ACS Shipping Check In Form

Order Number *

Destination: *

Consignee: *

SHIP DATE: *

Date

Truck Name: *

Number: *

Trailer License #: *

State: *

ETA : *

Driver Name: *

Phone Number *

Area Code Phone Number

Dispatcher Phone Number *

Area Code Phone Number

Email

example@example.com

Your trailer must be precooled to 34-36°f and the unit must be running during the loading process.
The trailer must be clean and without unusual or unpleasant smells before backing into the dock. Must be free of dust, dirt, broken wood or glass and rodent infestation.
Please inform the loader of any existing damage or problems with your trailer before the loading process begins. We want to avoid any unnecessary damage to our shipper's product and further damage to your trailer,
Slide tandems all the way to the rear.

5. ¿Ha struck previously been used to transport animals, animals products, or chemicalhazards? *

Yes NO

Trailer Size:

96" 102"

Lenght:

Fuel on board

Empty 1/4 1/2 3/4 Full

This facility uses Anhydrous Ammonia as a refrigerant. Anhydrous Ammonia has a strong odor, the same as Ammonia cleaners. If exposed to high concentration it can cause chemical burn, freeze burn, serious injury and even death.

Our facility has an alarm system designed to notify everyone when there is an ammonia release. Our personnel are trained to recognize an ammonia release problem.

If you smell ammonia, please notify the Dispatch office immediately and evacuate to appropriate staging area.

When you evacuate, proceed to the evacuation Staging Area as shown on the map. You must note the wind direction to determine the path. Evacuate at right angle, away from the problem (never cross from a downwind location) to the Staging Area.

Stay in an Evacuation Assembly Area until you are accounted for.

Do you have more than 1 pick up with us, please listed here.

Additional numbers.

Driver signature

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