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161596, THIS MEMORANDUM Is or duplicate, co that a bill of lading has been issued and is not the original Bill of Lading,nor SHIPPER NO. a cop or duplicate,covering the property named herein,and is intended solely for filing or record. CARRIER NO. 5/27,/2010 'ARRIER SCAC DATE TO: FROM: t AET�{y:, RECYCLING 5SOLUTIONSS.t'C�, K'I'OI�I UNIFIED SC.`Ht.�OL DISTCONSIGNEE �3�)t'SrF 7 Himtwo d Ave SHIPPERAttn: K'T(,Ii Ha4ward, CA_ 94544 1932 N.PINAL DR STREET 510-429-41219 STREET ST r TO .A 952,1065 DESTINATION STATE ZIP ORIGIN 510_993_5157 STATE ZIP ROUTE ) VEHICLE NUMBER U.S. DOT Hazmat Reg.No. ( TotaliNumber and Type of Packages HM Description of Articles (mass,volume, (subject to i Rate or activity) correction) (For lam --f loureseent,u-tubes,ComPacts,hid etc. ) Used/Spe. t Lamps for Rei.; cling----SIO VALUE- Universal Waste DOR ICON-- egulated IRIFC,� 1.94250-00 CLASS 55 *In Gaae Of Hazardous Materials Transportation. Fmei,gency O Y C�ontaet INFOTRAC 1-800-535-505.3 505:3 And. Identify ARK As R gistraxa lefnit COD to: Subject Section of conditions,If this shipment is too be delivered ed to the consignee COD FEE: COD AMT: ,.1 without recourse on the consignor,the consignor \ddreSS. shall sign the following statement: Prepaid ❑ 'it State: Zip: The carrier shall not make delivery of this $ Q shipment without payment of height and all other Collect ❑Y+ lawful charges. OTE:Where the rate is dependent on value,shippers are required to state specifically in writing the TOTAL CHARGES: FREIGHT CHARGES: )reed or declared value of the property.The agreed r declared value of the property is hereby )ecifically stated by the shipper to be not exceeding $ Per (Signature of Corsi nor) $ ❑ Prepaid ❑Collect _CEIVED,subject to Individually determined rates or contracts the have been agreed upon in writing between the carrier and shipper,H applicable,otherwise to the rates,classifications and rules that have been established by the carrier and are avallabl. the shipper,on request;and all applicable state and federal reg rations;the Property described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as Indicates cove which Bald company(the word company being understood it roughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to delivery at said destination,if on Its route,or otherwise is ,liver to another carrier on the route to said destination.It is mutua ly agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each parry at any time Interested in all or any of said Property that even mice to be performed hereunder shall be subject to all the conditic ns not prohibited by law,whether printed or written,herein contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and hi: signs. DTE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.14706(cXlXA)and(B). his is to certify that the above-named mater als are property classified,described,packaged,marked,and labeled,and rein proper condition for transportation according to the applicable regulations of the Department of Transportation PER: a HIPPER: CARRIER: r f ER: r "" PER: DATE: MERGENCY RESPONSE Monitored at all times the Hazardous Material is in transportation ELEPHONE NUMBER: ( including storage incidental to transportation(172.604). 1-RI r-()A 1797A An