TOTEM OCEAN TRAILER EXPRESS, INC. HAZARDOUS PRE-NOTIFICATION/AUTHORIZATION DATE: _______________________________ TO: TOTE / HAZARDOUS CLERK FAX: (907) 258 - 0199 PHONE: (907) 265 - 7255 FROM: (company) __________________________ FAX#: ___________________________________ CONTACT: (name) _________________________ PHONE#: ________________________________ TRAILER NUMBER: ________________________ BOOKING NUMBER: _______________________ NUMBER OF PAGES (including this cover page): ________ PLACARDS APPLIED: ___________________________________________________ APPROVED: ___________ DISAPPROVED: ________ TOTE SUPERVISOR: ____________________________ TIME: _______________________________________ COMMENTS: ___________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Instructions: Please fill out cover sheet with appropriate information and fax with copy of hazardous manifest to TOTE Hazardous Clerk. Once manifest has been verified, TOTE will fax back cover sheet with notations of approval or disapproval. If approved, load may be released/brought to the TOTE terminal for processing. If disapproved, comments will be made as to what corrections are needed and manifest must be faxed back with appropriate corrections. The shipper must receive an approved Hazardous Authorization Form before the trailer is released/brought to the TOTE facility.