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rlis Memorandum b fall faygl luaPlrOuyn l tJnt 1141[s.0111 UI Llfu pn y 141b uo1"utou BO n rlu Its unglrlal Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. ADVANCED CHENCAL TUNSPORT} 114C. Carrier No. Page of Date "�OIr (Name of carrier) (SCAC) L "i on Dellvery sNpir>ents,the latters'COD"must appear before mrsipnee's name or as otherwise provided In Item 430,Sec.1. FROM: Whftllil ting"$*OMA DiSbid($11I:+1 M H10' To: Nkm6ew UnUbd SchocA OkiVid Shipper Consignee 1700 Thmyw St i<� ur1 yl �i�o Street Street City state Zip Code City State CA Zip Code IN-Tain"s fGAUMMISI} 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units u BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES b Container Type HM UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group [wagon Volume, {Subje ion) RATE [Use Only) Gallons,etc.) Cdrtectign) Use Only) UNI30112, Em4ronmettially hazardma ;iqu a, -" v ;• 5 moA. lead 9. ?G111 r PLACARDS TENDERED: YES o NO p REMIT Not—(1)Where the rete is dependent on value.shippers are required to state -'ADDR SS hereby arilere that the carnent of this ADDRESS spedflmly In carding the spread or dedered value of the Property,es torosra;'The agreed or declared value of the property is hereby speclflcelly slated by the shipper w described ere fully and eaura[ely - tlascnbed above by the proper shippirg benot e:ceeding per C.O.D.FEE: [ ppl p pecily a limitation of the camera liability absent name and are classified, packaged, cot)-- Amt. 2}4Mhere the wabie Serif( rovisiona a marked and labelled+ PREPAID ❑ e release or a value decleratian by the shipper and the shipper doe.no,release placarded,and are - - COLLECT ❑ $ Iha carriers liablIty or declare a raiva,the carvers liamity shall be limhad t the a dAre In all reaped In proper condition for transport According to applicable SrNpu rG Sedan 7 of the randoms,r.Ihr6 elrrpxera a m be d*f*M m Na TOTAL pr corn dY such mgUaions.Sae Nh1FC nem 172- Imcrrrarairw and national gwerrvnente7 m Ig— ,h—raw—on,d,e oonslgnor,she nomgnu enell sig,era CHARGES [3}Comnadrtiee regwring apBdiel«eddmonel rare or enemlon In IrerraMg or tdkwrg sntenym -- muaf be so marked ano a As to ensure safe Iran - rlgulalrons. The durnx strap cwt make da Wary o'tllte ■tleara peYrrr.rt o} hem 390.Biu.of Lad P� f Charges See Section 2(a)of FREIGHT CHARGES Lading,Freight Bdfs end Statements a!charges and Section t{e)of tmgrr.ane all other I"I charges. .- FP.GHT PREPAID Ch.*oma Burges the Contract Terms And Condito,s for a list at w&article. Signatuream fa h y,°b�'d�1°"°d'fa ❑ e1e RECENT=_-,w*d to fie ruasssaanorrs am tarilts In erred on the date.'the"A of aria SII of Lack, hnahon enc u to each party a[any time inlereetAtl M d at Any rsaitl properly,that evmY sery iaa 10 etre property oeaenbetl ebwe in apparent good spar,except As noted Stnntras end eorndilion o1 mn be paAomwd hereunder erWl be to all the bill of teras and cOndiborrs n Vie bnfs of peorageg unknoxrtl.marked,corrsr9ned,and d strred as indicated above xhkh A"carrier - sferatlon m the date of sham t. �� ct.5- trfhe—'d arner eeng underswoo Inrougrlwl cox contra as meanng any person or wnp..d-I, Stripper hereby certMes that he Is famputr w1M all the lading terms and conditions in Ine paasesaron of the pmpeny urger me Z[rm1ot)agrees to why t its mouef place at aelNery at mic tlestf- governing ctealTination antl Me sad Panne end condri ons era hereby agreed to bythe shlppar and nation,H on its route,alherwiee to delrvar to another carrier on the mute to tan tlesonaVon.if is mut- accepted for hinmW and his Assigns. Ally agreed as to Goch carrier o1 all or any of,said property over all or Any portion of said rouse to des- 'ER Me= CARRIER Advar ChernicAi Trmsport, inc, PEI i PER DATE Permanent post-office address of shipper. • STYLE F375-3 ®2012 LABEt.r"EA5TEIl (800)621-5808 wwtv.labelmastercom aararso ort aec.aso r.pEe nawlso xna ua+rc 8O,sis^n R1a SQY INK