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INSPEC04091
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INSPEC04091
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Entry Properties
Last modified
8/24/2016 8:58:41 PM
Creation date
11/18/2007 8:14:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977344
IBM Index Class Name
Inspection
Doc Date
10/3/1997
Doc Name
SHOT REPORT BLASTING SHOT RECORD
Media Type
D
Archive
No
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EMERGENCY-CALL <br />1-800-424.9300 <br />CHEMTREC <br /> <br />BUCKLEY POWDER CO.• <br />42 INVERNESS DRIVE EAST <br />ENGLEVJOOD, COLORADO 80112 <br />(303)790-7007 <br />D~I"~~~ SHIPPERS NO <br />Dyno Nacel Inc ' <br />BP.oz DUPLICATE COPY <br />SHIPPER SHIPRNO DATE SHIPPED TO PARTY NO TRAILER/M <br />DEINERY <br />BUCKLEI' POW~EN CO - ~ " <br />. , - ,,; 7 v <br />DELIVERY RE DESTINAPON STATE GOUNTV iPAILERIMAG <br />RCK UP <br /> i~ /. '/ <br />FEDERAL PERMIT NO <br />PERb1IT NO <br />NO. <br />PKGS TYPE <br />PKGS WEIGHT/LBS <br />(SUB TO COR 1 SHIPPING DESCRIPTION IDENT NO <br />E%EMP DOT-E ROUTE <br />PLAN <br /> <br /> EXPLOSIVES. BLASTING TYPE A 1 ID UNOOBI II <br /> <br /> EXPLOSIVES. BLASTING TYPE 8 I.ID UN0062 II <br /> <br /> EXPLOSIVES. BLASTING TYPE 8 1 SD UN0331 II <br />DRNER <br />VEHICLE NO <br /> E%PLOSIVES <br />BLASTING TYPE E I ID UN <br />41 II <br /> , <br />02 PLACARDS REOWRED <br /> CORD DETONATING I ID UN006511 ~I NONE REOUiRED <br />/ <br />' <br /> DETONATOR ASSEMBLIES NON-ELECTRIC 1.18 UN0360 II Ex PtOSNES <br />^ <br /> <br />DETONATOR ASSEMBLIES NONELECTRIC 1.48 UN0J61 II ^ 0x101ZER UN-19i: <br /> <br />^ O%IOIZER UN~406! <br /> DETONATORS ELECTRIC I IB UN0030 II ^ OxIDIZER UN-]q9 <br /> DETONATORS ELECTRIC taB UN0255 11 ^ FLAAINIABIE <br /> EXPLOSIVES <br />BLASTING TYPE E 1 SD UN0332 II <br /> . INVOICE NUMBER <br /> AMMONIUM NITRATE 51 UN 1942111 <br /> O%IDIZING SUBSTANCES LIQUID N.OS 5.1 UN3139 III <br />AMMONIUN NITRATE) <br /> FUEL OIL NO.2 3 NA 1993111 ^ CREDIT <br /> <br />BOOSTER 110 UN004Z MATERIAL RETURNED TO <br /> BRAL <br /> <br />THIS IS TO CERTIFY 41AT THE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIFIED DESCRIBED. PACKAGED MARKED <br />PND LABELED PND PRE IN PgOPEq CONDITION FOR TRwNSPORTATIOH ACCORDING TO THE APPUCADLE REGUUTIONS CUSiObIERS <br />P.O NUMBER <br />OF THE DEPARTMENT OF i N~P RTATIDN , <br /> <br />SHIPPER'S // /~ <br />4 <br />'~ <br />~ ~ <br />~ <br />CUSTOMERS <br />RED./RELEASE NO <br />/ <br />/ <br />/ <br />n-~r; /l <br />SIGNATURE <br />BUYER ASSUMES A RISK AND LIABILITY FOR R SULTS OBTAINED B'I THE USE OF THE MATERIAL COVERED BY THIS <br />ORDER BUYER ACKNGV/lE0GE5 THAT THERE MA'! BE FEDERAL AND'OR STATE LAN/S REGULATING THE USE ANO;OR SHIPPED FRONT - + l ~ ~ ~ <br />POSSESSION OF THE MATERIALS COVERED pY TWS ORDER AND BUYER ASSUMES FULL RESPONSIBILITY FOR <br />COMPUANOE WITH SAID LAWS <br />~ <br />~I <br />ATF CODE oon~nlly: mnv I NO PKGS OTY J~ COMPANY PRODUCT DESCRIPTION I °o"i-IC I PER AMOUNT <br />BILL TO <br />ADDRESS <br />Y!E CERTIFY THAI THE ABOVE PATICLES WEFE RECEIVED IN GOOD CONDITION I HAVE REOEIV' <br />THE PPMPHLET -PREVENTION OF ACCIDENTS IN THE USE OF E%PLOSNES' I V4LL HEED I <br />WPANINGS ANO FOLLOW R$ INSTRUCTIONS <br />CON'SIO EE RECENER GATE <br />
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