Shipper ยท Consignee
Parties to the shipment
Step 2 ยท Hazmat description (172.202)
Substance + quantity
Auto-fills shipping name, class, packing group, ERG.
โ Shipper's certification (172.204)
By signing the generated paper you certify that the materials are classified, described, packaged, marked, labeled, and in proper condition for transportation per DOT regulations.
X3
Hazardous Materials Shipping Paper
UNIFORM BILL OF LADING ยท 49 CFR ยง 172 SUBPART C
BOL # โ
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Shipper ยท Consignor
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Consignee ยท Receiver
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โ Hazardous Material โ Basic Description (49 CFR ยง 172.202)
UN___, Proper Shipping Name, Hazard Class, Packing Group, Quantity
Hazard Class
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Packing Group
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Total Quantity
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Packages
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24/7 Emergency Response Phone (172.604)
โ Required โ
Placard preview
appears here
appears here
Shipper's Certification โ This is to certify that the above-named materials 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.
Shipper Signature ยท Date
Driver / Carrier Signature ยท Date
Page 1 of 1 ยท This document must accompany the shipment at all times per 49 CFR ยง 177.817.
Generated โ