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INSPEC26574
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INSPEC26574
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Entry Properties
Last modified
8/24/2016 9:26:02 PM
Creation date
11/18/2007 10:06:00 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977344
IBM Index Class Name
Inspection
Doc Date
10/17/1997
Doc Name
SHOT RECORD BLASTING SHOT RECORD
Media Type
D
Archive
No
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EMERGENCY -CALL <br />1 - 800 - 424 - 9300 <br />CHEMTREC <br /> <br />r/~O~Y•trs'. a C~'li'61Y 3/Y:i 1 ii •A. <br />42 INVERNESS DRIVE EAST <br />ENGLE WOOD, GOLORAUO 80112 <br />13031790-7007 <br />• p~(~~ oQ ~ SHIPPER'S N <br />Dyno Nocel Ind ~ <br />Bvmz \~\DUPLICAT~Py <br /> ~~SHIPPING PATE SHIPPED TO PPATY NO. TRAILER/MAC <br />DELIVERY <br /> <br />BUCKLEI POWDER CO. - ~ , ~ - <br />ES9 pESTINAl10N STATE COUNTY ttJAILEH/MAC <br />FCK UP <br /> <br />Q <br /> RMfr <br />..y., . ~D. <br />, PERMIT NO. <br /> ' {=`~ ~ ~ ~ SHIPPING DESCRIPTION IOENT. NO <br />E %EMP DOT-E ROUTE <br />PLAN <br /> <br /> EXPLOSIVES, BLASTING TYPE A 1 1D UN0081 II <br /> <br /> EXPLOSIVES, BLASTING TYPE B I.ID UNOOB2 II <br /> <br />... EXPLOSIVES BLASTING TYPE B I.SD UN0331 II <br />DRIVER <br />VEHICLE NO <br />' EXPLOSIVES BLASTING TYPE E I tD UN024 t II <br /> CARDS REQ <br />IRED <br />P <br /> CORD DETONATING t. t D UN0065 I I LA <br />U <br />~ NONE REQUIRED <br /> DETONATOR ASSEMBLIES NON-ELECTRIC t 18 UN0360 II ^ EXPLOSNC$ <br /> <br />DETONATOR ASSEMBLIES NON-ELECTRIC <br />1.46 <br />UN0361 II ^ O%IOIZER UN-1942 <br />^ OXIDIZER UN-1061 <br />I;'". DETONATORS ELECTRIC 1.18 UN003011 ^D%IDIZER UN-Jt39 <br /> DETONATORS ELECTRIC 1 aB UN0255 II ^ FLAMMABLE <br /> EXPLOSIVES <br />BLASTING TYPE E 1 <br />5D UN0332 II <br /> , . INVOICE NUMBER <br /> AMMONIUM NITRATE 5. 1 UN 1942 111 <br /> O%IDIZING SUBSTANCES LIQUID N.O.S. <br />AMMONIUM NITRATE) 5.1 UN3139 III <br /> FUEL OILNO.2 3 NA1993111 ^ CREDIT <br /> BOOSTER 1 1D UN0042 MATERIAL RETURNED TO <br /> BRANCH <br /> <br />TF11S LSTOLEHIIFY THAT THE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIFIED. DESCRIBED. PACKAGED. MARKED <br />AND LABELED AND ARE IN PROPER N ON FOR TRANSPORTATION ACCORDING TO HE APPLICABLE REGULATIONS CUSTOMERS <br />P.0 NUMBER <br />OF TIE OER4TIMENi OF TRAM I <br />f - <br />SHIPPER'S ~ ~ <br />~ <br />~ <br /> <br />~ <br />CUSTOMERS <br />RED /RELEASE NO <br />SIGNATURE <br />;Y <br />/ <br />- - <br />, <br />r, <br />BUYER'A9SUME8 ALL AND DABIDTV FOR RESULTS OBTAINED BV THE USE OF TH <br />OROERB{IYER ACKNOWLEDGES THAT THERE MAY BE FEDERAL ANO/OR STATE LAWS <br />E MATERIAL COVERED BV THIS <br />REGULATING THE USE AND/OR <br />SHIPPED FROM _. <br />I / <br />iQSE^ SSION"OF THE ANiER4YS COVERED BY TMS ORDER AND BUYER ASSUMES FULL <br />'COMRJANCE WfTH SAID LAWS. RE SPONSIBIOTY FOR wA <br />` , <br /> <br />:~a.l .pgppp~T LADE NO PKGS. OTV COMPANY PRODUCT D <br />SGRIPTIOIJ <br />E PR~CE PER gMOUNT <br /> / <br />/ <br />~- <br /> +L~`. - <br /> <br />6'.F <br />:9:" r y ~~ .: <br />"A ..; 'n4. <br /> .,:, <br />' <br /> ; <br />~„ ~, <br /> ,~}:. <br />~ s~'`~K.y' 0 ~~ <br />~, <br />- <br />,, ~~ v ~, <br /> <br /> <br /> <br /> <br />'$el ~n "BUCkIe POWtle1 CO. - 42 InvErne55 DG E251 -Englewood, GO 801 12 VJE CERTIFY THAT THE ABOVE ARTICLES WERE RECEIVED NI GOOD CONDITION <br />I HAVE RECEIVED <br /> <br />' <br />euL. ro: . <br />THE PAMPHLET PREVENTON OF ACCIDENTS IN THE USE OF E%PLOSIVE$' I N4LL HEED ITS <br />WARNINGS AND FOLLOW ITS INSTRUCTIONS <br /> <br />ADpRESS ~I ;.1 <br /> <br />'CON IGNEE ~ RECEIVER <br />/r)- ~ , <br />Ai <br />~.I~ <br />
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