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STRAIGHT BILL OF LADIN* Shipper No. ORIGINAL—NOT NEGOTIABLE Carrier No. BELSHIRE ENVIRONMENTAL SERVICES, INC. Page 1 of 1 Date (Name of carrier) (SCAC) Cn Collact on Def"shipments,IN seders'COD'—at appear bebre consigr wa's name a as uhervrhe provided in Rom 4W.Sm 1. FROM: WestBP Coast Products LLC � TO: Selshire Environmental Services, Inc. ShipperARICD IRA -- ; Consignee 3212 N. CaGfiornia - — Street 25971 Towne Centre Drive Sbo&bon ISA 95204 Street City State Zip Code Foothill Rcity ah CA zip Code 92610 {949j 46o-5204 -- 24 hr.Emergency Contact Tel.No. 6951n3706I Vehlcfe f Route Number ) i BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES No.of Units HM Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping Name, (Weight, Volume, (SuNed to RATE (For Carrier &Container Type UN or NA Number,Packing Group or Hazard Class,Packing Group Gallons,etc.) Correction) Use Only) EMPTY SCRAP DRUM 9 Veyfat t+453 3 1 PLACARDS TENDERED: YES o NO m REMIT C.O.D.TO: Note—(t)Where Ihs rate is dependent on value,shippers are mewed to shale I hereby dedare'."t-he—terns of thu ADDRESS 'pacifically in wrihrg the agreed ar declared s�of the psa- cry.es in tol'The —igr —t are 4:Ily and a—rammy agreed a declared ague el the pmpeay Is h rebr speaker, stated by the shipper to cl—bed above by it.proper Shipp r+9 C.O.D.FEE: be not ayceeding -..._ .... Da+ _ name and ve easslhed. packaged. COD fit. S PREPAID 0 ;21 Whims fie app ll®bamrtll prauisicrs speoily a r�as6on of the tarrites liability absent marked and labelledglaarded.and are COLLECT❑ $ a release o e value declaration by me shipper and the shipper does nor release in at r—.-,tS in pope,condition fcr Rre carrter`a lab�ldy pr declare a aloe.e+e camera liability Shr?ll OB lambed M the e%tant Iranspo, according tp applies Sr.blen to$action�d:he .rtdlrnna.3 C4 srti�rttae m ID Ea WMred b oro TOTAL rovldltl such rpwsions.Sea NMFC Item 172. ime_Sbanal and re",ewer,mal vns g—.,h—rtv-wise m the consig:lor.the consignor Shall Sign the (*{/ GES $ p by P :ctlowtrg ata mars. 13)comms inps rect.nng Special a additional care or eaenbon m handling pr s1 9 regulaycns me oxime,snarl nw maw-1—ry of ma sniamenr.�ww:t payment a FREIGHT CHARGES mast be so marked and packaged as to ensure safe t nSP0,taI-h-See 6-110-201 of "mita ani:all other tawtul charges. FREIG14T PREPan Choi boo ad+an;m :lent 360.sibs d lading.F.eigM Bits and Stetsments pt Charges ant$ecnon 1W d coapt vrhen^o.m am I the Contract Terms and Conditins ofor alis,of such aw Jes. Signature (rag—a C.-Shon r'gy 1Bcheeked- oDka RECEIVED,soeiep to the:tassdfcadons and tants n Seed on to data d Te is"of this Se of Ladrng. nre and as to each party in ary trine in arested In all or any said properly.ltd away servke to be die pmpenty dexabed at>w ,apparent good oma,.except as natal and d condo mrm +of c - perfoed hereunder shall be sugec!10 eS the M d lading toms rn tos and rcfiti In the gavemes ing d . rents d padages wimownJ,marked,corsigrted and deaaned as indnered above vd.dr Said c-amer siFcali n on to User shipment (the word carder bang understood throughout this coronad as masmirg any person or wrporabon r Shpper hereby carhbee that he is familiar wilt all the larsng tams and condors In the mnsmssion d the property wader rhe contract)agrees W carry to IN usual piece of delivery at said dead- govemi g classification and the Saki terms and conds ons are hereby agnad to by the shipper and none+.it on its route,othen•.i a to defrva to another cerise,on stye route to said destination.II+s mul accepted for himself and his assigns. Sty agreed as to each cams of of or arty ofsaid property wer an or any portion of said rose to des- SHIPPER CARRIER BP WEST COAST PRODUCTS LLC RELSHIRE ENVIRONEME14TAL SVS. PER PER DATE [J Permanent post-office address of shipper. ® S'YLE CF365-4 02003 IABELthASTER® (800)621-58L'8 wwwAabelmazier.com so rim