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UNIVERSAL SERVICE RECYCLING INC. <br /> 30-00 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> (2091944-9555 <br /> Date: 4/1/2019 Straight Bill of Lading B/L NO. 64828 Page 1 of 1 <br /> SHIPPER(ORIGIN) CONSIGNEE(DESTINATION) W <br /> Shipper No.00001 Name: Univers/Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City,NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. HAROLD <br /> -ll M. <br /> � � � � SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling HU Type HM Description of Articles,Special Marks and Exceptions NMFC& Cietse Weight SubJ.: Rete Charge <br /> Units to Correction <br /> 1 T/L SHRED AG <br /> 38940 lbs <br /> GROSS:77840 _ <br /> TARE:38900 <br /> NET:38940 <br /> i <br /> i. <br /> 1 Total for All:Pages(Weight In lbs 38940lbsi 1 0.00 <br /> Hazardous Material Emergency Contact: Frelaht Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect <br /> ❑ Third Party ❑ Customer Check Acceptable <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state specifically in The carrier shall not make delivery of this shipment without payment of freight and ail other lawful <br /> writing the agreed or declared value at the property as follows: charges. <br /> The agreed or declared value of the property is specifically stated by the shipper to be not <br /> exceeding per Shipper Signature <br /> NOTE Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.-14706(c)(1)(A)and(B). <br /> RECEIVED,subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,d applicable,otherwise to the rates,classifications and rules that have been <br /> established by the carrier and are available to the shipper on request.The property described above,in apparent good order,except as noted(contents and condition of contents of psekages unknown),marked, <br /> consigned,and destined as shown above,which said carrier agrees to carry to destination,If on its route,or other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shall be subject to all bill of lading(arms and conditions in the governing classification on the data of the shipment.Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions In <br /> the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are property classed,described,packaged,marked and labeled,and are in proper condition for transportation according to the applicable regulations of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Shipper ❑ By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI Smert OL Classic v12.3.1 <br />