^^—-^
t This is to certify that the above-named articles araccording to the applicable regulations o£ the Departmeri* If the shipment moves between two ports by a carrier tt Shipper's imprints in lieu of stomp; not e port of BillNOTE— Where the rate is dependent on value, shippersThe agreed or declared value of the prooerty is here
THIS SHIPMENT IS CORS6CTLY DESCH18ED.
COSRECT WEIGHT IS LBS
» property classified, described, packaged, marked, and labeled, and are in proper condition for transportation,t of Transportation,y water, the la^v requires that the bill of ladinfr shall state whether it is "carrier's or shipper's weight."of Lading approved by the Interstate Commerce Commission.
are required to state specifically in writing the atrreed or declared value of the property,by specifically stated by the ahigoer to be not exceeding. . . . .
ShipperPer
Subieci to Section 7 ol LondiMnrttif appttcahtc bt!l of Udinp. if thi
consignee without recourse on iltccontipnot. ihe consignor thai! sign
The carrier shall not makr deliveryof this shipment without pavmfru o
{SfpiHtife of Conugnor 1
If charges are to be prepaidwrite or stamp here, "To be Pre-ptid."
COLLECT
Received Sto apply in prepayment of thecharges on the property describeehereon.
Agent of Cashier.
' (Th« signature here acknowledgesonly tht amounts prepaid.)
S _
C.O.D. SHIPMENT
C. O. D. Amt
Collection Fee
Total Charges
I T A S C O
P. O. Box 381 • Argo, Illinois 60501Shipper, Per. . Agent, Per
Permanent post office address of shipper
11FORM 1200 REXSENT FORMS. BELLMAWR. N.J. OB03
gy TRUCK LJ
• ut acknowledgment that a Bill of Lading hM been luued and !• not the Original BUI of Lading, nor^ ^y ^ dup|iette> coving ttw property named herein, and I* intended wMy for filing or record
D *ubMCt to th* cte**Ific»tion* end tariff* *n *H«ct «n ilw (tat* of r*c«qti by **»• c*nw of th* property d*ccrib*d in th« Original BW of Lading.rtv dMcribed below in Apparent Rood order, except ac nol*d (content* and condition of contents of parkaiies unknown), marked, consigned, *nd destined an indicated below, which uid carrier {the word carrier being
od throughout this contract as meaning any person or corporation in poMeaaion of the property under the contract! agrees to carry to iu usual place of delivery at aaid da* ti nation, if on it* route, otherwise to deliveror <p*rri*r on the route to said destination It is mutually agreed, as to each carrier o( at) or any of avid projwty over all or any portion of »id route to destination, and as to each party at any time interested in all orid ornMitv that every •ervice to be performed hereundrr shall he subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading »et forth (1) in Official, Southern, Western and Illinois Freight
•aUoiu i in effect on the aate hereof, if this ia a rail or a rail-wi*ier ghipmrnt, or (2) in the applicable motor carrier clarification nr tariff if th« it a motor carrifr shipment.r wtth *H th* t*rm» mtut condition* of th* *«ld WH *f ladlnc. Incht4hic trio** on th* b*ch th«r«ftf T a«t forth In tha> cl»Mlflc*tion or tariff which covoma tfi« traA«porUti«n ofSSEtiS*** •*""* «• *» »**» »***PW »"" »cc»pt»d for STrnMtfaSoTi
om ITA3CO
t ATOA BUnote 60501(Mail or street address of consignee - For purposes of notification only.)
r
DATE
SeptemberCARRIER
I BY
1977
t
SHIPPER'S NO.
1795CARRIER'S NO.
ONS.GNEE RATIONAL STARCH & CHEMICALSAND
fSTiNATioN 3641 S. Wftshtenav? Av.Chicago, 1L
- -•' '''*-•' * ^
ROUTE DELIVERING CARRIER
P. A. Johnson Trucking1 . . . I C A R O R VEHICLEL— Attn: Nick Kakis — ' INITIALS & NO.
NO.PACKAGES
3
>
PIECES 3/300 Gf.
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
300 Gallon Aliunintftn Tote Tanks
/^ , - „-•- /£*-V^w> <&
y ~~9 *~* t*^?
a>* —^
s'\ 1^2 ts,O J
lion Tanks
•WEIGHT(SUBJECT TO CORR.I
CLASSOR RATE
I
V
CHECKCOLUMN
;
/
t The fibre boxes used for this shipment conform to the specification* set forth in the box maker's certificate thereon, and oil other requirement* of Rule 41/of the Consolidated Freight Classification.
t This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and fire in proper condition for trflaccording to the applicable regulations of the Department of Transportation.• If the shipment moves between two ports by a carrier by water, the law requires that the bill of luding shall state whether it is "carrier's or shipper's weipht."t Shipper's imprinti in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE— Where the rate is dependent on value, shippers are required to stats specifically in writing the apreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT ISShipper
LBS Per
Subject HI Section 7 ol condiiionsol applicable bill of lading, if this
cons.pnec without rcc»>ursr OH \\\tconsignor, tlie consignor shall iijin
The earner shall nni make dctivptyof Iriii shtpmcni wdhoui paynicni of
(Sipi»1Uff of Consif>noi.>
If charges arc to be prepaid,write 01 stamp here, "To be Pre-paid."
COLLECT
Received S10 apply in prepayment of thchirges on the property describe*htreon.
Ageni or Cashier
Per
only thr amounts prepaid.)
s
C.O.D. SHIPMENT
C. O. D. Amt.
Collection Fee
Total Charaes
1TASCOP. O. Bex 381 • Argo, fllinoJs 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS, BELLMAWR, N.J. OB03C
PHONE'594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT, ILL. 6050117421
CONSIGNEE, ADDRESS AND DESTINATION SHIPPER. ADDRESS AND ORIGIN
DATE SHIPPED CUSTOBOCRNO. SMIPftH'S NO.
QUANTITY DESCRIPTION WEIGHT RATE AMOUNT
tyn-nq
1305
f~>OfcTE DELIVERED
TIME DELIVERED
J*» DESCRIBEDflO"L . _ _ _, „
!iJ^^ lfOrJ>>&~
GOOD'CO^O'TION EXCEPT AS NOTED'
SHOW COMPLETE COMPANY NAME AND SIGNATURE INITIALS NOT ACCEPTED
CUSTOMER'S COPY
PHONE
594-6330767-O513
P. A. JOHNSON & CO. *TRUCKINGr-*"', •
7701 WEST 59th ST. P.OtBOX 152 ' SUMMIT, ILL. 60501Vi
CONSIGNEE, ADDRESS AND DESTlNATjOJP1
SHIPPER. ADDRESS AND ORIGIN
V,ellco °he7738 * 61Summit, II
KBtional
OATC SHIPPED CUST OROCR NO SHIPTER'S NO
- QUANTITY DESCRIPTION
DATE DELIVERED
TIME DELIVERED
Kty ?otes to be cleaned £ Returned
SHOW COMPLETE COMPANY NAME AND SIGNATURE - INITIALS NOT ACCEPTED
CUSTOMER COPY
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT, ILL. 60501A 176432
CONSIGNEE. ADDRESS AND DESTINATION
WELLCC CHFMICAL7738 V.'. 61st STsur.:r.:iT(iLi.
SHIPPER, ADDRESS AND ORIGIN
NATIONAL STARCH
CUST ORDER NO. SHIPPERS NO.
BOISE CASCADE.ADDISON PPDDESCRIPTION WEIGHT RATE AMOUNT —
4 Mllf TOTES1 FtT^L TOTE
DATE o£ LIVE RED
TIME DELIVERED
RECEIVED THE ABOVE DESCRIBED PROPERTY IN GOOD CONDITION EXCEPT AS NOTED.
SHOW COMPLETE COMPANY NAME AND SIGNATURE • INITIALS NOT ACCEPTED
CUSTOMER COPY
PHONE594-6330767-0513
P. A. JOHNSON &TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT. ILL. 60501A 177024
CONSIGNEE, ADDRESS AND DESTINATION
Wellco ChenicalSummit 111
SHIPPER. ADDRESS AND ORIGIN
National Starch
DATE SHIPPED
7/27/7? *CUST .ORDER NO. SHIPPER'S NO.
PFD
QUANTITY DESCRIPTION WEIGHT RATE AMOUNT —
Empty totebin to be cleaned & returned
DATE DELIVERED
TIME DELIVERED 7^,
/
/ /
L
RECEIVED J>*^BOVE DESCRIBEDVpreflrv IN GtJ&D CONDlTfON EXCEPT AS NOTED
SHOW COMPLETE COMPANY NAME AND SIGNATURE • INITIALS NOT ACCEPTED
CUSTOMER COPY
NATIONAL STARCH & CHEMICAL CORP.3641 S. WASHTENAW AVE.
CHICAGO. ILL. 60632
LAFAYETTE 3-6333
TO.
PLEASE DELIVER TO THE BEARER THE FOLLOWING ITEMS:
AMT. ITEM LOT NUMBER
RUSH RUSH
AUTHORIZED BY.
DATE
COMPANY
NO. TANKS
TANK NOS . :
_.T T A S C OPRODUCTION WORK ORDER
IVE. r M »r\ r i
( ) RUSH ( ) MOST COMPLETE HI AC,T ORDER
CITY/STATE
GAL. CAP. TYPE
?f,-?
CONST. A i. . -= r-, -r- HFR.
RETURN SHIPPERr
REMARKSt
. CONTACT PHONE
JCLEANING & TESTING AND FINISHING DEPARTMENT
/ . ;3 t.;-inl:r. tr b-i cpotlcscly {.leaned i^£-i
All .-Iisr/ini::?- t.^nl:c to be tcic brirjlitcrioo
i.\l t-anl'.e to be thoroujiitiy tested.
.'MI v.\ir>'.;c trtcrir.l to be discr.roei.
,;nc out .
DEPARTMENT
1. Repair 2" P.-ZSH on top c-'I Lank -.'-'£337
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES fc FITTINGS REPLACED( «,) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
DATE TANK * D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTALHOURS
REP.BY
(
ITASCOP.O. BOX U504CHICAGO, ILLINOIS<312) 458-8700
60611
INVOICE NO 5376
DflTE September 13, 1977YOURORDER NO.
OURORDER NO.
per
SOLD TO . BATIORAL STARCH 6 CHEMICALS3641 S. Wasbtenaw Av.
• Attn: Kick lJaki«
SHIP TOSAKE
F.O.B.
Arco- IL
TERMS
Ket 30 daeDATE SHIPPED
9-13-77SHIPPED VIA
P. A. Johnson Co.SALESMAN
Glenn Wellman
ORDERED SHIPPED DESCRIPTION PRICE PER AMOUNT
3/300 Gallon Aluinimas Tote Tanks; cleaned, brightened,tested and repaired.
Repaired 2" gash on Tank £8367Repaired leak at bottom • Held Sean £6338Removed excess waste naterial from Tank £'s8367 and 6338. Disposal of 1,780 pounds §
S£ Bales Tax
TOTAL
Tank £«s 1856, 6338, 8367
45.00
75.0045.00
.025
eo. 135.00
75.0045.00
44.50299.50K.98
$314.48
TOPS NO. 3714
LITHO-USA
TRIPLICATE
I T A S C O
CUSTOMER ORDER
ORDER DAIE September 8, 1977
SHIP TO:
U.T10NAL ST4RCII & CHEMICALS3641 S. Waehtcnaw Av.-Chicago, IL
ITASCO ORDER # 1795
BILL TO:
SAME
ATTN: Kick liakie SHIPPER p . / . Johnson Tn-.ckinp Co. (594-633P)
P.0« er H.K. DATE SHIPPED °\ - i 3 - IJWOIC& INVOICED
TOTAL NO. TANKS ?
TANK NOS:
300 TYPE
(o
QUANTITY IJNT-t- Rz-?TCF -TOTAL PtflGE
SPECIAL OFFICE IN§T'?UCTIONS
6/7
I T A S C O
CUSTOMER O.?DE3
ORDER DATE *? 7 ITASCO ORDER #
SHIP TO: BILL TO:
ATTN; SHIPPED
P.O.
TOTAL NO. TAMKS
TANK NOS:
DATE SHIPPED^
SIZE
INVOICE DATE INVOICED
TYPE
QUANTITY OSDER DESCRIPTION UNT-t- KL^ICE 'TOTAL PrflGE
SPECIAL OFFICE IhSTRUCTIGNS
6/7
I T A S C 0
PRODUCTION WORK ORDER
DATE REC'D. PX?.? RUSH ( ) MUST COMPLETE BY^# ^T. fl . /**. ORDER
CITY/ STATE
NO. TANKS ^ GAL. CAP. TYPE CONST./K —— MFR.
TANK NOS. '.
RETURN SHIPPER --gEJBJgKSa *. CONTACT / PHONE
REMARKS
CLEANING , TESTING AND FINISHING DEPARTMENT
All tanks to be spotlessly cleaned inside and out.All aluminum tanks to be acid brightened.
( ) All rust to be removed from inside tanks.£•<£ All tanks to be thoroughly tested.( ) All excess _ material to be saved and labeled.fr<E All waste material to be discarded.( ) _ type fittings to be replaced.( ) All tanks to be: ( ) primed ( ) not primed and painted
Paint to be supplied by ( ) Wellco ( ) customer( ) OTHER
REPAIR DEPARTMENT
D.O.T. retest plates to be installed - tank #D.O.T. top vent guards to be installed - tank #_D.O.T. bottom valve guards to be installed - tankCover chains to be installed on - tank #Tanks to be renumbered from toDents to be repaired on - tank #Bottom valve guards to be repaired - tank #_Bottom legs to be repaired on - tank #Weld leaks to be repaired on - tank #
OTHER REPAIRS AND MODIFICATIONS
7/77
T T A S C OTANK RECEIVING REPORT
DATE RECEIVED V ' ~f / COMPANY A
NO. TANKS RECEIVED' TYPE TANKS (HFR.)
_SHIPPER_
SIZE
FRT. CHARGES (' ) PPD. < ) COLL.
CONSTRUCTION \ ' • . . > i
PAINT AND COMPONENTPARTS RECEIVED WITH TANKS TANKS RECEIVED BY '
A N K;
NUMBERS;
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OFFICE COPY
CLEANING Utn.
PRODUCTION WORK DRIER
DATE ( ) RUSH ( ) MUST COMPLETE BY -.- _ ORDER f ,-,(ir""T'WTT"™" " .ww»—
COMPANY • CITY/STATE 01. , ______ „
NO. TANKS _ GAL. CAP. TIPE _ CONST., ..._,_.._ MFR. ,.„..„^ " "• ~ "" " "^JtTty™^^ "^™ " "• • •• •• ^^ -i « ^ I
TANKNOS.t
RETURN SHIPPER - i ._ -• 1L- p°NTACT _ PHONE
REMARKS;
JCLEANING & TESTING AND FINISHING DEPARTMENT
1. i . l l trtnhe to be ei>otlosc!y cleaned inGidaoinc out.
2. Ml altaainvo tanUc to be acid brigliteiiac!.
3. ,.11 tanlce to be thoroujiitly tested.
(». /',n waste oatcricl to be discarded.
IREPAIR DEPARTMENT
I. Repair 2" gash on top of tank -PC367.
FINAL INSPECTION REPORT
( ;) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES t FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BY
I T A S C 0
CUSTOMER O3DE3
ORDER DATE ITASCO ORDER # 1759
SHIP TO:..- 1 ion:- 1
BILL TO:tar eh f:: c :iS-- ;>:. en,:e
ATTN: SHIPPED
P.O.Oc-2:-0^0 DATE SHIPPED INVOICE DAT INVOICE
TOTAL NO. TANKS y SIZE
TANK NOS:
TYPE
QUANTITY OSDER DESCRIPTION AL P.4IG-E
SPECIAL OFFICE INSTRUCTIONS
6/7
T T A S C OPRODUCTION WORK ORDER
DATE 7—15-77 ( ) RUSH (XJCMUST COMPLETE BY ASAP ORDER # 1759
COMPANY National Starch & •Chemical Co. CITY/STATE Chicago, Illinois
NO. TANKS_^J^_ GAL. CAP.' 300 TYPE Tote CONST. Alum. MFR.
TANK NOS.: Q748 0076 62Q1 g3 79 7 PC l~ C 3 ^- j
RETURN SHIPFER Customer CONTACT Nick Nakis PHONE I IA3-6332
REMARKS:
CLEANING & TESTING AND FINISHING DEPARTMENT1. All tanks to be spotlessly cleaned inside and out.2. All aluminum tanks to be acid brightened.3. All tanks to be thoroughly tested.4. All waste material to be discarded.
REPAIR DEPARTMENT
OTHER REPAIRS AND MODIFICATIONS
1. Replace broken leg on tank #0076.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( \ ALL COVERS, VALVES fc FITTINGS REPLACED(/) ALL REPAIR WORK COMPLETED
DATE COMPLETED' *-• - CHECKED BI
I.T A S C 0
TANK REPAIR REPORT
DATETANKNO. CO. DESCRIPTION OF REPAIR WORK
NO.HOURS BY
IS
\J.OATE RECEIVED '/'
i TASCOTANK RECEIVING REPORT
' /COMPANY SHIPPER
. TANKS RECEIVED TYPE TANKS (MFR.) SIZE O
FRT. CHARGES ( ) PPD. ( ) COLL.
CONSTRUCTION
AND COMPONSNTARTS RECEIVED WITH TANKS TANKS RECEIVED BY A I i .(
A N K.
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O F F I C E C O P Y
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TANK RECEIVING REPORT
DATE RECEIVED COMPANY A1",'} 7 ' . VX</( ' /.// SHIPPER
NO. TANKS RECEIVED TYPE TANKS (HFR.) x' S IZE
FRT. CHARGES ( °) PPD. ( ) COLL.
CONSTRUCTION
PAINT AND COMPONENTPARTS RECEIVED WITH TANKS
-.-/TANKS RECEIVED BY
T A M IfL A N K
NUMBERS
:.??9£'SJ2.g
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OFFICE COPY
TTASCOPRODUCTION WORK ORDER
DATE ' „ . - • - • ( ) RUSH ( ) MUST COMPLETE BY ;«.\n ORDER § 17«=Q
COMPANY - - - ^ I - - . - - " • - . - - * , . . • - -r CITY/STATE
NO. TANKS ^H
TANK NOS.:
(r n*^ GAL. CAP. w- TYPE M .-
<P379
CONST. . . - ! - . MFR.
?COlr <* J ^- X .2-/ O 772_
RETURN SHIPPER CONTACT . • • PHONE_
REMARKS:
CLEANING ft TESTING AND FINISHING DEPARTMENT
REPAIR DEPARTMENT
FINAL INSPECTION REPORT
INSIDE CLEANING OK ( OUTSIDE CLEANING OKTANK TEST OK D.O.T. RETEST DATE -
ALL COVERS, VALVES & FITTINGS REPLACEDALL REPAIR WORK COMPLETED _ / /-r - /.
DATE COMPLETED r / / '' CHECKED "BL.X' '''
ITASCOP.O. Box 11504Chicago. Illinois(312) 458-8700
INVOICE
60611
NO.
- DATE -
-YOURORDER NO.
OURORDER NO.
5415
NoveBber~3. 1977
Mick Nakus/ Verbal
1826 - 1830 - 1834
SOLD TO SHIP TONATIONAL STARCH CORPORATION3641 So. Vashtenav Ave.Chicago, Illinois
SAME
F.O.B.
Argo, Illinois
ORDERED SHIPPED
14/350
TERMS DATE SHIPPED SHIPPED VIA
Net 30 days 11/3/77 Customer pick-up
DESCRIPTION
Gallon aluminum tote tanks. Cleaned, tested andrepaired.Repaired valve guard on tank #656.Disposal of 980 pounds of excess waste material© ,025/lb.
5% Sales TaxTOTAL
^ANK'tf's 267 -263-271 »276-632633-270-645*275-2616?3-656-271»269 WE HEREBY CERTIFY TH
PRODUCED IN COMPLIANC1REQUIREMENTS OF SECTKFAIR LABOR STANDARDSOF REGULATIONS AND OSTATES DEPARTMENT OFSECTION 14 THEREOF.
SALESMAN
Glenn Well
PRICE
$45.00
35.0024.50
AT THESE GO: WITH ALL A)NS 6, 7 AND^VCT, AS AMERDERS OF Ti
LABOR ISSU
man
PER
ea.
ODS VppLia12 OF4DED,JE UNED U>
AMOUNT
$630.00
35.0024.50
689.5034.46
p-725.96
fERE^.BLETHEAND[TEDDER
TOPS NO. 3714LITHO-USA
I T A S C 0
CUSTOMER ORDER
z3
ORDER DATE_
SHIP TO:
NATIONAL STARCH CORPORATION3641 So. Washtenaw Ave.Chicago, Illinoie
ITASCO ORDER #
BILL TO:
SAME
NJ.H-, Mai-Li CUSTOMEH
P.O. SHIPPED
TOTAL NO. TANKS R SIZE
TANK NOS:
TYPE
INVOICE EA INVOICE #
QUANTITY
p fton.—
ORDER DESCRIPTION TOTAL PRICE
Gallon aluminum tote tanks. Cleaned,tested and repaired.
~*< <£
7 ~
SPECIAL OFFICE INSTRUCTIONS
6/7
ItASUUTANK RECEIVING REPORT
ATE RECEIVED A- * -'''..' COMPANY JS/. ' .£',';* A'<'* SJ ' TANKS INSPECTED BY
OTAL TANKS RECEIVED TYPE: SQUARE ( ) ROUND - SIZE CONSTRUCTION />
AINT AND COMPONENT PARTS_ECEIVED WITH TANKS:
REMARKS:
TANK
UMBERS
, • i . •-•/ ••-?
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OFFICE COPY
1 1 A OUUTANK RECEIVING REPORT
>ATE RECEIVED COMPANY TANKS INSPECTED BY
TOTAL TANKS RECEIVED TYPE: (') SQUARE ( ) ROUND - SIZE CONSTRUCTION
'AINT AND COMPONENT PARTS_JECEIVED WITH TANKS:
REMARKS:
TANK
1 UMBERS
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IEMARKS:
O F F I C E C O P Y
II ATANK RECEIVING REPORT
>ATE RECEIVED y^AXjt-^ COMPANY . ' l • ' . / ' . • . ' • / ' . > • ' '
I'OTAL TANKS RECEIVED . ' TYPE: ( ') SQUARE ( ) ROUND - SIZE ' ' •
'AINT AND COMPONENT PARTS < ' REMARKS : ^ ' ' • ""
TANKS INSPECTED BY - v-- ' • ''
. CONSTRUCTION ~'! /'.' .' ' .'
•'• ' ' ' -' v - : • • ' / •••• '•' ''• 4 '•• '.DECEIVED WITH TANKS:
TANK
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'lEMARKS:
O F F I C E C O P Y
TTASCO CLEANINGPRODUCTION WORK ORDER
DATE 10/10/77 ( ) RUSH ( ) MUST COMPLETE BY * c t * ORDER ^
™,T, , CITT/STATE „..,._.
NO. TANKS ? GAL. CAP. ypp TYPE TCTE CONST..Tir.imr- MFR.
TANK NOS.: 9 0 r>i
RETURN SHIPPER r»ctr*i»i- CONTACT M,-»I- MBH. PHONE IM
REMARKS:
CLEANING t TESTING AND FINISHING DEPARTMENT
1- A31 tanks to be spotlessly cleaned inside and out,2- All aluminum tanks to be acid brightened.5- All tanks to be thoroughly tested.
REPAIR DEPARTMENT
OTHER REPAIRS AMD MODIFICATIONS
Straighten valve guard on tank t.': C5£.
FINAL INSPECTION REPORT
( ') INSIDE CLEANING OK ( ;) OUTSIDE CLEANING OK(0 FINAL TANK TEST OK D.O.T. RETEST DATE(:) ALL COVERS, VALVES & FITTINGS REPLACED( -) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
T T A S C O C L E A N I N G DEI-T.
PRODUCTION WORK ORDER
DATE ( ) RUSH ( ) MUST COMPLETE BI . . . " _ ' _ ' ORDER #J j/ .. ; / /
COMPANY ... ..... rc-TDL.-.IICIl - CITY/STATE11 - i l l ..... *..,i,i. »- .4. VUI* *«.««••
NO. TANKS .. GAL. CAP. ....... TYPE _____ _ CONST.. . . MFR.' -• '' TCTE . .
TANKNOS.:"-i-'i .TTT3 «./ i ^. / u/ uj^: C33 ^/u bt>5
RETURN SHIPPER CONTACT PHONE_
REMARKS:
JCLEANING fc TESTING AND FINISHING DEPARTMENT
1- A?l ttnl:s tc bf: -spotJesK iy cJuanec inside and out.2- All dLurnimsn tcnl:s tc be .rcic brightened.~— All t;:i;ks tc be tlirov^M., tested.6- All waste materiel to be discarded.
IREPAIR DEPARTMENT
HO REPAIRS
FINAL INSPECTION REPORT
CLEANING OK ( ^'OUTSIDE CLEANING OK( V FINAL TANK TEST OK D.O.T. RETEST DATE( y&L COVERS, VALVES t FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE r.OTPT.ETED '' ' ' CHEniTETi BT
TTASCOPRODUCTION WORK ORDER
Lfc. AniNUi 1/t.ri*
DATE . ( ) RUSH ( ) MUST COMPLETE BT _ "' ORDER "f^WTW/' '™' """TP rS IITT?^^™^^"™^ "™ "1" ^
COMPANY wrrr*?f- *-r;.n"v rni>t>r^A?Tr>y CITY/STATE rh-tr^r T-.-H .„,.-,,
NO. TANKS T GAL. CAP. _ nFEjpn; _ CONST.^,.^^^ MFR.
TANK NOS.: nr, __ ^r __ ,.„, ______ ____
RETURN SHIPPER CONTACT PHONE_^^uT^^^rTTr^^^^^^^^^^^^^^^^^^^^^ *» i.t- *• i*cii» A.L.
REMARKS:
JCLEANING & TESTING AND FINISHING DEPARTMENT
&<- &11 tanks tc be spotlessly cleaned i.itidt ana cut.2- All dluaiuuu} tiir.Us to ut; i.2i<ic ori h-.eutC.5- All tanks tc be thoroupLiy tcstt-u.4- All waste u£ttrial to Dt r.i£c.
IREPAIR DEPARTMENT
NO
FINAL INSPECTION REPORT
(') INSIDE CLEANING OK ( "OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED///- A? CHECKED
SHIPPER'S NUMBER
»_.,.,_. "' *" **knot,l»6gm»Ht lfiel a V °( Lading hoi be*" tuu*d and ii net the Original BUI »' Lading.THIS MEMORANDUM W a copy or duplicate, covering the property no meet Kerem. and n intended toldy for Ming or record
RECEIVED. iub|*cl to the c la tu< Kalian, and lorittt in •ll.xt an 1h« dele of the receipt by lh« carrHir e»l th« properly den:r,bed in ihi Original Bill of Lod.noAGENT s NUMBERFROM NATIONAL STARCH AND CHEMICAL CORPORATION
c«>"»' l*^» vaid tot'*' bti*n« Jndaniovd'thieiufhBtfi ihn «Dntr«<i 01 menjum^ onr pai ji. tw urameim •» eotwnuon 01 ttw proper*... J*4 r il« con"o<ti •gr*«, tc iorrT to in VHM! ftott eJd*l<w> 01 u>ct drit-notwn r< on r)t ioi*)r. olhc'vttt to d*4»*r w o»cth*< tan»- «w rtw rvv** fe toid 4e«ii«ci<an N « (tHifvolh/ «g'wd at fo •«»> corrrcr o" OH e> an. •< Mid Mpeny evv eJ•> en* port-on of taxi rout* '» dviimoiion. and 01 la rtKr, party ert •rrr tim* «tt*wt<>cl m *H e« e»r •' Mid P'«JWTr rhoi n*ry Mrv>(* to b* p»Ho'"**d hmeirfidp s>all b* >><b**ci t» •• •*•
a, o >o>> vote thipnteni. or 111 in ih* appkobr* «aiO' tctrr.tr (laiuAcetiefl er tariff r) I rut » a *naiO' lorrie* tK-p**nrit
At. .19 . . Company
The paper bags used for this shipmentconform to specification for paper bags,prescribed in the applicable "classification".
The fiber containers used far this shipmentconform to the specifications set forth in con-tainer maker's certificate thereon, and all otherrequirements of the applicable "classification".
We certify the weight thown hereon is inaccordance with our agreement with thegoverning Weighingand Inspection Bureau.
CONSIGNED TO
DESTINATION
ROUTE r
CAR OR VEHICLE INITIALS
NO.
S/M
H charges are to be prepaid, writeor stamp here, "To be Prepaid."
DESCRIPTION OF AtTIClK, SPKIAL MARKS, AND EXCEPTIONS
DR
CTN
OR
CTN
CTN
BAG
CTN
DR
CTN
BAG
DR
DR
f7
f8
f lO
f!2
f!6
f!7
fl8
f!9
f21
f23
f38
(41
Adhesive! N.O.I., in bulk
Adhesive! N.O.I., in bulk - FLAMMABLE LIQUID
Liquid Synthetic Plastics, Resin Solution - FLAMMABLE LIQUID
Adhesive N.O.I., in glcm in bo»ei - FLAMMABLE UQUIDin inn*, eonlo.lwrl. 0/1 tolloplibl* lubwl
Adhesive N.O.I., o. gla.l.nto...
Dextrin, declared value not exceeding SOc per Ib.
Adhesive N.O.I., in collapsible tubes, in boxes
Liquid Dextrinin collopublc tvb«t
Adhesives N.O.I., ..bo... FLAMMABLE LIQUID
Synthetic Plastic (other than Liquids) N.O.I.
Compounds, adhesive or resin thinning. FLAMMABLE UQUID N.O.S.
Lacquer in O/T lubes - FLAMMABLE LIQUID, N.O.S.
Adhesives N.O.I. , ° , ,1,,.., ,n bo... - FLAMMABLE LIQUID
Starch N.O.I.
Water Clarifying or Purifying Compound p«rfum,jNO.<
Liquid Synthetic Plastics N.O.I.
Compounds, Adhesive or Resin Thinning
Chemicals, N.O.I.- declared value not exceeding 50e per Ib.
NOTE-WHERE THE KATE IS DEPENDENT ONVALUE, SHIPPERS ARE REQUIRED TO STATESPECIFICALLY IN WRITING THE AGREED ORDECLARED VALUE OF THE PROPERTY.
THE AGREED OR DECLARED VALUE OF THEPROPERTY IS HEREBY SPECIFICALLY STATEDBY THE SHIPPER TO BE NOT EXCEEDING
SOc PER IB
SUBJECT TO SECTION 7 OF CONDITIONS OFAPPLICABLE BILL OF LADING, IF THIS SHIP-MENT IS TO BE DELIVERED TO THE CONSIGNEEWITHOUT RECOURSE ON THE CONSIGNOR,THE CONSIGNOR SHALL SIGN THE FOLLOWINGSTATEMENT.
THE CARRIER SHALL NOT MAKE DELIVERYOF THIS SHIPMENT WITHOUT PAYMENT OFFREIGHT AND ALL OTHER LAWFUL THARGES
NATIONAL STARCH AND CHEMICALCORPORATION
(SIGNATURE OF CONSIGNOR)
RECD $THE CHARGES ON THE PROPERTY DESCRIBED HEREON.
-TO APPLY IN PREPAYMENT OF
AGENT OR CASHIER
CHARGESADVANCED $
Per •(The ugnaturv here acknowledge!only The amount prepaid.)
This is to certify that Ih* above named articles ate properly classified, described, packaged, marked and labeled, andxapplicabU regulations of the Department of Transportation.
NATIONAL STARCH AND CHEMICAL CORPORATION shipper, per
in proper condition for transportation, according to the
Permanent pott-office address of shipper.-.Agent, Per •
BY TRUCKG FREIGHTUSTRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL—NOT NEGOTIABLERECEIVED, «ub)*ct to th« cl*Milm«lio«i» *nd tariff* in effect on the data of i»ue of this Original Bill of Lading,
itu- property described below, in apparent Kuod order, except as, noted iconic-fits and condition of contents of packets unknown), marked, cunBiicntd, and destined as indicated below, which Bart earner (the word carrier bein^understood throughout this contract as meaning any person or corporation in possession of Iht- property under the contract} agrees to carry lo ite usual place of delivery at said destination, if on its rouu.-. otherwise to deliverlo another carrier on thu route lo said destination, li is mutually agreed, as to each carrier of all or any of said property over all or uny portion of said route to destination, and as to each party at any lime interested in all oranytjf said properly, that every service to [*• performed hereunder shall lit- Bulijcrl in all the terms and conditions of the Uniform Domralic Straight Bill of Lading sel forth (11 in Official, Southern, Western and Illinois FreightOaasifi cat ions in efleci on the daiv hereof, if this is ^ mil nr ;i niil-wuier shipment, m (lit in the applicable motor earner classification nr tsrifl if this ts a motor carrier shipment.
:k thereof* »«t forth In the claftftlficarjon or Uriff which vov«rm lh« traniport ation ofthis
fthlppvi h«r«bv cartlflac that he Is familiar wtth all tha terms and condition* of the Mid bill of ladlnc. Including tho»« on the bacl•hlpment, and the >Md termt and condition* are hereby amreed to by the chipper and accepted for hTimftelt and nl* ••tlcnc.
From I T A S C OArgo, Illinois 60501
(Mail or street address of consignee — For purposes of notification only.)
r n
DATE •
October
CARRIERBY
19T7
t
SHIPPER'S NO.
1826CARRIER'S NO.
AND NATIONAL STARCH CORPORATIONDESTINATION v ^ y i n it t^_ •3641 So. Waehtenaw Ave.
Chicago, Illinois
— Attn: Niek Noki •NO.
PACKAGES
3/300
.j — •
TOTAL
PIECES ^ Tanlr.
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
Gallon aluminum t«te tanks*
zz* ^ *""U=» *~~* ..* r~ '- ^ <£• ^
t The fibre boxes used for this thipmenl conform lo the tpecifications sel forth in the box maker's certificateof the Consolidated Freight Classification.
ROUTE DELIVERING CARRIER
CustomerCAR OR VEHICLE
INITIALS & NO.
'WEIGHT(SUBJECT TO CORR.)
CLASSOR RATE
CHECKCOLUMN
thereon, and all other requirements of Rule 41,
* This is to certify that the above-named articles are properly classified, described, packag-ed, marked, and abeJed, and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.' If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."t Shipper's imprints in lieu of stomp; not o port of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where tht rate is dependent on value, shippers are required to state specifically in writing the spread or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper tn hp nnt pvr.ppriinq
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LSS
isportation.
Per -^\^f /T^5 y r
uf applicable bill ot lading, it thisshipment is in be delivered tu tluconsignee wnliuut recourse on iruconsipnui. ttir consignor shall signtlie folio*! nu sljicnicnl.
Tlic curntr shall not make deliveryof this shipineni vuihoul payment of;ejphi and all olticr Jawlu] chjjpcsPer
1 Si pin u rr of Consipnor I
\f charges are lo be prepaid,write or stamp here, "To be Pre-paid."
CO7/LECT
Received Sto apply in piepaymenl of (hecharges on the property describeehere on.
Agent or Cashier.
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Amt.
Collection FRP
Total Charaes
I T A S C OP. O. Box 381 Argo, Illinois 60501
Shipper, Per.\—
,gent. Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR, N.J. OB030
STRAIGHT BILL OF LADING—SHORT FORM—ORIGINAL—NOT NEGOTIABLEBY TRUCK D FREIGHTU
.RECEIVED, tubjact to the claulfirationi and tariffs in affect on the data of i»u* of this Original Bill of Lading,the property described below, in apparent good order, vxcvpl a.s noted (contents and condition of con if n la of parkageB unknown;, marked, consigned, and destined as indicated below, which saiH carrier (the word carrier bcincunderstood throughout thin contract *f meaning any person or corporation in possession of the properly under the- contract) BKrees to carry to its usual place of delivery ai said destination, if on iu route., otherwise to deliverto another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any of said property over all or any portion of said route to dustinalion, and us to each party al any lime interested in all orany dT said properly, that every service to U- performed heroundrr shall bo subject to nil the terms and conditions of the Uniform Domestic Straight Hill of Lading set forth (11 in Official, Southern, Western and Illinois FreightClassifications in offeri on thr date hereof, it this is a mil or a rail-water shipment, or Cl\ in ih»- applicable motor carrier claasification or tariff if this is a motor c«rrier_shipment.
Shipper tiaraby cartrflac that ha Is familiar with all tha Um» and conditions of th* cald bill of l»dinc. Including tho*a on the back trwnof. ••! forth In the elaulficatlon or tariff which Bovartic the transportation ofthis •hlpmcnt. and tha said terms and conditions ara hereby »«r««tf to by th* shipper and accepted for himself andlils assigns.
From • T
At Ar
rCONSIGNEE
ANDDESTINATION
L
DATE
A S C O
go, Illinois 60501 October 1^7(Mail or street address of consignee — For purposes of notification only.) CARRIER T
I BY
SHIPPER'S NO
1830CARRIER1! Tiff.
NATIONAL STARCH CORPORATION3641 So. Washtenaw Ave.Chicago, Illineis ROUTE DELIVERING CARRIER
CustomerAl-t-n- N-ifk Nfllri B 1 CAR OR VEHICLEAttn. WICK NaKL8 _J INITIALS & Na
NO.PACKAGES
*~S 7 300
_j^-^y —
TOTALPIECES ^ TartL-o
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
Gallon aluminu m tote tanks.
^£<&£ — ^4/ _ £ " - • ? ~~>J ">' ~7^"~ *"6*!r^~~ &*£Z,-2^}<3 ~^ ^Ly"
'WEIGHT(SUBJECT TO CORP. I
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes used for this shipment conform to the specifications set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
t This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.* If the shipment moves between two ports by a carrier by water, the Jaw requires that the bill of lading shall state w nether it is "carrier's or shipper's weight. "t Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE— Where the rate is dependent on value, shippers are required to state specifically in writing the apreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated fay the shipper to hP not exr^fri'nq
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
/*Per /?/ J^^T'
Subici.1 lu Mellon / ul conditionsof applicable hill of lading, il thisshipment is id be dohvcicd l<> fht.consignee wuhuul recourse on Ituconsifnin. llie consignor shall sij.'nthe foHowmil statement
The carrier shall not make deliveryof this shipment without pavment olfreight and all other lawful chargesPer
(Sipiitme of Consignor)
If charges are to be prepaid,wine or stamp here, "To be Pre-paid."
CollectReceived Sto apply in prepayment of thecharges on the property describedheieon.
Agent or Cashier.
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Arm.
Collection Fee
Total Charges
I T A S C O
P. O. Box 381 Argo, Illinois 60501Shipper, Per. ^gent. Per
Permanent port office address of shipperFORM 1200 REGENT FORMS. BELLMAWR. N.J. 08030
TRUCK L J htttHjn i__iTHIS MEMORANDUM is an acknowledgment mat a umui UHIIUU !»»»»«„ IMH.SW. _..„. _
• copy or duplicate, covering the property named herein, and is intended solely for filing or recordRECEIVED, sub|dct ID the cU»»ific*tionB and tariffs in effect on the date of receipt by the carrier of tha property deacribad in th« Original Bill of Lading.
1 hi- jirujKTty diyscnl.cd Ix-lou, in apparent jjood urdir, cxcP)H as noted iconu-nls and condition of con ton is ut p sinkers unknown', nmrkfd, runsinnt-d, and dc-stmcd as indicated hcUiv., which suirt cari-wr urtr word i-arntr in-\nftrierslood ihrou£ixmi thi* ctmtraci as im-aninc «n\ jK-raon or corporation jn potseasion of the properly under ihc ronLracn acrws to curry to its usual pluci- of delivery at said destination, i! on IIP routt. oihcnviaf in deliveri unoihLT carrier or. ili<- ruutr to said destination. Ii is muiuiiUy iicrc^ti, ah in i-ai'h carrier of all or any of said property over all or any portion of said route L<> destination, and as In fitch party ai any it me mu-rt-sied in till orr>_" t}i said ffroiwny, !h;ii rverv servirr to Iji- ;irrforni<-d hcrcundcr shall lit- sultji'c-t m till ihi- terms and oonditiuns n( tho liniturm Domcsiio Straichi Bill of Lading sc-i forth (1) in OlficiHt, Souihi-rn, Western and Illinois KrriphilaWdln'alicin!; in t-fTrri on thc'd^tc hereof. i[ this i? ;i r;iil nr ;L rjil-w;Hc7 shipment, or f^> in thi applicablr motor rarricr claasifiraiioi) or tarifT if this is a motor earner shijimctn.
, Snipper haraby cartifiaft that he is femiliar with all the terms and conditions of the said bill of lading, Including those on the back thereol, set forth in the~cla'stification or tar[fr*rncrTioverns the transportation orthis shipment, and the said terms and conditions are hereby acreed to by the snipper and accepted for himself and nis assigns.
DATE -
From ITA8CO
At AlDO, ttttnolS 60S01 Octoi.rr ^(Mail or street address of consignee - For purposes of notification only.) C A R R 1 E R T
SHIPPER'S NO.
CARR^fc.
1 L BY
CONSIGNEEAND
DESTINATION
NATIONAL STARCi: C(XIPOGAT1CT<:3641 Sc. Waehtenaw Ave.Chicago, Illineis ROUTE IDELIVERING CARRIER
| Attn: Kiel; CAR OR VEHICLEINITIALS 8. NO.
NO.PACKAGES
S^£/3Qu
TOTALPIECES X Vftr,;.,.
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
Gallon aluraimj c. tote tanks.
.. - - , _ . - - , , , . , , • - , . '-•"" ^ / ,s.~ ^->f> -* S S f f t
:^-*£ - o^^-x-. S3 ~ £< ^^-
"WEIGHT(SUBJECT TO CORR.l
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes vsed for this shipment conform to the specificotions set forth in thu box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
f This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.' If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it i9 "carrier's or shipper's weight."t Shipper's imprints in lieu of stomp; not o part of Bit! of Lading approved by fhe Interstate Commerce Commission.NOTE — Where the r&te is dependent on value, shippers are required to state specifically in writing the agreed or declared va'.ue of the property.Thp agreed or declared value of the property is hereby specifically stated by the shipper to be not exceedinq
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS
f
Per &f , -*™*'
Subnvt (<• .SivfKin /nl tOFKhiKJinot applicable bill ul Udinu. tl tinsshipmt-iii is to bj Jclivcicd to ( ucuns.fnet.' without rec^uisi1 un tinconiignoi . (be consignor shall sijirthe foliowmp stjitnier.i.
The earner ihall noi make deliver)of ihis sliipmf jil wiilioui paynirnl ofrcijdii and all other lawful chargesPer
(Sipiilim of Conupnor.)
If charges aie to be prepaid,write or stamp here, "To be Pte-paJd."
Received Sto apply in prepayment of thecharges on the property describedhereon .
Agent 01 Cuhier.
Per
only the amounts prepaid.)
s
C.O.D. SHIPMENT
C. O. D. Ami
Collection Fee
Total Charges
ITASCOP. O. Box 381 • Argo. Iffinofe 60501
Shipper, Per./ 4
•. *\~'' Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR. N.J. 06030
THIS MEMORANDUM '**" Acknowledgment that a Bill or Lading nae aeon HUU»HJ «..u ,» ,,ui „„, v.,„..», u ,n*> iwii_i*iwnr-u.i^wi* t ^py OT dupheatep covering the property named herein, imJ i» Interrtwl wlety for filing orrtcord BY TRUCK LJ FREIGHT!—)
RECEIVED. Mibf«ct to th* clMwftcation* «Kf tariff• in *ff»ct on fh« dat« of r*c«tpt by the c*rrwr of ttm prop*rty dMcribmi in th»> Ongwwl KM erf L*d*>g.•the properly described below, in apparent good order, except ac noted (contents and condition of contents or packages unknown}, marked, coruigned. and destined a* indicated below, which Buid carrier (the word carrier beintundent pod throughout this contract ae meaning any person or corporation in ponenion of the property under the contract) agree* to carry to it* uaual pUce of delivery at said destination, if on its route, otherwiae to deliverlo another carrier on the route to Mid destination. It IB mutually an reed, as to each carrier of all or any of ««id property over all or any portion of aaid route to destination, and as to each party at any time interested in ail orany of said property, that every service to be performed hpreunder ehall be subject to all thi- terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Official, Southern. Western and Illinois FreightClasaincationB in effect on the dale hereof, if this is a rail or a rail-water shipment, or (2) in the applicable- motor carrier classification or tariff if this is a motor carrier shipment.
Chipper h*r«bv cwrllftes that h* *» familiar wtth •« ih* t«rms and conditions of Ch« said MN of todlnc. Inchidln* tho*» on th« back th*r»»f. *•» forth In tb« elaMlticatlon or tariff hfcVcownt th« trwwportatlon of*thrt shipment, and th* said Urms and condition* arc h«r«by acrs-ad to by th« shipper and accepted for hTmseH andhls asslcns.
DATE •
From IT AS CO.t Afffo, Illinois 80S01 OctoberAl • *
(Mail or street address of consignee - For purposes of notification only.) C A R R I E R
I I BY
1977
t
SHIPPER'S NO.
1830CARRIER'S NO.
CONSIGNEEAND
DESTINATION
L
NATIONAL STARCH COMPANY3641 So. Washtenaw Ave.Chicago. Illinois
Attn: Nick Nakie
DELIVERING CARRIER
CustomerCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
2 */300
^
„•
s —
TOTALPIECES p Tgnlrg
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
Gallon aluminum tote tanks.
.-
s- /-?- - ^ «- '•' - &> 7-3
P.O.*
•WEIGHT(SUBJECT TO CORK.)
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes uied for this shipment conform to the specifications set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
t This is to certify that the above-named articles araccording to the applicable regulations of the Departmen* If the shipment moves between two ports by a carrier tt Shipper's imprints in lieu of stamp; not a part of BillNOTE — Where the rate is dependent on value, shipperThe agreed or declared value of the property is here
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
properly classified, described, packaged, marked, and labeled, and are in proper condition for transportation.t of Transportation,y water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."of Lading approved by the Interstate Commerce Comminion.
are required to state specifically in writing: the apreed or declared value of the property.by specifically stated by the shipper to be not exceeding
/ --.
Per s~\/$ ' </
Sublet utSociiuii 7 ol conditionof applicjhl. bill «f lading, if ilu
consignee without rrc<iursr on iheconsignor, tttc cunsipnoi shjll ^1 .1
The carrier shall not make deliversof t)ii!i shipment without paynieni ofreight and all other lawful chargesPer
(Sipi»turr of Connpnoj.)
If charges are to be prepaidwrile or stamp here, "To be Pre-paid."
Received Sto apply in prepayment of thecharges on the property describeehereon.
Agent OT Cashier,
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Amt.
Collection Fee
Total Charnes
ITASCOP. O. Box 381 Argo, IHInols 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR, N J 08030
STRAIGHT BILL OF LADING— SHORT FORM— UKIOINAL— rwi •.RECEIVED, subject to the clanilicationt and tmritt* in affect on tha d»l« of iMue of thi» Original Bilt of Lading,ihi- pro|»iTt> described belli vt, in appun-in pond ordt-r. exccpi as noted (contfnis and condition o[ conn-nls of packages unknown), marked,understood "throughout thi.« contract us meaning any pi'rron or corporal1-- •- - - '
BY TRUUKLJ I-K11U HI LJ
io'another carrier on the route in said tleslinaTion. It is muiually ayn-t-d. as in »•any of naid properly, thai fvi-ry SITVKT 10 be piTtormcd hi-reundcr snail he suhj<Classifications in pfTcn un thi- date hr-re<>;. if I hi* is a r;iil »r ;i rail-walcr phij.nii
ii-d, and dpstiiiHil as indicated holuw, which Raid carrier i the word currier beingin of thr firojH-riy und*r ih«- romra«i.> agrees l'>- carry ir> iu> usual jflaco of delivery ai said destination, il on its rouii, otherwise to delivt-r
h carrier <tf all or any of Said properly over all or any portion of said route in dcntiniUinn, and as to each party ai any imie interested in all orI in all Hie terms and condition? of the I'niforn) Dpmeetic Straight Bill of Lading set forth (1 j in Official. Southern. Western and Illinois Freighti. or CJi in the applicable rnnmr earner M ossification or tariff if this is a motor carrier shiprncni.
Shipper h«r«bv carllfia* that tic IK familiar with all th* farms and condition* of tha aald bill of lading. Including thosa on the back theraof . tat forth in tha classification or tariff which covams the transportation ofthis chipmant, and tfta saw tarmc afMJ conditions ara harab? axraad to by tha shlppar and accaptad for himself and his assigns.
From
At
ITAArgo
r
SCO, Illinois 60501
(Mail or street address of consignee — For purposes of notification only.)
DATE -
October
CARRIERI BY
1977
t
SHIPPER'S NO
1830CARRIER'S NO.
CONSIGNEEAND
DESTINATION
L
NATIONAL STARCH COMPANY3641 So. Washtenaw Ave.Chicago. Illinois
Attn: Nick Nakis
DELIVERING CARRIER
Customer_l
CAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
*7 ^/300
TOTALPIECES g T_nlrB
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
Gallon aluminum tote tanks.
C- _•2^ ^L^ ~ 2- C+ S -~ &) Xv^
P.O.*
"WEIGHT(SUBJECT TO CORR.)
CLASSOR RATE
CHECKCOLUMN
t The fibre boxes used for this shipment conform to the specifications set forth in the box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
t This IE to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccording: to the applicable regulations of the Department of Transportation." If the shipment moves between two ports by a carrier by water, the law requires that the bill of ladinp shall state whether it is "carrier's or shipper's weight.""t Shipper's imprints in lieu of stomp; not a part of Bill of Lading approved by the Interstate Commerce Cornmitsion.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writing the apreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper tn hp nnt evr.pedinQ
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS LBS.
/OPer S~\ ^tf ^'PPer
Subject lu Section 1 ul condition^of applicable bill of lading tl Urnshipmnn is to be delivered tu tinconsignee wnliuul recourse on theconiipnor, tlic consipnoi shall signthe followmp statement.
Tlie carrier shall not make deliveryof this shipment without payment 01freight and all othci lawful clurpcs
(Signature of Contipnoi.l
If charges ate to be prepaid,write or stamp here, "To be Pre-paid."
Received Sto apply in prepayment of thecharges on the property describeehereon.
Agent or Cashier.
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Arm.
r.nllprtion Fee
Total Charoes
ITASCOP. O. Box 381 • Argo, Illinois 60501
Shipper, Per. Agent, Per
Permanent post office address of shipperFORM 1200 REGENT FORMS. BELLMAWR, N.J. 08030
THIS MEMORANDUM I8mn »ctcnowiw»umeiu mm a DIM »> — .... ------- ------»eopy or duplicate , ooverino the property named herein . tnd is intended solely for filing or record
~ffECEIVED, •ubf*c1 to th« ctaM*f*c«tioM aod tariff • in •t1«et on «h« d*t« of rvcaipt by ***• carrier of the property dMCribad In th« Original Bill of Lading,jRUCKLJ r-«tluniL_j
ihf- pro|M?ny described below, in apparent good order, except as noted (contents and condition of contents ol packages Unknown;, marked, consiKned, and destined us indicated below, which said carrier (the word carrier beincunderstood throughout thin contract as meaning any prrmon or corporation in poaMWdn of the property under lh«- contract) agrees lo carry to its usual place of delivery »l »Qid destination, if on its route, otherwise to deliverId another carrier on the rouU- to said destination. Ii is mutually agrwd, ta to each carrier of all or any of laid property over all or any portion of aaid route to destination, and as to each party at any time interested in all orany of said pro|K*riy, that every servjcv 10 be performed hereundcr shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Official, Southern, Western and Illinois FreiRhi
Shipper h*rs>tw cvrttfiM that he Is familiar with all th« t«rmt and condition* of th* Mid Mil of lading. Including tho*« on thethis shipment, and th* saM t«rm» and conditions ara haraby agraad to by th* shipper and accaptad lor hlmsalt and nis asslcns.
From
At
ITASCOArgo, Illinois 60501
(Mail or street address of consignee — For purposes of notification only.)
r ~i
back thiraol. Mt forth In thc-ClaMlflcatrdn or tarirr»nielr«ov«rn« th« trancvorlatlon of
DATE .
October 1^7
BY
CARRIER f
SHIPPER'S NO
CARRIER'S NO.
CONSIGNEEAND
DESTINATION
•—
NATIONAL STARCH CORPORATION3641 So. Waehtenaw avt.Chicfigo, Illiuois
JM r\~ Nnl' •*' r
ROUTE DELIVERING CARRIER
C lit t Cult TCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
3/3 00
TQTALPIECES ^ TonVcr
DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
Gallon sluEiiuiE tcte tanlx.
xj *!/ . ••• • .^
'
"WEIGHT(SUBJECT TO CORR.)
CLASSOR HATE
CHECKCOLUMN
t The fibre boxes uted for this shipment conform to the specifications set forth in thu box maker's certificate thereon, and all other requirements of Rule 41,of the Consolidated Freight Classification.
T This is to certify that the above-named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for traaccording to the applicable regulations of the Department of Transportation.' If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight. "•f Shipper's imprints in lieu of stamp: not a part of Bill of Lading approved by the Interstate Commerce Commission.NOTE — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding
nsportation.
THIS SHIPMENT IS CORRECTLY DESCRIBED.
CORRECT WEIGHT IS/*/ Shipper
LBS Per .""> JrT/
of iipplii-dhli- bill nl lading. H tinslnpnu'iH ib lu bf di-livcicd lu tin.cunsi;*iifi' without icC'iur&c on UKconsipiiuT. the cnriMpnur shall sipithe lullnwint! staiemcr.t
Tlir cainci slial) nul n)^kc deliversof thii shipmcni withoui paymeni ofrcipln dnd all oihci Ijwiul ctur^ciPer
CSipniiuff of Ci'niijmor t
11 charpes are lo be prepaidwrite or stamp here, "To be Pre-paid."
Received Sto apply in prepaymeni of thecharges on the property describedhereon.
Agent or Casluer.
Per
only the amounts prepaid.)
C.O.D. SHIPMENT
C. O. D. Ami.
Cnllpntinn Fee
Total Charges
5 T A S C OP. O. Box SSI * Argo, ffUnois 6G5G1
Shipper, Per. , Per
Permanent post office address of shipper
3 FORM 1200 REGENT FORMS. BELLMAWR, N.J. 08030
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 59th ST. P.O. BOX 152 SUMMIT; ILL. 60501 -A 182815
CONSIGNEE, ADDRESS AND DESTINATION SHIPPER, ADDRESS AND ORIGIN
V&LLCQ CHEMICAL CO773tt w 6lst STSUMMIT ILL
• NATIONAL STARCH & CHEMICAL CO
CUTE SHIPPED
10/1Q/77cusr.oRoen NO. SHIPPER'S NO. fFROM
W— QUANTITY DESCRIPTION WEIGHT RATE AMOUNT —
EMPTY TOTEBIHS TO BE CLEANED& RETHRNED 130$
DATE DELIVE.REO RECEIVED THE ABOVE OESCHieEO PROPfftTV IN GOOD CONDITION EXCEPT AS NOTED
TiME DELIVERED
SHOW COMPLETE COMPANY NAME AND SIGNATURE INITIALS NOT ACCEPTED
CUSTOMER COPY
PHONE594-6330767-0513
P. A. JOHNSON & CO.TRUCKING
7701 WEST 69th ST. P.O. BOX 152 SUMMIT. ILL. 60501A 182850
CONSIGNEE, ADDRESS AND DESTINATION
WELLCO CHEMICAL CO7738 w 61st PLSUMMIT ILL
SHIPPER. ADDRESS AND ORIGIN
NATIONAL STARCH & CHEMICAL CO
OATt SHIPPED
10/20/77COST .ORDER NO. SHIPPER'S NO.
W PPD
QUANTITY DESCRIPTION WEIGHT RATE AMOUNT
EMPTY TOTEBINS TO BE CLEANED & RETURNED 1305*
DATE DELIVERED
TIME DELIVERED
RECEIVED THE ABOVE DESCRIBED PROPERTY IN GOOD CONDITION EXCEPT AS NOTED
SHOW COMPLETE COMPANY NAME AND SIGNATURE • INITIALS NOT ACCEPTED
CUSTOMER COPY
_ R E f A l K V K . f lTTASCOPRODUCTION WORK ORDER
DATE,,./, f. .,, ( ) RUSH ( ) MUST COMPLETE BY : _ _ £ ^ A _ T W ORDER # ._
COMPANY RATION*.!. gTARCT COgPtfeATIQK CITY/STATE c- icnrr. Tl
NO. TANKS 3 GAL. CAP. 500 TYPE TOTE CONST. AInm<mim MFR.
TANK NOS.: 261 275 c?s '
RETURN SHIPPER,....,....... CONTACT ...^. .^. ; PHONE .,> .,T;
JCLEANING k TESTING AND FINISHING DEPARTMENT
1- All tenliE uc bt. epctltssfly cleaned iusiut iinc out.2- All aluminum tbnkts tc bt select bri;.-:htenec.3- All t^ukt tc be tborougl.ly ttstec.4- All weste ciateriEl to be
DEPARTMENT
NO
,-•1-
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES It FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BY
DATE TANK D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTALHOWS
REP.BY
_
TTASCOPRODUCTION WORK ORDER
DATE rT ( ) RUSH ( ) MUST COMPLETE BY
COMPANT »>
Kb rMin i/c. r
NO. TANKS
TANK NOS.:
QRDERuc
CITY/STATE
GAL. CAP. TYPE CONST. MFR.
-#*&- -e**- tr99"
RETURN SHIPPER CONTACT PHONE
JCLEANING & TESTING AND FINISHING DEPARTMENT
1- Ail tonc.s to be spotlessly c'-eaaed inside end out,2- hll ilur.in'jc taal;c tc ^E acic rri^htcucc.3- All tenks tc be throughly tested.6- All waste materiel to be di
IREPAIR DEPARTMENT
NO REPAIRS
•
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) AT.L COVERS, VALVES It FITTINGS REPLACED "™""""""™"""~"( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BI
DATE TANK # D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTALHMKS
REP.BY
DATE
COMPANY
NO. TANKS
TANK NOS.:
_.TTASCOPRODUCTION WORK ORDER
( ) RUSH ( ) MUST COMPLETE BY
KC. r
ORDER
isc. r i
CITT/STATE
GAL. CAP. TYPE CONST. , _ - . MFR.
r«;r
RETURN SHIPPER
REMARKS:
CONTACT PHONE
JCLEANING fc TESTING AND FINISHING DEPARTMENT
1- All tanks to be spotlessly c3i..?nod in.,idt; ari<> out.2- All elur,in,:Tu: tanks tc bt b-'c brirhti t*cl.5- All tanle to be tborouchly tei-r.e&".
IREPAIR DEPARTMENT
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED(O ALL REPAIR WORK COMPLETED
DATE COMPLETED
DATE 'TANK * D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTALHOURS
REP.BY
ITASCO CUSTOMER ORDER
ORDER DATE 3/30/81 ORDER NUMBER 3/30/2704
ORDER RECEIVED BY: ( ) MAIL ( ) PHONE - PLACED BY_
SHIP TO: BILL TO:
NATIONAL STARCH CORP. SAME3641 S. WASHTENAW AVE.CHICAGO, IL 60632
ATTN: SHIPPER
P.O. # INVOICE # INV. t)A-TE_
QTY.
1
DESCRIPTION
350 GAL., ALUM PORTABLE TANK*CLEANED, TESTED, . WX)( )£X X$($W .
XDODXXXED , BRIGHTENED, XHNXW3ED AND REPAIRED.
CLEANING CHARGE
D.O.T. RETEST CHARGE
PAINTING CHARGE(LABOR ONLY)
UNITPRICE T O T A L
TANK NOS.
D.O.T. RETEST INFORMATION:
SEND TO: MR.
RETEST DATE CERT. NOS. MFR. BY
REMARKS
II,
D A T E REC
NO. TKS .
T T A S C OTANK R E C E I V I N G REPORT
CUSTOMER
SIZE^ . CONST,
. REC 'D FROM
COLOR
DEPT> OFFICE
R E P A I N T ( ) OK
TANK
NOS.
o/
D . O . T .
TEST
DATE
^
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TYPE
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GLS
f
OUTSIDE C O N D I T I O N
OUTSIDEFIN SH
OK REQ.
-V
t
L IST
DENTS-CRACKSMISSING LEGS
DAMAGE
•
\
\
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THIS MEMORANDUM " Yemeni Ihel o till •* Ifliitf h» been ittued and to c«py »r 4upJk«t«, covering I|M pi.perty narrtW hewn, and M N
KM the Original HI M Lading, n.rided teiely fe* Nina or record.
If CfrVED, lubiect te the daurfkatieiu and lorHh in effect on the dot. ef receipt by the carrier ef Ik* properly described in the Original till •» Lading.the property described betow, m apparent good ordei, eMCepl at noted (contents and condition of contents of packages unknown), marked, consigned and destined as indicated below, which said carrier (the word carrier
DESIGNATE WITH AN (X)
BY TRUCK D FREIGHT D
Shipper hereby certifies that he it familiar with oil the terms and conditions ef the said bill ef lading, including those en the back thereof, set forth in the classification or tariff which governs the transporta-tien ef this shipment, ond the said terms and conditions ore hereby agreed to by the shipper on J accepted lor himself and hii atu —uigni.
From I .W. I . INDUSTRIES
At 7738 W. 6 1ST PLACE*SUMffilT. IL ... 6.05QW**' (Mail or street address of consignee— For purposes ot notiticatiorfonly.)
DATt it faOCT.
CARRIER
>19 80
1
SHIPPER SNO.
CAftfU^gNO.
r ~1CONSIGNEE
ANDDESTINATION
NATIONAL STARCH L CHEMICAL1350 TANEY ST.NO. KAKSAS CITY, US 64 11 6
VDELIVERING CARRIER
L _JCAR OR VEHICLEINITIALS & NO.
NO.PACKAGES
4^£? <
11>
- HAZARDOUS
XI3y
i/fj?/'
' '•' -} . DESCRIPTION OF ARTICLES, SPECIALMARKS AND EXCEPTIONS
350 GAL.. PORTABLE TANK CLEANED.PAINTED & REPURED.
EMPTY TOTE TANKS COKT. BULK COMBODfTY-
SHIPPING OLD, USED NN SHEET STEEL 'iA»
THICKNESS OF WALLS OR THICKER,.
// _£ /o ^» / ^ //f^ / f^^7: %J/<*U0 /co y/'f-*) / <-//<&'J
•WEIGHT(SUBJECT TO CORR.)
-?^5~3o
CLASSon RATE
705
V
SHIPPERS CERTIFICATION: This is to certify that the above-named materials ore properlyclassified, described, packaged, marked and labeled, and are in proper condition for trans-portation according to the applicable regulations of the Department of Transportation. s.ir;KiA7ijRf TITIF
* tf the shipment mows between two ports by o carrier by water, the low requires that the bill of lading tholl slate whether il ii "carrier's or shipper's weight."t Shipper s imprints in liev ef stamp; not a part of Bill ef Lading approved by the Interstate Commerce Commission. *Note — Where the rote is dependent on value, shippers are required to stole specifically in writing the agreed or de«larea value of the P'SUf Y fl ,-**7The agreed or declared value ef the property K hereby specifically staled by the shippe^o be not exceeding /it / f ^
THIS SHIPMENT IS CORRECTLY DESCRIBED. t Th. fibre bo,.s .ud tor this iniWnt conlorm to th. speci-ficationi set forth in the box makers certificate thereon, and all
CORRECT WFIfrHT IS ' IPS Oth*r reQ.oireiTienU ot the Consolidated Freight Classification.
( y l- v-i. /siPer\ 1 f->*- /</ Sl">r
Subject to Section 7 of conditionof applicable bill of lading, if thshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverof thii shipment without payment afreight and all other lawful charge
Per(Signatwrt of Conwonor)
If charges are to be prepaidwrite or stamp here, "To be Pre-paid."
rni i FTTB.r.iMH t
to apply in prepayment ot thicharges on the property describeehereon.
Agent or Cashier.
Per
(The signature here acknowledge]only the amounts prepaid.)
Charges Advanced :
S
C.O.D. SHIPMENT
r rt IY Am* ~
rnllart.nn Poo• • ^.s*"*
TotalCharges
Shipper, Per_. .
. Agent^Per_' '
Permanent post office address of shipperFORM 1 2OO3. REGENT FORMS. BELLMAWR. N.J. CM9O3 t
STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLERECEIVED. «)bi*cl le Ih. ckiMificatiw» and loritt. in M*tt on Ih. dot. •< iui» of this Original till .( lading.
DESIGNATE WITH AN (X)
BY TRUCK D FREIGHT D
Shipper hereby certifies that h* n familiar with all the terms and condition* of the taid bill of lading, including that* on the back Ihoroof, s*t forth in tho classification or larition of this shipment, and th« taid fount and conditions or* hereby agreed to by th* shipper and accepted tor himi«lf an 'ind his assigns.
From
At
I .W.7738
1. INDUSTRIESW. 6 1ST PLACE*SUMffl(Mail or street address of consignee— For
IT, 1purposes
L , 60509of notification only.)
DATE
0»(l£>
' • 19 80CARRIER |
SHIPPER SNO. - t >» /
CARRIER NO.
r ~| -W^
CONSIGNEE NATIONAL STARCH & CHEMICALDES™AT,ON 1350 TAN EY ST.
NO. KANSAS C I T Y , KS 6411 6
L _NO HAZARDOUS
PACKAGES MATERIALS
^/^\
<\lP^•v_*»
.
\1-»Mj/i/ -
1 .
ROUTE I DELIVERING CARRIER
CAR OR VEHICLEJ INITIALS & NO.
DESCRIPTION OF ARTICLES. SPECIALMARKS AND EXCEPTIONS
350 GAL., PORTABLE TANK CLEANED,PAINTED & REPAIRED.
EMPTY TOTE TANKS CONT. BULK COMRODITY-
SHIPPING OLD, USED NN SHEET STEEL 1 A"
THICKNESS OF WALLS OR THICKER,.f'^S / / / ^ /£^^7/ ^/ v ^ rS^y
SHIPPERS CERTIFICATION: This is to certify that the above-named materials are properlyclassified, described, packaged, marked and labeled, and ore in proper condition for trans-portation according to the applicable regulations of the Department of Transportation. Sfr^iTijBf
• WEIGHT(SUBJECT TO CORR.)
<^?v5~c>O
CLASSOR RATE
705
j
TiTir
* If the shipment moves between two ports by o carrier by water, the law requires thai the bill of lading shall state whether il is "corner'* or shippet Shipper s imprints in lieu of stamp; not a part of Bill ol Lading approved by the Interstate Commerce Commission. iNote — Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. 1The agreed or declared value of the property is hereby specifically stated bv the shipper to be not exceeding f \\ /
THIS SHIPMENT IS CORRECTLY DESCRIBED. t Th. libr. bo,., U-<Nor ,„,, .hip-... conform ,o th. ,p«i-ficotioni t«t forth in th. box mok.n certificate th.r.on, and all
rnBDcrr WFI^MT i<; IRC. other requirements of the Consolidated Freight Clanificalion.
Shipper, Per
\lPer\j ,
7
r's weight."
(7/¥\*A/i ' r"" *^^^/i' sh"if
Subject to Section 7 of conditionof applicable bill of lading, if Ihshipment is to be delivered to thconsignee without recourse on thconsignor, the consignor shall sigthe following statement.
The carrier shall not make deliverof this shipment without payment ofreight and all othe> lawful charge
Per{&igiwur« el Comignor)
If charges ore to be prepaidwrite Or stomp here, "To be Pre-
^"COLLECTo apply in prepayment of .fhi:harges on the property describeehereon.
Agent or Cashier.
P.r
Th. tignatur. n»r« ocknowl.dg.tonly the ornounU pr.paid.)
Charg.t Advanced:
1
C.O.D. SHIPMENT
Pf-M(«Jnj£.nFi»
fr£MA^t/' — fr
ij iJ^^TT^Permanent post office address of shipper
1FORM 12003. REGENT FORMS. BELLMAWR. N.J. O8O31
DATE TANK * D E S C R I P T I O N O F R E P A I R S MATERIALS USEDTOTALHOURS
REP.BY
/o 5"
2 ,7®
If
23
If*
31
Z73
TTASCO REPAIR DEPT.PRODUCTION WORK ORDER
DATE ( ) RUSH ( ) MUST COMPLETE BY ORDER #_
COMPANY ; CITY/STATE
NO. TANKS GAL. CAP. TYPE CONST. MFR.
TANK NOS.:
RETURN SHIPPER CONTACT PHONED
REMARKS: -p——3— _____
JCLEANING & TESTING AND FINISHING DEPARTMENT
IRKPAIR DEPARTMENT
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES & FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED BY
ORDER DATE
TASCO CUSTOMER ORDER
ORDER NUMBER 4/13/2711ORDER RECEIVED BY:
SHIP TO:
( ) MAIL ( ) PHONE - PLACED BY_
BILL T0:
NATIONAL STARCH & CHEMICAL2960 EXON AVE.CINCINNATI, OHIO 45202
SAME
SHIPPER
P.O. # INVOICE # INV. DATE
QTY.
4
DESCRIPTION
350 GAL., ALUM PORTABLE TANKSCLEANED, TESTED, D.O.T. RETESTED, D.O.T.
MODIFIED, BRIGHTENED, PAINTED AND REPAIRED.
CLEANING CHARGE
D.O.T. RETEST CHARGE
PAINTING CHARGE(LABOR ONLY)
UNITPRICE T O T A L
TANK NOS.
D.O.T. RETEST INFORMATION:
SEND TO: MR.
RETEST DATE
REMARKS
CERT. NOS. MFR. BY
II,
ORDER DATE
ITASCO CUSTOMER ORDER
ORDER NUMBER
ORDER RECEIVED BY:
SHIP T
( ) MAIL ( ) PHONE - PLACED BY
ATTN: SHIPPER
P.Q. # INVOICE # -INV. "DA-TE_
QTY.
?-f
• i t . - • • . • • - -
DESCRIPTION
/J?J-C? GAL., y V,~ — PORTABLE TANKSCLEANED, TESTED, D.O.T. RETESTED, D.O.T.
MODIFIED, BRIGHTENED, PAINTED AND REPAIRED.
CLEANING CHARGE
D.O.T. RETEST CHARGE
PAINTING CHARGE(LABOR ONLY)
UNITPRICE T O T A L
TANK NOS.
D.O.T. RETEST INFORMATION:
SEND TO: MR.
RETEST DATE CERT. NOS. MFR. BY
REMARKS
II,
• I T A 5 C 0
PRODUCTION WORK ORDER
DATE REC'D. ( )RUSH-MUST BE COMPLETE BY ORDER
c i TY/STNO. TANKS^ GAL. CAP^JsTo TYPE /#£«— CONST. _ MFG.
TANK NOS. :
RETURN SHIPPER f) A^. 7/g* vg*~-CONTACT PHONE
GLEAMI.N.G.1 JE.ST ING.. AND F I M I SHI NG DEPARTMENT
TANKS TO BE SPOTLESSLY CLEANED INSIDE AiJD OUT.ALUMINUM TANKS TO BE ACID BRIGHTENED.RUST TO BE REMOVED FROM INSIDE TANKS.TANKS TO BE THOROUGHLY TESTED.EXCESS_ MATERIAL TO BE SAVED AND LABELEDWASTE MATERIAL TO BE DISCARDED.
O BE: ( ) PRIMED ( ) NOT PRIMED - AND PAINTEDPAINT TO BE SUPPLIED BY ( ) ITASCO ( ) CUSTOMER
( ) REPORT ANY TESTING LEAKS FOUND TO GLENN WELLMAN PRIOR TO REPAIR,( )( )() _ .
REPAIR DEPARTMENT
( )U( )( )i i( )( )( )
D.O.T. RETEST PLATES TO BE INSTALLED - TANK #D.O.T. TOP VENT GUARDS TO BE INSTALLED - TANK #D.O.T. BOTTOM VALVE GUARDS TO BE INSTALLED - TANKCOVER CHAINS TO BE INSTALLED - TANK #TANKS TO BE RENUMBERED FROM TCDENTS TO BE REPAIRED - TANK #BOTTOM VALVE GUAPDS TO BE REPAIRED - TANK #BOTTOM LEGS TO BE REPAIRED - TANK #WELD LEAKS TO BE REPAIRED - TANK #STACKING RINGS TO BE INSTALLED—TANK #REPAIR ALL TESTING LEAKS FOUND.
# *3- £» O
T T A S C O OFFICE C O P YPRODUCTION WORK ORDER
DATE 4/13/81 ( ) RUSH (X) MUST COMPLETE BY A . S . A . P . ORDER # 2? 11
COMPANY N A T I O N A L STARCH & C H E M I C A L CITY/STATE C I N C I N N A T I , O H I O
NO. TANKS k GAL. CAP. 350 TYPE SQUARE CONST. ALUM HFR. TOTE SYSTEMS
TANK NOS.: 259 260 270 271
RETURN SHIPPER CONTACT PHONE_
REMARKS;
CLEANING & TESTING AND FINISHING DEPARTMENT
1) ALL TANKS TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
2) ALL ALUMINUM TANKS TO BE ACID BRIGHTENED.
3) ALL WASTE MATERIAL TO BE DISCARDED.
IREiPAIR DEPARTMENT
1) D.O.T. BOTTOM VALVE GUARDS TO BE INSTALLED - TANK #260.
2) REPAIR BROKEN VENT TANK #260.
3) REPAIR ALL TANK DAMAGE - LIST IN DETAIL ON TANK REPAIR SHEETS,
FINAL INSPECTION REPORT
( ) INSIDE CLEANING OK ( ) OUTSIDE CLEANING OK( ) FINAL'TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES It FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED HI
T T A S C O OFFICE C O P YPRODUCTION WORK ORDER
DATE 3/30/81 ( ) RUSH (XX MUST COMPLETE BY A.S.A.P. _ ORDER #
COMPANY N A T I O N A L STARCH CORP. _ CITT/STATE CH ' CAGO » ' L
,NO. TANKS St^ GAL. CAP. 350 TYPE SQUARE CONST. ALPM HFR.
TANK NOS.: 6125
RETURN SHIPPER CONTACT PHONE_
REMARKS:
CLEANING & TESTING AND FINISHING DEPARTMENT
TANK TO BE SPOTLESSLY CLEANED INSIDE AND OUT.
IREPAIR DEPARTMENT
1) D.O.T. TOP VENT GUARDS TO BE INSTALLED - TANK #6325.
2) INSTALL NEW BOTTOM ELBOW AND NIPPLE.
FINAL INSPECTION REPORT
( ) INSIDE CLEANING 01 ( ) OUTSIDE CLEANING OK( ) FINAL'TANK TEST OK D.O.T. RETEST DATE( ) ALL COVERS, VALVES fc FITTINGS REPLACED( ) ALL REPAIR WORK COMPLETED
DATE COMPLETED CHECKED HI
aDATE REC'Dj/
NO. TANKS //«?> ^ SIZE
TASCO•TANK RECEIVING REPORT
CONSTRUCT I ON ft Lit/M MFR.
(jOFFICE
( )ROUND
PAINT AND PARTS RECEIVED WITH TANKS
REMARKS:
TANK
j UMBERS
O^1^c^ff17 $
1 1! 3
/£2L(3 )
CifG
o^T
^?£%
D . O . T .
RETEST
D A T E
BOTT.VALVEGUARD
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OUTSIDE TANKCONDITION
LIST LARGE DENTS,CRACKS, MISSINGLEGS AND DAMAGE
>
C l l, QsLtfa--
3o | '$3 ,5.^4-/ofo
17
i
i
•
DATE R E C ' t
NO. TANKS
TTASCOANK RECEIVING REPORT
SIZE CONSTRUCTION MFR
O
( )ROUND
PAINT AND PARTS RECEIVED WJTH T^NKS
REMARKS: /LJ2?
TANK
CUMBERS
^/3
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OUTSIDE TANKCONDITION
LIST LARGE DENTS,CRACKS, MISSINGLEGS AND DAMAGE
*/L***iSMl
l^f—G* QrU*-4&
/ -• Jji'** ufo£<*i iJfi
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•
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DATE REC' l
NO. TANKS SIZE CONSTRUCTION MFR.
OFFICE CO>Y
( )ROUND (X) SQUARE
PAINT AND PARTS RECEIVED WITH TANKS_REMARKS:
TANK
lUMBERS
X-O . y• jL}J\
6^4)G. 6
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NUMBER,. „ • j is vi wknowtedijfnenMhol u Bill ol lolling hov been i-,iued ond ii net iht Ongmol Bill ft lading, noi
TnIS WenUrOnflUn „ top, or duplicate, icwenng the properly named heiem and ii intended telely Icr tiling 01 leioid
1K1IVID u*i«i Ii *« <l.iirf.-1~i «4 MiiHi « rlLi .. Ik. felt .1 lti« i«tvi k, Ik. I..MC. .1 *,, p,»p,,i, <e,,,»r(l » Ik. O.v.iol 111 .1 l.dng
PROM NATIONAL STARCH AND CHEMICAL CORPORATION
AGENT'S NUMBER
if tV f>'t>p*'*i ufid*' *hr lonliati. ogi*rt to ta'i)
At 5- . Company
The paper bags used for this shipmentconform to (pacifications for paper bags,prescribed in the applicable "classification".
CONSIGNED TO
DESTINATION
The fiber containers used for this shipmentconform to the specifications set forth in-con-tainer maker's certificate thereon, and all otherrequirements of the applicable "classification".
We certify the weight shown hereon is inaccordance with our agreement with thegoverning Weighing and Inspection Bureau.
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CAR OR VEHICLE INITIALS
r\ o NO
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V-^ 'IN HMCOLUMN BELOW - ENTER AN X TO DESIGNATE A HAZARDOUS MATERIAL
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Adhesives N.O.I., in bulk
Adhesive!, NOS, FlommoWe liquid (in bulk)
lesin Selutien, FlommoWe liquid ( '".Ti,«Tpto i )
Adhesive, N.O.I., (IC . •CTI.Si.""***' )Dextrin, dvdored volu* not excteding 11(X per Ib.
liquid Dextrin
C*ma*undi Thinninf liquid, Ftommoble liquid ( ,°' ''° "''.1.}
Adhesive, NOS, Flammable liquid ( ;'.C.'«[T ."i ° ' )
Stevch, N.O.I.
Water Oorih/ln, er Purifyinf Cempmind, ( C±7or •,„< )
liquid Synthetic Plastic N.O.I.
Chemicals, N.O.I. • declared value not exceeding 110C pei Ib
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If charges are to be prepaid, writeor stamp here, "To be Prepaid."
VALUE, SHIPPESPECIFICALLYDECLARED VA
THE AGREED CPROPERTY ISED BY THE SH
fa-C&A^T*^
1
THE RATE IS DEPENDENT ONRS ARE REQUIRED TO STATEIN WRITING THE AGREED OR
LUE OF THE PROPERTY.
)R DECLARED VALUE OF THEHEREBY SPECIFICALLY STAT-PPER TO BE NOT EXCEEDING
110CPERLB
SUBJECT TO SECTION 7 OF CONDITIONS OFAPPLICABLE BILL OF LADING, IF THIS SHIP-MENT IS TO BE DELIVERED TO THE CON-SIGNEE WITHOUT RECOURSE ON THE CON-SIGNOR, THE CONSIGNOR SHALL SIGN THEFOLLOWING STATEMENT.
THE CARRIER SHALL NOT MAKE DELIVERYOF THIS SHIPMENT WITHOUT PAYMENT OFFREIGHT AND ALL OTHE R LAWF U L CH ARC ES.
NATIONAL STARCH AND CHEMICALCORPORATION
(SIGNATURE OF CONSIGNOR)
THE CHARGES ON
AGENT OR CASHIER
CHARGESADVANCED $
This is to certify that the above-named material: are properly classified, described,' packaged, marked and labeled, and are in proper condition fortransportation, according to the applicable regulations of the Department of Transportation.
NATIONAL STARCH AND CHEMICAL CORPORATION Shipper, Per ~—r-
' tij.v-i'r-- t- :- Permanent post-off ice address of shipper,
• V--. •••••--.- ' REFUSED SHIPMENTS: CARRIER TO CONTACT ORIGIN PLANT
Agent, Per .
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1
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1 11 1 1SHFT,
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BRANCH TRANSFER
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LNATIONAL STARCH and
CHEMICAL CORPORATION
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FILLED BY
C H T C K F D BY
SHPG PREF
REL FOR SHPMT
•y^ j eDATE RELEASED ~-
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SHIP VIA
PREPAID
DSS OA f r
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C O N T DESCRIPTION
CODEFILL NUMBER OT Y SUP D
SPECIAL INSTRUCTIONS
NS £4 R5