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Type of Shipment
Palletized Shipment?
Floor Load Shipment?
Ashland Cold Storage Account #:
*
Customer Name
*
Appointment Request Date
*
Appointment Request Time
*
Order #
*
P.O. #
*
BOL#?
*
COD?
*
Please check applicable product ship type
Cases/Items
Palletized
Catch Weight
Combos
Pails
Drums
Floor Load
LIVE Floor Load
Drop Load
Split Load
Other
Carrier Name
Carrier Phone#
Shipper
Consignee
Carrier Contact Name
Carrier Email Address
Container #
Destination City, State
ITEM INFORMATION
*Please enter information specific to item(s) expected:
ITEM #1
Lot#
Item#
Description
Qty
ITEM #2
Lot#
Item#
Description
Qty
ITEM #3
Lot#
Item#
Description
Qty
ITEM #4
Lot#
Item#
Description
Qty
Weight (lbs)
Weight (kgs)
Spreading Required?
Yes
No
Trichinae?
Yes
No
Catch Weight Packing
Yes
No
60lbs even required
Yes
No
Tempering required?
Yes
No
Certifications Required?
Yes
No
Liners Required
Yes
No
Corner Boards
Yes
No
Labeling (Special Labels)
Yes
No
Heat Treated Pallets?
Yes
No
CHEP Pallets?
Yes
No
Labeling w/restacking?
Yes
No
Seals Required?
Yes
No
Outbound Checkboxes
Bolt (Yellow End)
Bolt (Silver)
Cable Seal (Long)
Cable Seal (Short)
DeltaTrak (Exports)
Ryan CR-1 Sensitech 90 day
TempoTal4 -9 day
PIM Recorder
Temp Trip TT –UHF01
Temp Tale RF
SunTech
Other
Other
Temp Recorder?
Yes
No
Take Weights
Yes
No
All Items?
Yes
Specific Items
Comments
GrC
*
