04-0075
04-0075
Page 1MAY 18 2004 U.S. Department of Transportation 400 Seventh St., S.W. Special Programs Research and Washington, D.C. 20590 Administration Mr. Jack Peters P.O. Box 69206 Haz-Mat Transportation Services Ref. No. 04-0075 Seattle, WA 98168-9206 Dear Mr. Peters: This is in response to your letter dated March 24, 2004, accordance with the Hazardous Materials Regulations (HMR; 49 CFR regarding the shipper's certification on shipping papers in shipper or his Parts 171-180). Specifically you ask if the signature of the certification. agent must be in association with shipper's The answer is yes. Each person who offers à hazardous material transportation in accordance with the HMR by printing (manually tor transportation shall certify that the material is offered for shipping description, or mechanically) on the shipping paper containing the required The certification must be legibly signed by a principal, officer, the certification contained in $ 172.204. partner, or employee of the shipper or his agent; and (2) may be legibly signed manually, by typewriter, or by other mechanical associated with the certification statement) Any additional signatures on a shipping paper (not $ 172.204 (d) and are not required under the HAD not satisfy I hope this satisfies your request. Sincerely, Office of Hazardous Materials Standards 172.204 (d) 040075#
Page 2Mar 24 04 01:17p P. 1 BAH $172.204(d) FAX TRANSMITTAL COVER SHEET Shipping Pappers 04-0075 HAZ-MAT TRANSPORTATION SERVICES P. O Box 69206 Seattle, WA 98168 TO: (CO. NAME)_ U.S.D.0.T. (RECEIPIENT) (DEPARTMENT) Ed Mazzallo. RS PL (FAX NUMBER). 202-366-3012 (PHONE NUMBER). FROM: (SENDERS NAME) JACK PETERS (FAX NUMBER) (CALL FIRST) (907) 278-7900 OR (253) 840-2085 (PHONE NUMBER) SAME AS ABOVE (E-MAIL) jlpetersl@juno.com DATE: 3/74/2604 _SUBJECT: Ihterpreta Tien SignaLake козмітсткия: Hopefully You Can settle This.. IT Seems That The Signatake in The "Shippers certification" box is redundant. Frama practical peint of view bath should be Signed: @Fifitor#
Page 3Mar 24 04 11:09a AECEIVED, subject to the classicalion and fails in ellect on the Use ol the issue of this Gill of Lading. ICC NO, MC 153893 p. 1 FHOM AT AGENT'S NO CONSIGNED TO: it rare audress of consigne - for purposes at notification only) ADDRESS CITY ROUTE COLLECT ON DELIVERY DELIVERING CARRIER TRAILER NO. TRUCK NO. -and temil 10: Prepaid THIRD PARTY BILLING ADDRESS (Third-patty pilling does not relievs consigner or consignce of responsibility for all charges) Cily Third Parly Collect Billing PACKAGES NUMBER HI.I * Sircel Proper Shipping Name. Masalcous Class and UN or NA number lor Hazardous Materials. DESCRIPTION OF ARTICLES. SPECIAL MARKS. AND EXCEPTIONS Stale Driver Collect (contents and condition ol contents ol packages unknown) (SUD. TO COR.] **WEIGHT RATE FREIGHT CHARGES • the shipment mores beneen no points by a cartier by wasser, the lawy ro Where the cate is dapenden on value, shippers are required l0 stale] ques list the bill of lading stale whether it is "carrie's or shucar's vegn. glipment is to bu defered lo ine consignco Subyect lo Section 7 of condians, it this allen evalue one properly. The consignar shall sign the following ared or declared value of the properly is hereby specially stated by without recourse on the consignos, the Kenciver S. the shipper lo be no exceeding il intrastate. see Section ss: Statement: SUBTOTAL Jhis shipment without payinent of licight The carrier shall not make Celivery of on the pimperly described hercon. and all winer lastel charges. Agent of Carrior C.O.D. named materials are prapelly classilied, described. packagec, marked FEE he applicable regulations of the Deparmen of Transportatio no labeled, and ara in proper condilion for transportation, according i signature of Consisanti Por Signature of Shipper: • CONPLETE THIS SECTIONIE SHIPMENT CONTAS HAGARDOUS HATE RIALS RECEIVED the above specilice he signafure here acknowiedg roperly in appareni good order only ine amount prepaid) ADVANCES (AM) EMERGENCY CONTACT EMERGENCY RESPONSE INFORIATION: ELEPHONE HURDER. | TIME PREPAIC REFER TO DOT EMERGENCY RESPONSE GUIDE HUNGEN: FOR CONSIGNEE TO APPLY CAICIAL FREIGH BILL MUST ACCOMPAHY CLAIM FOR OVERCHARGE, LOSS OR DAMAGE TOTAL SHIPPER BALANCE DUE GAD GARLILE P/U DATE TIRE CARLILE DEL DATE THAE ORIGINAL DATE AND TIME (EM)#
Page 4Mar 24 04 11:07a p. 2 RECEIVED, subject to the classilication and tarilfs in elicat on ile date of ine issuc of this Bill of Lading. IN M 153893 FRON AT AGENT'S NO. paper seel in appren good order, except as noid contents and condition of contents of packages unknown, market, consigned and destined as allown below, which said company (ine word a ten eat this his contact as meaning any person or corporalion in possession of the properly under ile contact agrees is carry lo its usunt place of delivery al said destinalion, it on it: 19 any i roll no your l a mostle at als toe is in and a to ace at al a die in ste are a or al rely are a see one are to final me is riga., ala, wine i too roules, within the entory of l highway operations, herwise civet ander caric on lie fould a said delination, it is mulbally agreed, as to each carric of all or CONSIGNEO TO: all desire durass of consiqute a lor nucloses of naillicalian oniy.) ADDRESS CITY ROUTE DELIVERING CARRIER COLLECT ON DELIVERY TRAILER NO. TRUCK NO. 5 • THIRO PARTY BILLING ADDRESS (Third-parly tilling does not relieve consignor or conslance ol responsiblily for'all charges) Struel Prepaid City State Third Parly Collect Billing Sticer NUMBER Cu.• PACKAGES * Proper Shipping Name. Hatrous Cits and UNar NA number for Hazardous Materials. DESCRIPTION OF ARTICLES. SPECIAL MARKS, AND EXCEPTIONS Stale Driver Collect (cantents and condition of contens of packages unknown) (SUB. TO COR.) *"WEIGHT RATE FREIGHT CHARGES eves bate poins by a carrer by tested, the law /c Where ing rate is dependent on value, shippers are regured to slate Quares that in bit of lading siate whether it is "carrier's or shocer's weigh:" stipment is to to defecd to ine consigncu Subject lo Section 7 of concilions, it this agreed or declared vatue of the proporty is hardby specilically sizied by! without recourse un the consignor. the Received s the shipper lo be nol exceeding til intastale, see Section 11): fically in vertin the agreed or declared value ol the property THe Elalament: consignor shall sign the lollowing to apply in prepayment of the charges SUBTOTAL The carrier shall hot make clivcry of on the property described horeon. - PCt this snipment without payment of freight and all older lawlul charges. Agent of Carrio, C.O.0. namad matarials are properly classified, described, packagec, marked FEE applicable regulations of the Department of Transportate d labeled, and ara in proper condition for transportation, according istpature of Consigner" • COMPLETE THIS SECTIONS SIMPATENT CONTARIS HAZARDOUS MAYERIALS Signature of Shipper: RECEIVEO the above specitied the signatele here acknowledget property in appalent good order. only thie amount prepaid. ADVANCES (AM) ELEPHONE GIULIBER: 'ERGENCY CONTAI TIME* O APPL REPAI REFER TO DOT EMERCENCY RESPONSE GUIDE HUMIDEN: - EMEAGENCY RESPONSE NIFORMATION: FOR CONSIGNEE DATE ORIGINAL FRICH BILL MUST ACCOMPANY CLAIM FOR OVERCHARGE, LOSS OR DAMACE TOTAL BALANCE DUE OR SHIPPER AND CARLILE P/U DATE 4Y THIE CARLILE DEL. DATE TIME ORIGINAL DATE#
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