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Straight Bill of lading-Short Form-Original-Not Negotiable Shipper's Number, S-08202018-1 Date: 8/20/2018 Shier(froma Consignee(to) LRNReN¢ LIVEpbgpB NATL Site 300 MR NNSA Altamont Landfill E Resource Recovery Corral Hollow Read Alrament Pass Road *GT+* Site 300 Tracy, G 95376 Livermore, G 94550 Technical Contact Contact Name: Job/Work Order: Route: Reference k: No. Weight Shipping Typedpacke a HM Description of Articles,Special Made,and Exceptions NMFC IWm No. Class Rob (Subjec[ro Units (Subject to Cpmec[ion) Carrec6en) 1 TRUCK, DUb@ Uncontaminated c netructian debrie and weathered wood products (utility 51000 1b peledr out into small caption. 1 «Total Pines IN THE WENT OFAN EMERGENCY,TELEPHONE (925) 423-4205 _24ryR5 u wiwx�uNoim PoaWgnm,xce,.u..n. 50001ba Concept or Registrant Name,or Contract Number LLNL ^°°'N."'^in°am�a^^r.;wm^m'^ 2268 kgs awas FREIGHT CHARGES If this shipm statement is to be delivered to the This shipment is on behalf a th U.S.Department of Energy and M b e actual al Remarks: ARE .,I'm-withoutecourse on the tanponation charges paid to Me cement)by Me consignor or consignee are consignor,the consignor shall sign are assignable to,and shall be reimbursed by,Be U.S.Government and is subject to Altamont Profile# 62127G 0 Prepaid following summers The canner shall not the terms and conditions set forth in Me naMard form of the US.Goverment ❑ tallest make delivery of thisshiprtem without Bill of Lading and to any amelablespedalrmes a charges ❑ 3"Party payment of height and all other lawful (41 CFR 10 Q.50 and 41 CFR 1N-Q.3) charges. 0 Yes ❑ No (see Remarks) U'S' NtaSA SECTION 13]32/30]21 RATES APPLY-TENDER N0. Received subject to Individually determined raw or contracts Mat have Leen agreed upon In vslting between Me carrier and shipper if applicable,otherwise W the ate;danifm6ons and miss that haw been moublished by are artier and available W Me shipper,on req pa u al The property described above,in aprent good more,except noted Harms e and crni ifons of moment of pa M ckages unawnl marked consigned and watch as shown herein. M1 said center Uhe word carrier being understood Mroughout this mmntt as meaning any person or mryomtian in possession of the property under the warrant,agrees to carry to Be usual place of delivery at aid destinafon,if on its mute, ,insurers to deliver to another carrier on Me route to aid transition. His mutually agreed,unless otherwise eventually mud in Individually determined Now and mntrub Mat have been agreed upon in writers bervrcm Me order nd shipper,as to each center m all crony of said property ever all or any portion of said mine to saturation,and ato sun parry M anytinro interested In all or any of mid pmpeny,tMtewry semre W be performed hereundershah besubject to a0 one lama and conditions of are Uniform Domestic Straight Bill of lading sR fait(1)in Uniform Freight nassaimtian in effect an are data hereof If this is sail or researcher shipment or(2)In Me applicable nwtor center classification or hnN if this Is a motor aniershipment Shipper hereby certifies May are familiar wish all terns and mnditiom of she said but mlading, at Had,in Me dare fmtion or HIM which gowms the maintained—of this shipment and Me aid term and wMitions are hereby agreed to by the shipper and auepatl for hi transverse and their assigns. This is to cenify that the a owe named materials are property classified,it accrued,packaged. Trailer Loaded lag Shipper Cl Driver Placards Required: Labu1D)applied: marked,labeled and are In proper condition foraminsportation according W the applicable regulation of the Derailment of Transposition(Applicable for Hazardous Materials Only) Freight Counted by'. ❑ Shipper Shipper aetln9 under contract DH-AC52-0]LU2]344 wa the ❑ Ddve,Lou.Pieces U.S.Department of Energy. ❑ Driver pants said to comnm Lawrence Livermore National Laboratory Site 300 ❑ Driver pallets wmaining Canine G / Go t Truck Vehicle/Car No.Robe/r,E/r'-'etL Px Dafe'. p,(J Date 8/20/201e seal: TRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE OF