Document 5bq9GGmJe703j868Z82YrMBN5

' S-830 (REV. 6/64) RETURN MATERIA" OTICE Organic Chemic^^ ^ 4 W. E. Ault 2. TO PUNT OR WAREHOUSE Art Parrott W.G.Krummrich MATERIAL Aroclor 1254 i W. R. Grace & Co. D 6051 w. 65th St. 0 Chicago, 111. 60638 P 6101 W. 65th St. i Chicago, Illinois SHIPPER'S NO. DATE SHIPPED Del*d 2/7/66 NUMBER & TYPE CONTAINERS l X 600-lb. drum EXPLANATION OTHER AND/OR COMMENTS FOR PLANT ACTION Returned to plant PPD week 1/26/70. DATE 2/2/70 RETURNED TO: W.G.Krummrich DISTRICT Chicago signed Irene Neuman REASON FOR MATERIAL RETURN: FREIGHT TO BE PAID BY 0 COMPLAINT 0 SHIPMENT MADE IN ERROR 0 WRONG MATERIAL SHIPPED O WRONG MATERIAL ORDERED-DISTRICT 0 WRONG MATERIAL ORDERED-CUSTOMER O RETURNED FOR SALVAGE B NO FURTHER USE OTHER (EXPLAIN) MON. MON. MON. MON. CUST. CUST CUST. CUST. NET WEIGHT 600-lbs. REMARKS FOR MARKETING DEPT. Upon receipt of material credit to be issued per attached instructions. Per customer we charged $0.1925/lb 0377179 INSTRUCTIONS: THIS FORM MUST BE PREPARED EACH TIME MATERIAL IS RETURNED TO PLANT OR WAREHOUSE, OR FROM A WAREHOUSE TO A PLA,,.. SHOWNAME OF APPROPRIATE INDIVIDUAL AND LOCATION. SEND COPY NO. I TO ST. LOUIS. COPY NO. 2 TO PLANT OR WAREHOUSE. COPY NO. 3 RETAINED BY ISSUING OFFICE. 1 TOWOLDMONOQ54483