ATTACH_2_Delay_cert_H-14.pdf
PDF 16 KB Posted
- Attached to
- Liquid Nitrogen (LN2), Type II, Grade B
- Solicitation number
- SP0600-10-R-0301
- Issued by
-
Defense Logistics Agency Energy
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Attachment 2
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Text version
TRANSPORT EQUIPMENT DELAY CERTIFICATE
1. CONSIGNOR 2. CONSIGNEE 3. PRODUCT
4. CARRIER 5. TRAILER NUMBER 6. DATE SHIPPED
7. FREIGHT BILL NUMBER 8. CBL NUMBER 9. SEAL NUMBER
10. LOADING/UNLOADING INFORMATION
DATE RECEIVED TIME DATE RECEIVED TIME
A. ARRIVED D. FINISH
B. ACCEPTED FOR
LOADING/UNLOADING E. UNIT RELEASED
C. START F. TOTAL HOUR HELD
11. REASON FOR DELAY (Make a complete statement adequately describing each segment of delay, amount of time on each delay, and whether delay was the responsibility of carrier or consignee/consignor)
12. DETENTION CERTIFICATION STATEMENT : I certify that the above information is true and correct to the best of my knowledge.
SIGNATURE AND TITLE OF CONSIGNEE SIGNATURE AND TITLE OF SHIPPER SIGNATURE OF DRIVER
13. NOTE TO CARRIER: A copy of "TRANSPORT EQUIPMENT DELAY CERTIFICATE" must accompany each detention invoice to provide documentation for invoice certification and payment.
FORM H-14
Sheet1
Text1: Attachment 2
File details come from the government source that posted it. Updated .