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;TRAIGHT HILL OF LADING - SHORT FORM - ORIGINAL - Not Negotiable SHIPPERSNUMBER S - 173889 DATE: 06/06/2013 Shipper(from) Consignee(to) LAWRENCE LIVERMORE NAIL LAB FOR NNSA CLEAN HARBORS ENVIRONMENTAL SERVICES CORRAL HOLLOW ROAD ** *CLH n TRACY CA 9537b- 1021 8ERRYESSA ROAD [v 1�-,jlLl1 TECHNICAL CONTACT: SAN JOSE CA 95113• JOBfWORK ORDER: Pro)ecl 32149 Task 5325.10 CONTACT TAME: ROUTE: 11REFERENCEP Shipping Type of Package HM DesuipUan of Articles.Special Marko,and ExcBpti (Subject to Correetlan) ona NMFC item No. Class Rate (5 bkn to Units correction) i DRUM Non-regulated waste, solid (resin OP0066 in beads) IDit 3671b 1 DRUM Non-regulated waste, solid (non-Friable asbestos) iDOP0066 - 1) 78 lb 1 DRL04 on-regulated waste, solid (fluorescent light bulbs! (DOP0167-1) � 271b 2 RLR4 on-regulated waste, solid (fluorescent tubes) IDOP0165-1) �� 270 lb 7 BOX Non-regulated waste, solid tfluorescent tubes) (DOP0165-1) 2671 DEC 0 4 Z015 ENVIRONM NTA'L HEALTH DEPARTMENT 12 IN THE EVENT OF EMERGENCY,TELEPHONE 1-(925)423-4205 - 24 HRS u "w �s"- o m �� 1.@@91b «<To(ai Pieces Contact or Registrant Name,or Contract Number pmrses&4�of the cart mi.Me .ge.stoWith,m. 461 kg FREIGHT CHARGES Remarks: Prepaid it this shtowt it to st dell.trtd to the This shipment is for the U.S, aeparteent of Ener y and the aGtudl' SJttl112-a3 chipping tl 5 -172899 —sigma sigma withwt rreoarsa an th.tumsi mar, total transportation char es paid to the tarrier7s) b the ransi ©Cdtad q y goer aeeerence release number LLRa7g7 on invoice. or cansignee are asst b e to, andshall be reimbursed by the U.S. See attached packing list for containers numbers. L7 3rd Party the camilgmor shalt slgm the rallt.enq Gavermoeht and is subject to the terms and Conditions set earth in the standard form of the U.S. Gcverrtatent all) of fading and to any Stata.eat: The carrier Shall net ruhq dellrcry available special rates ar charges (sea Remarks) of tmlf shlpm.nt ori ihw[ paretrtt of rrtigtt (dl CFR 109.40.50 and 43 CFA 109-4@.)) .11 ott,.r 1—f.) ci r,m p Yes p 140 SECTION 13712I70721 RATES APPLY-TENDER NO Received,subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,(I applicable,otherwise:to the rates,classifications and rules that havG been established by the carrier and aro available to the shipper,on request.The property described above,in apparent good order,except 09 noted(contents and condillons of contents of packages unknown)marked, consigned and destined as shown herein,which said carrier(the word carder being understood throughout this contract as meaning any person ar corporation In possession of the property under the contract)agrees to carry to its usual place of delivery at said destination.If an Its route,otherwise to deliver to another carrier on the route to said destlnallon.It is mutually agreed,unless otherwise specifically stated In Individually determined rates and contracts that have been.agreed upon in writing between the carrier and shipper,as to each carrier of all or any of said pro party 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 every service to be performed hereunder shall be subject to all the terms and candhions of The Uniform Domestic Straight Bill of Lading Set forth(1)in Uniform Freight Classification In effect on the date hereof,If this is grail or rail-orator shipment.or(2)in the applicable motor carrier classification or larlNif this Is a motor carrier shipment.Shipper hareby cenlflea they are familiar with all terms and condillons of the said bili of lading,set forth In the classification or tariff which governs the transportation of this shipment,and the said terms and candltions are hereby agreed to by the shipper and accepted for himihersetf and their assigns. This is to certify that the above named materials are propedy dassilitted,described,packaged. Placards Required Label(s)applied marked labeled.and are in proper coixbtion for Iransportatlon acuording to the applicable Trader Loaded by ©Shipper O Drive regutations of the Department of Transportation(Applicilhin ter Hazardous Materials Only) Freight Counted by: Shipper.Acting under contract I with the G Sh+pper ❑Dover_Loose pieces U.S. Department of Energy. El-Driver,pallet said to contain LAWRENCE LIVEWI)DRE NATL LAB FOR NNSA U06ver,pallets conlalrting (:a(REf CLHA / CLEANQRS ENVIRONVehidelCa r No W I Per �( Per bale SCOTT A. GRAHAM Date r Seal TRANSPORTATION DEPARTMENT - RMANENT POST OFFICE ADDRESS OF SHIPPER Page 1 of 2