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STRAIGHT BILL OF LADINC� Shipper No. BOL248148 ORIGINAL—NOT NEGOTIABLE Carrier No. BELSHIRE Page of 1 Date the (Name of carrier) � 1 +!14{ 1(S.ClA4C) On Collect on Delivery shipments, leffers'COD'must appear before consfgnee's name oras otherwise provided In Item 430,Sect. FROM: 7—Eleven 7 TO: Philadelphia Reeyclinq Mine Shipper Consignee Street 2725 COUNTRY CLUB BLVD Street 12000 Philadelphia Street STOCKTON City State CA Zip Code 95204 city Mira Loma state CA Zip Code 91752 24 11r.Emergency Contact Tel.No. Route Vehicle Number No.of Units HM BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES 6 Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject to RATE (For Carrier Gallons,etc.) Correction) Use Only) Non Hazardous Concrete ou i BEST #: 240146 PLACARDS TENDERED: YES r-i NO O REMIT C.O.D.TO: Note—(1)Where the rale Is dependent on wade,shippers are required to slate I hereby declare that the contents of this ADDRESS specifically in writing the agreed or declared value of the propody,es follows: consignment aro fully and eccuretely agreed or declared value of the property Is hereby specifically stated by the shipper to described above by the proper shipping C.O.D.FEE: be not exceeding per name and are classified, packaged, PREPAID ❑ (2)Where the applicable tariff provisions specfty a limitation of me carriers liability absent marked and labelled/placarded,and aro C Amt: $ COLLECT❑ $ a release or a value declaration by the shipper and the shipper does not release in all respects In proper condition for swlea m section 7 of IM cordifione,n mis sntpment Is to be danw,rad to the TOTAL the carriers IiabNiry or declare a value,the carriers IlabNiry shall be Iduiltd to Ne extent transport according to applicable slegnee without rocource on the eonsignor,Iha consignor shah sign the CHARGES = provided by such provisions.See NMFC Ilam 172. International and national governmental joAowtng s191emanh y (3)Commodities requiring special or additional care or eaenllon In handling or slowing regulations. Tha carrlar shall not make delivery of this shipment without payment of FREIGHT CHARGES must has marked and packaged as to ensure sale trensporiatlon.See Section 2(e)of freight and all other lawful charges. FREp1tr pREPJUD Check box N Cnrgsa Item 360,Bills d Lading Freight Bills and Statements of Charges and Section 1(a)of exce�pptt when box at ereabs 1 the Contract Terms and Conditions for a list of such articles. Signature (egn,turs of coneyn,q dghth checked ❑ collect RECEIVED,aub)ad to the classifications and tariffs In effect on the date of the Issue of this Bill of Lading, fination and as to each parry at any time Interested in al or any said property,that every service to be the property described above In apparent good order,except as rated(contents and condition of con. performed hereunder shall be subject to ON the bill of facing forms and concifbns In the governing Iles- tents of packages unknown),marked,consigned,and destined as Indicated above which said carder sificatlon on the dale of shipment. (the word carrier being understood throughout this contract as meaning any person or corporatlon In Shipper hereby ceniffes that he Is familiar with all the lading terms and conditions in the possession d Ore property under the contract)agrees to carry to its usual place of delivery at said dead- governing classification and the said terms and conditions are hereby agreed to by the shipper end nalivn,If on Ifs route,otherwise to deliver to another carrier on the route to said destination.It b mufu. accepted for himself and his assigns. all agreed as to each canter of all or any of,said property over all or any porion of said route to des- SHIPPER 7-T2n CARRIER . BELSHI RE PERPER J� Lz�; .I DATE / L Permanent post-office address of shipper. STYLE„; rte;�* sovi u c. STYLE CF375-4 ®2012 LABELMASTERO (800)621-5808 www.labelmaster.com