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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> .STOCKTON,CA 95206 <br /> (2091944-9555 <br /> Page 1 of 1 <br /> Date: 9/7/2019 Straight Bill of Lading BIL NO. 67338 <br /> SHIPPER(ORIGIN) CONSIGNEE(DESTINATION) <br /> Shipper No.00001 Name: Univera/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. HECTOR <br /> THIRD SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Hu Type HM <br /> , Desixiplton of Articles,Special Marks grid F.iiceptlons NMFC# Class Welj)ht SubJ' Rete ]Charge <br /> Unita ao:ColTaction <br /> 1 T/L ;SHRED AG i 38740 lbs' <br /> GROSS:76100 <br /> TARE:37360 <br /> NET:38740 <br /> i <br /> • i <br /> ' I <br /> r <br /> 1 , <br /> � I <br /> 1 Total for Ali Pages eightb lbs 38740lbsl 0.00 <br /> Hazardous Material Emergency Contact: Freiaht Terms: C.O.D. Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> Collect <br /> Third le 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 all other lawful <br /> writing the agreed or declared value of the property as follows: charges. <br /> The agreed or declared value of the property is specifically stated by the shipper to be not <br /> Shipper Signature <br /> exceeding per <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 rules or contracts that have been agreed upon in writing between the carrier and shipper,lf 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 packages unknawn),marked, <br /> consigned,and destined as shown above,which said carrier agrees to carry to destination,if on its two,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 terms and conditions in the governing classification on the date of the shipment Shipper hereby certifies that he is hereby famlUer 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 end 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 C] By Shipper C] By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to oontaln <br /> ❑ By Driver/Pleres <br /> ADI SmatBOL Classic v12.3.1 <br />