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THIS MEMORANDUM " an acknowledgement Rat a bill of Iad!of has been Issued and is not the Original Bill of Catling, not ampy <br /> erdupllcate. coveting the property named harem, and Is Intended solely far filing or record. <br /> ' f <br /> Shipper's No. <br /> Carrier RAMOS ENVIRONMENTAL SERVICES SCAC Carrier's No. <br /> RECEIVED, subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, attended to the rates, classifications and rules that have been <br /> established by the tamer and are available to the shipper, on request; and all applicable stale and federal regulations; <br /> at , date fromLcaaoBZ � `fi7 <br /> the Properly described below, In apparent good order, except as noted (contents and condition of contains of packages unknown), marked, consigned, and destined as indicated below, which said company <br /> (the word company being understood throughout 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 <br /> mute, or otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said Property over all or any return of said route to destination, and as to <br /> each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohlbited by law, whether printed or written, herein <br /> contained. including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> TO: FROM : <br /> Consignee BIG SKY ENTERPRISE Shipper �T I'- O-rr i l 6�ar <br /> Street 401 WEST CHANNEL DRIVE Streetisi ' <br /> Destination BENICIA, CA Zip 94.510 Origin C1G_4&ill zip c`os� 7/Z <br /> Route <br /> CAL000301639 <br /> Delivering Carrier Vehicle Number U .S. DOT Hazmat Reg. No. <br /> Number and Type HIM I'D. Description of Articles <br /> of Packages Number <br /> WA NIA DRAINED USED OIL FILTERS N/A N/A (J P P.'./ill <br /> S/O N Z o (ob '7 <br /> ER CONTRACTOR RAMOS <br /> ENVIRONMENTAL SERVICES <br /> rod toIlecon. ifnee /� COD FEE : <br /> Remit COD to: i ut' ecour eaelin the I° Ramer, the CVD AMT: <br /> wnsigno 1phout recourse e 'lav c signer, the <br /> Address: , caMhisnmale following c Prepaid ❑ <br /> er shall not make delivery of Ria $ P <br /> City: State' Zip: shipment °charge garment °' IroigM1l a"° age ap Collect Q <br /> � pmwiN charges. <br /> NOTE: Where the rate is dependent on value, shippers are required to slate specifically in writing TOTAL CHARGES: FREIGHT CHARGES: <br /> the agreed or declared value of the property. The agreed or declared value of the property is <br /> hereby specifically stated by the shipper to be not exceeding $ Per (Signature of Conaign°d ❑ Prepaid El Collect <br /> NOTE: Liability Limitation for loss or damage in this shipment may be applicable. Bee 99 U.S.C. r 9 <br /> 74766 c) i A and B). r . . a. BY SHIPPER BY GABBIER <br /> This is to codify that the above named materials are properly boosted, describetl, packaged, marketl <br /> and labeled, and are In proper combllon for transportation according to the applicable eegulations of 9 10RIVERS <br /> the Department of Transportation. Per GNATURE: <br /> SHIPPER: � e q� ct av r ' CARRIER: OS EN )RO MENTAL SERVICES <br /> PER: '`." DATE: 2. G PER� DATE: y6 <br /> i <br /> EMER9NCY RESPONSE NAME OR CONTRACT NUMBER <br /> TELEPHONE NUMBER: (916) 371 -5747 OR OTHER UNIQUE IDENTIFIER: <br /> 969 (Rev. 3/17) Cil <br /> C` <br />