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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0514115
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
4/9/2020 10:11:37 AM
Creation date
10/31/2018 12:45:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514115
PE
2249
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\dsedra
Supplemental fields
FilePath
\MIGRATIONS\C\CORRAL HOLLOW\15999\PR0514115\COMPLIANCE INFO 2015.PDF
QuestysFileName
COMPLIANCE INFO 2015
QuestysRecordDate
2/14/2018 5:54:51 PM
QuestysRecordID
3615097
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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BILL OF LADING - SHORT FORM - ORIGINAL - Not NerTotiable <br />4CE LIVERMORE NATL LAB S )0 Shipper No. SR -011008 <br />L HOLLOW RD FOR: US DOE Purchase/ Date: 01/09/2008 <br />CA 95376 Customer Order No. <br />F <br />ad to the dassladatiohe and narnns in enact on the (late o the issue or trus bill o lading. the propertydescrioeo Deiowin apparent good order, ew .W as rated (contents and conation <br />aclagas urahown) marl®d, consigned, and destined as sham below, vtech sad carrier (the Wad carrier being understood troughout tis contract as meaning any person or corporation in <br />e propertyuncler the contract) agrees to carry to its usual place of deli%ery at sad desstination, if on its route, ofherWse to deliver to another carrier on the route to sad destination. Ilis <br />, as to each carrier d all or any d sad property ower all or any portion d sad ro to to destination, and as to each party al anytirre interested in all or anyof sad property, that every sanAce <br />hereurder shall be subject to all the terns and conditions d the Uriform Domestic Straight Bill d Lading set forth (1) in Uniform Freight Classification in effect on the date hared, if Ws is a <br />r shipment a (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment <br />by certifies that he is familiar with all the terns and conditions of the said bill of Wrg, set forth in the classification or tariff Which goerns the transportation of this shipment and the said <br />erns and conditions are herebyagread to bythe shipper and accepted for himself and his assigns. <br />Consignee CARRIER GT+/GOVERNMENT TRUCK <br />LLNL FOR: US DOE <br />BATTERY SHOP BLDG 404 ��� �c <br />7000 EAST AVE. <br />LIVERMORE CA 94550- <br />ATTN: DAVE TURNER Ic <br />AR OR VEHICLE INITIALS & NO. <br />SEAL # <br />No. HM Description d Articles (Subject to Correcti on), Kind of Paclage, <br />PKGS. Special Marks and Exeplions (See NMFC Item (Rude) 360) <br />1 CW X UN2794, BATTERIES, WET, FILLED WITH ACID, 8, PG—Ill <br />40 each batteries <br />Label(s) CORROSIVE Applied <br />DOT EMERGENCY RESPONSE GUIDE #154 ATTACHED <br />No. Tender, No.: <br />Weight (Subj act Subject to Section 7 of <br />to Correction) Class Rale Charges <br />conditions, if flys <br />1060 LBS shipment is to be delivered <br />to the consignee Without <br />recourse on the consignor, <br />the consignor shall sign <br />Hie folloting statement: <br />The carrier shall not male <br />deliweryd this shipment <br />Without payment of freig hl <br />and all other lawful <br />1 Total Pieces TOTALS: 481 Kgs 1 1060 lbs <br />'Label(s) applied <br />a <br />Remarks <br />U.S. DOE <br />Signature d Consignor <br />f freig ht charges are to be <br />xapaid, write or stamp <br />were'TO BE PREPAID" <br />PREPAID <br />Dote: Where the rate is <br />tependent on Blue, <br />chippers are required to <br />[late specificallyin Writing <br />he agreed or declared <br />slue of the property <br />rhe agreed or declared <br />slue of the property is <br />E <br />the shipper to be not <br />:eedi rig <br />per Ib. <br />b order, reference, <br />:oumL or Work order <br />Y <br />d. l 1vh <br />TECHNICAL CONTACT; <br />This is to certify that the atwoe named materials are properly classified, `This shipment is for U.S. Department of Energy and the actual total transportation charges paid to the <br />described, paclaged, marled, and labeled, and are in proper condition for carrier(s) bythe consignor or consignee are assignable to, and shall be reimbursed by the U.S. Gowernrrenl <br />transportation according to the applicable regulations of the Department of and is subject to the terms and conditions set forth in the standard form d the U.S. Goerrxrenl Bill of <br />Transportation (Applicable for Hazardous Materials Only.) Lading and to anymalable sa rates or charges (41 CFR 109-40.50 and 41 CFR 10140.3) <br />Shipper. LAWRENCE LIVERMORE NATL LAB SITE 300 7YES [] NO <br />- Acting under contrail With U.S. Dept- of Energy 'The addition on the face tiered and to the terms and condition are here bynoted: <br />Per: GEORGE AZEVEDRIC Dale: 01(09/2008 Carrier: G GO RNMENTTRUCK <br />Per +/ Dale: <br />TRANSPORT ON DEPT. Post Office Addresso(Shipper Page td 1 <br />
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