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+ UHlEv4tVRt—NV E iVLkSV EfRtILG �✓ 17-0301-0-1 ��•L ��°0� Carrier No. / ' j`a i�1-S� t QC� ,.,�t��l; �� Date 3! Page of — (Name of carrier) (SLAC) Ott Catbcd or.Delivery shipments.the faders"CDD'mus!appear before consigroe s name or as othanvise provided In item 490,Sec.i. FROM! To: Shell Olt Products US Shipper Consignee MARTINEZ REFINERY � i Street ""Y'� �, � V� � tJ"L V CJ Street 1601 MARINA VISTA City ,jie—loy-) StateCA zip Code City MARTINEZ State, CA zip Code94553 CHEMTREC 504-424-9 24 hr.Emergency Contact Te;.Na. Route Vehicle �} Number G..- No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEiGHT CHARGES & E Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping Name, (Niel t, Volume, (Subject to RATE (For Carrier Container Type UN or NA Number,Packing Group °f Hazard Class,Packing Group alio .etc.) Correction) Use Only) N.ON-HAZARDOUS GROUNDWATER -----a Contains,vjater with <10%oil bearing materials and mai,Include extracted E ground-water from service station facilities that would be non-hazardous under federal and state waste classification criteria SOP U "Martinez Refinery Receiving date to direct driver to the E=ffluent Treatment Plant OPerato x32€3; toe of loading directions l SAP lNCED ENT#. 0•<6-1 I R€PR : PLACARDS TENDERED:YES p NO REMIT 0117fNote— i Where the rale is dependent on value,sN eq y ADDRESS SS (1 p pPe s are r tined to late I hereby declare that Uo conionlc of this ADDRESS specifically in vnfdr:g the agreed or declared value of the property,as idiows:-Tire consignment are fully eed accurately agreed or dactamd vaue of the property is hereby spaarically stared by the shippar a descrbed above by the prcpe:shfpptng C.O.D.FEE: be not exceeding --_Pat– .• name and era oiassified, packaged, PREPAID ❑ (2)Where the appi'csble tariff provisions specify a limllation of the carders liability absent marked and labelled/placarded,and are D Amt: $ COLLECT❑ $ a release or a value declaration by the shipper and the shipper does not release in all respects condition for proper confor the carriers tlsbllity or dedare a value,the a;riaes Rabidity she%be firmed to the extent transport according td appgeabie _SWt d I.Sedicn Y.rIha condlC."'If nus sMpment h to be delivered Is the TOTAL pnwided by such pmv!snrts.See NMFC hem 172 Intemagma and national governmental signee without rawune on the consignor,the consignor shall sign Iha CHARGES {�commm'rties requiring spedal or additional care or attendon In hardpng or stowing n lati... WI6wv,g xle mei a $ must be so marked and The.-fait shag not make delivery of all..11!p—nil vMhout payment of packaged as to ensure safe transportation.Sea Section 2(e)of fraiighl and all Doter la Aw charges. FREIGHT CHARGES hem 3^00,Bills of Lading,Freight Bills and Statements of Charges and Section t(a)of FREkhiTPREPAiD dineric box%.F rges Signature excM�whan box at arils be the Cmtran Terms and Conditions for a hit of such arreles' iskr+:u,e a ca,:?naq dgM k drecked ❑ moat[ RECEIVED,sell,to the ciassificagms and tnrids in effect on the data of the issue of this SM of Ladtr if. tinatic..,and es b each party al my Rote intereste3 to as or any said pro ery,that every service to be ire property descrbed above In apparent good order,except as nomd(contents and film of con- psdnrmsd hereunder shall be subiact bap the big of ladVV[arms and c-ditkxs in the governing das• tents of pack ages no unkwn),marked,consigned,and d"Uned as Indicated above which said carter siralion on the date of shipment. (the word center bei-{understood lhroughoul this Contract as meaning my person or co,•poratim h Shipper hereby certifies that he Is familiar with as the fading terms and conditlons In the possession of he properly undar P.o contrast)agrees to carry to its usual place of delivery at said drip- governing classifiCallon and the said teams and conditlms are hereby agreed fo by the shipper and nation,if on its tome,otherwise to deliver to areaher carder on the route to said dcs. miffon.It is malu- accepted for ht—.If and his assigns. ally agreed as to each carrier of aE a any,of,eaid property over all or any portion of said routs to des- SHIPPER Shelf Oil Products US CARRIER V � PER ON BEHALF OF SHELL PER C�In.t'C i ,A4le/I RECE=IVING SITE SIGNATURE/DATE: DATE Permanent post-office address of shipper- STYLE F365-4 02003 LABELMASfERm (800)621-5808 www.labelmaster.com t"1r IaUSI G OYSE I P.hPEfl enicttanrtx USING Si/Y%:AN IRIS §Oy jNK