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SHIPPER NO.
<br /> &nt
<br /> .THIS MEMORANDUM adxrpywd pNoata adflelorNatgt(®Bprfoppsr1W arnedh e�"�d���an s�a��BID orra�''°r CARRIER NO.
<br /> RECEIVED,subject to the classiflea and tariffs 4n sited on Ohs date of the m6eipt by the carder of lha property dam-bed In the Original Bill of Lading.
<br /> AERC.aom, Inc DATE: 041 f 9/2f 'r,.f l�`
<br /> WE OF CARRIER)
<br /> (SLAC)
<br /> ® AFIRC �•E(�'1''�IwING 4 FROM' r t
<br /> t.ar. .r �, �. ,.. SC]Lr1r�IC)ItTS Stockton U'ri .f:i oerd 30h,-,031, l.;..•.�_;'i',
<br /> CNSIGNEE �(_ 1 t'ct[�Ctf)f�'fnve ...
<br /> SHIPPER �iI"1'13: E)ntch Sollmidt
<br /> �9.=_i!r14*�rd, CA.: 9, 4544 t 1432 X. E! P:a nai Dr,
<br /> ,
<br /> fREET STREET ,c;tCtGiGC7Y1,• C1 95205
<br /> STINATION
<br /> STATE ZIP' ORIGIN STATE" ZIP
<br /> DVTE:
<br /> U.S.DOT Hazmat Reg.No. VEHICLE NUMBER
<br /> 0
<br /> !' e e e - e• e e • • - •
<br /> Gr-aifi Lampe for .Recj c�:� rill AI,LTE - Universal Waste
<br /> litM-RegLilated NNFO* la4`�50-€.�4) Mlle's 55 l'�s
<br /> 1 fir:
<br /> -B-111. TO AMC Tr�n�rtation
<br /> *1n C".aee €?f Ha zardduz Materii l ii `i`r portation F.mcrg -,y ONLY � ��
<br /> C'n-latact INFUr:RAC @ 1- 00-535--5053 And ldelntify IMC -41 Regiat ant. � ="
<br /> • 03 r
<br /> • r
<br /> P
<br /> NIT C. D.TO: 1 C.O.D.Fes:
<br /> DRESS AMT: PREPAID
<br /> Y.
<br /> ZIP COLLECT ❑
<br /> e.-where the rate Is dependent on value;shippers are rete llred to state Subject to Section 7 of con(frddns of applicable bill of lading, If this TOTAL
<br /> clfloanylR:writfig the agreed or declared value of the properly::-:: shier' nt is to be delivered to the consignee without recourse on the
<br /> consignor,the consignor shall sign the following statement CHARGES: $
<br /> agreed or declared value of the pro Is hereby specifically stated by The carrier shall not make delivery of this shipment without payment of FREIGHT CHARGES
<br /> shipper to be not exceeding per frelght and all other lawful charges. Freight Prepaid Check box
<br /> rE:Llebillty Limitation for loss or damage In ttife shipment may be hoax Ptdpj,tn to charges
<br /> )►cable.See 49 U.S.G.14706(c)(1)(A)and(s)• b chadted ❑ caned
<br /> IVE4 subject to Individually determhed miss or contracts,Nat have been agreed upon in writing between the carder and shipper,N applicable,otherwise to the rates,clarifications and rules that have been established by tha carder and are avaNeble
<br /> shlppk_0o;request;and at applicebis state and federal regulations;Fa Property described below,In apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as indicated
<br /> vvhkh'sald c"ortip6YfY(Me word company being undeStood ttvdugiwtA gNe oonhaot as meankrg any person or ourponwtlon In possesslon of the'propedy ung the'conbact)agrees to'rarry ro deNvery-at said desttnafi**N an Woute or otherwise to
<br /> to arwther cartler on 1ha mute to Bald destination.k is rrmtuaNy�roed as to each carrier o!ai any of sold Property over all or any portion of said route to destination and as to each party starry rime Interested In all or any of said Propsrrttyy that
<br /> service to be performed herermdfer shah ba subject to all the oondNons not prohibited bylaw,whetherpdnted or written,herein contained,Including the conditions on the bad*hereof,which are Hereby agrsod to by the shipper and accepted for hlmsalt
<br /> is to certify(hat the above named matelots are properly'dassitled described,ppackaged,marked;and labeled,-.and--
<br /> n ro er condition for trans rtation acevrdin 4o tide a livable re ulations of th6 De artment of'Trans ortatiom' PER.
<br /> - -' .. �. .- rA�/,.•` fir. � a .•:.,:_... _ a "'.`.
<br /> ,{s a h k i rsti 'dt" m
<br /> ?P.ER. M CARRIE r # t .
<br /> PER
<br /> a
<br /> .RCaENCY RESPONSE... :„._. MONITORED ATALL TIMES MEF4 'fiDO�1S NiIATERIAI fS IN TRANSPORTATION
<br /> EP. 4NENUMBER. INCLUDINOSTORQ(
<br /> . = EI�ICIOENTAi.�OTRANSPOtiTAT10N:(172$D4)
<br /> u t , '3 .,..p l lir r +•. l 3: 4 is ;k ". .; 'ti ti & .. 4 tl -. -
<br /> BLC 04$36(A ev..l 1104)
<br /> ,;=.�•.�'%"WP..� -'x__�:� - _ - _�� _i_._��;,.�__ s :.,sem, _ _FORM NO 1'I __--_-
<br /> r-� „ y9 'it:'d)t9Y ,+ 1n)�i7• 's' .,*-`5rr« in:TM�,.'!ew'rL`;ril 'wx+=wxi <i-? `':E,Y.+cM'." r?«'=s: .`.°'' ni.aT>' d. .. .. .. .. -..
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