Fillable Massachusetts Department of Environmental Protection - BWSC112A Bill of Lading

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Massachusetts Department of Environmental Protection - BWSC112A Bill of Lading

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U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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Massachusetts Department of Environmental Protection
Bureau of Waste Site Cleanup
BILL OF LADING (pursuant to 310 CMR 40.0030)
SUMMARY OF SHIPMENT SHEET __________ OF _________
BWSC112A
Release Tracking Number
1. Date of Shipment: 2. Date of Receipt:
3. Number of Loads Shipped:
4. Daily Volume Shipped:
A. SUMMARY OF SHIPMENT (To be filled out by the receiving facility upon receipt of Remediation Waste):
5. Totals Recorded on this Summary of Shipment Sheet:
Check here if additional BWSC112A BOL Summary Sheets are needed.
Revised: 03/10/2010 Page 1 of 1
galstonsyds
3
B.
(mm/dd/yyyy) (mm/dd/yyyy)
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Massachusetts Department of Environmental Protection - BWSC112A Bill of Lading

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Completed 21 May 2020

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