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Straight B11 of lading-Short Form-Original-Not Negotiable Shipper's Number. S-192159 Ddte; 2/11/2015 <br /> Shipper(from) Consignee(to) <br /> LAWRENCE LZVCRHORE HAIL LA$ FOR NNSA Clean Barbara Envirooseantal Services, Inc. <br /> CORRAL HOLLOW ROAD 1021 Becryessa Road CLH <br /> TIRAICY, CA 95375 Sen Joan, CA 95133 <br /> Technical Contact: Cantsct Name: <br /> Job/WorkOrder.. Projact 32150 Task OPS.RH%t.SD <br /> Route' Reference N; <br /> Na, <br /> ShippingDescrip tion of Articles.Special Marks,and Exceptions WOW, <br /> Units <br /> 7ypoafPackag! H.kt NMFC Item No. Class Rate (Subject to <br /> Unks (Subject to Corrrctyony <br /> Correction) <br /> 3 DRUH, 95-GAL Hon-regulated waste, solid (fluorescent straight tubes) (DOP0165-1) 392 lb <br /> REC IV D <br /> FL' 0 4 2015 <br /> ENVIFONMENTAL <br /> HEALTH DEPARTMENT <br /> 3 c c Total Pie[es IN THE EliF1JT qF AN EMERGENCY,TELEPHONE (925) 423-4205 .24 HRS ir,:aSd...M,ra,Iadnnp�-taw 392 lb <br /> -taw�ee,r ryr,.ryr et ei.v+rfw,w <br /> CorttaciorRegxstmnt ame,orComractNUrnber LLKL urgency Dispatch 178 kg <br /> FREIGHT CHARGES if this shipment is to be delivered to the This shipment is hot the US.Department of Energy and the actual tat it Remarks: <br /> ARE: consignee without recourse an Ute transportation charges paid to the carner(t)by the corsignor or consignee are <br /> consignor.the tort qwc shall sign the assignable to,and shall be rernshmrsed by,the US.Government and rs subject Reference shipping document S - 1 <br /> El f'rPaid fallowing statement the carver shall not to the terms and caMitians set forth in the standard form of the US. Sao attached <br /> release number LSJ0236 an ornn invoice; <br /> ❑ Coum nwkedelive of this See attached hacking list for container ntmiliera. <br /> (3 3'e Pa delivery aliment without Gavennmrm edl of lading and to any ava7able special rates or charges <br /> try payment cd freight and all other lawful MI.CFR 109-40.50 and 41 Cfit 109-40.31 <br /> charges <br /> IM Yes ❑ No <br /> (seeResartn) U.S. DOE SECTION 13712/10721 RATES APPLY-TENDER NO. <br /> Rscelv*4 subject to indivlduany determined rates or contracts that have been agreed upon In wrldng between the carrier and shlppe,It applicable,otherwise to the rites„cbssi8retfom and riles that have been dtateHshed by the arherand <br /> are available to the shipper.on request.The propeety described abeva,in apparent good order,except as noted(caabnts and condidansof mnterds of packages unknown)matked.comlgntd and destined as shown hereln,which saki <br /> nrrier(the word arrierbeing understood throughout this contract as metaing any person or corporation in possession of Ow props"trnderthe contract)agrees to carry to its usual Place of delivery at said destination,If on its route, <br /> otheswlse to deFrverto analkercarhr on the route to said deslinadon,ft is musually agreed,unless otherwise speciflaBy stated in individually detemikeed rates and ca mob that have beta agreed upon E writing between the arrierand <br /> shlPPer,es to each carrier of all or any of said properly over all or any portion a f said route to destination.and as is each party at anytime Interested In all or any of said propertyy,that every service to be perforned hereunder shall be sobim <br /> to a0 the term andcondltions of the Urniiorm PornestleStnlght BHI of Lading set forth(1)in Unifirims Freight Clau3ration in effect an the date hereof,if this 6a rail or rail water 04rcrierl,or(Z)In the appilsalsde orator aMvrdnslrranion <br /> crtnflf if this is a motor Comet shlpmenL Shipper hereby cera flea they are faaUllar with all team and conditions of"said bW of IsdEng,set forth In the dasrlRcadon or tariff which gevers the trampanation of this shipment,and the Bald <br /> term and conditions are hereby agreed to by the shipper and accepted for hLyul rself and theirassigm. <br /> 1ros is to certify that the above named enraterials ate property Classified,described,packaged, Trailer loadedby [3Sh- er Placards Rd: Label 5 a lrea: <br /> rnaiked,labeled,and are car proper condition got transportation eccasding to the applicable rpP Dinner e re {} pp <br /> regulations of the Department of Transportation(Applicable far Hazardous Matemh Only) Freight Counted by <br /> Slapper <br /> Stripper,acting under coetbact DE-AC52-07NA213e4 Jrdth the 0 Driver.Louse pieces <br /> US,Paparkttant of Energy. 13 thrver,pellet Saul to contain <br /> ON BEHALF of NNah 0 Driver.p9letsco>tnerumng Carner. CZHA / Clean hors Envitonmont;al service, LLC <br /> Vehicle/Car Na <br /> Scott A. Graham / <br /> Per Date 2/11/0015 SeaL Per. Date. �! / <br /> TRANSPOR7ATtOh10EPARTMENi- RMANfM7er7ftnEssorsKrPpER PAGE 1 OF 1 / / <br />