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i STRAIGHT BILL OF LADING - SHORT FORM - ORIGINAL - Not Negotiable SHIPPERSNUMBER S-165770 DATE: 09/26/2012 Shipper(from)- Consignee(to) LAWRENCE LWERMORE NATL LAB AERC CORRAL HOLLOW RD FOR NNSA GT-f- 36577 HUNTWOOD AVE TRACY CA 95376 HAYWARO CA 34544 TECHNICAL CONTACT: JOWWORK ORDER CONTACT NAME: ROUTE: REFERENCE#: W120299432 No. Description of Articles,Special Marlen,and Exceptions Weight Shipping Type of Package HM (Subject to Correction) NMFC Item No. Class Rate (Subcorrection) t Units 1 F/B DRUM on-Regulated waste, solid (fluorescent tubes) 138 lb VED u�.-. 0 2015 E'-,*'-AR.,"W EN9EXT L. �h 6 :. 1 INTHEEVENT OFEMERGENCY,TELEPHONE 1-(925)423-4205 - 24 NRS mmbar+mme, >�or�s„ren. 138 lb matedzi desclbed In thh Mor Ladh,g wK,In me —Total Pieces Contact or Registrant Namo,or Contract Number LLML Emergency dispatch p—i—ith.— ,.&.—I q—ton�'h• 63 kg shlppedcons.tgnar wimrn rwa houn. FREIGHT CHARGES Remarks: EE ARE: If this shipment is to be delivered to TS. This shipment is for the U.S. Department of Ener@Qy and the actual Container Q00261360 Prepaid total transportation charges paid to the carrier s) by the consignor C12-o6 coved const ghee wi t{mut recourse on the consignor, or consignee are assignable to, and shall be reimbursed by, the U.s. Ship doe. S-165770 L3 3rd party The cnnsignar shall sign the following Government and is subiect to the terms and conditions set forth in the standard form of the U.S. Government sill of Lading and to any statement:The carrier shall nex sake delivery available special rates or charges (see Remarks) of this shimcnx rith�t payeent of freight (41 CFR 109-40.50 and 41 CFR 109-40.3) and all other 1—ful charges. R Yes ® No FOR: NNS A SECTION 13712/10721 RATES APPLY-TENDER NO. Received,subject to Individually determined rates or contracts that havo been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rates,classifications and rules that have been established by the carrier and are available to the shipper,on request.The property described above,in apparent good order,except as noted(contents and conditions of contents of packages unknown)marked, consigned and destined as shown herein,which said carrier(the word carrier being understood throughout this contract as meaning any person or corporation In possession of the property under the contract)agrees to carry to its usual place of delivery at said destination,If on Its route,otherwise to deliver to another carrier on the route to said destination,it Is mutually agreed,unless ottlerwise Specifically stated In individually determined rates and contracts that have been agreed upon in writing between the carrier and shipper,as to each carder of all or any of said property over all or any portion of said route to destination,and as to each party at anytime Interested In all or any of said property,that @very service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Stralght Bill of Lading set forth(1)in Uniform Freight Classification in effect on the date hereof.If this Is a rail or rail-water shipment,or(2)In the applicable motor carrier classification or tariff If this Is a motor carder shipment Shipper hereby certifies they are familiar with all terms and conditions of the said bill of lading,set forth in the classification or tariff which governs the transportation of this shipment,and the said terms and conditions aro hereby agreed to by the shipper and accepted for himtherself and their assigns. This is to certify that the above named materials are property classified,described,packaged, Placards Required Label(s)applied marked,labeled,and aro In proper condition for imnsportabon according to the applicable Trailer Loaded by: E]Shipper ❑ Drive regulations of the Department of Transportation(Applicable for Hazardous Materiats Only) Freight Counted by. ❑Shipper Shipper,Acting under contract with the Q Driver,Loose pieces U.S. Department of Energy. (]Driver,pallet said to contain p Driver,pallets containing Carrier Tt / GO TRUCK LA CE I OR& NATL LAS / Vehicle/Car No: Per "CJ Date Per KIMBERLY A. FUGMANN Gate 09/26/2612 Seal: TRANSPORTATION DEPARTMENT - PERMANENT POST OFFICE ADDRESS OF SHIPPER Page 1 of 1