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This Memorandum Is an aCKnowlebgment that a tslll of Lading has been Issued and Is not original bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. Carrier No. ADVANCED CHEMICAL TRANSPORT, Page of 'C Date § fi*_V g (Name Gf carrier) (SCAC) C on Delivery shipments,the Issue'=ml#appearbetors consignee's name or as otherwise provided in Ilam a30.Sect. FROM: Til Shipper #era UflITW Schools Dt -t (Sierra HWi) Consignee hianteu UIQ Will D'� Street 17DO n'IfOmas St Street 2271 W Louise leve City hbF*eca State CA Zip Code 9S337 City mirtNCa State CA Zp Code $ "8,786-7225M7") 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units u BASIC DESCRIPTION TOTAL OUAN7ITY WEIGHT CHARGES &Container Type H UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,los Volume, Corre(Subjcts n) RATE For Garner Gallons,etc.) Correction) Use Only) KA3W Hazardoills, liquid iill- (bar$LiliC1 L i rHnJUM Chkxideh 9 POM E ` PLACARDS TENDERED: YES r-i NO REMIT Hole—(1)Where me rate is dependent on value,shippers are required to state I hereby derriere that the contents di this C.O.D.TO: speclncxgy in writing the agreed or declared value of It a prD;.wM,as Follows'The const - DRESS gnment are Fully and accurately _ agreed or declared value of rite properly is hereby spectfic�lly stated by the shppar to described above by the proper shipping C.O.D.FEE: be not exceeding Per name and are classified, packaged, COD PREPAID ❑ (z)Where the applicable tadil provtaions speedy a tmdaton ntthe camas's IYability absem marled and Vabelledlpecarded,and ata ..gym: COLLECT ❑ $ a release or a value declaration by the shipper and the shipper dors not release in all respects in proper condition for the ranula Lability or value,the carriers III shall be limited to the e>da"i trai according to applicable Subject to Realm he con�b°he�X ehlpmad ie to be del—ad to the TOTAL, provided by such provisions.See NMF-ham 172. consigns;wrth,at urge on the conw the consignor shelf sign the (3)Commodhles requiring special or addd=a[care or attention m handing or stowing tntematlonal and national govemmenta felowmg adtatnant. CHARGES $ regu etenS. Tryo•Cenlar 6nalt not make delWery of lNg ahipmeTn' oat 1 of mush 6,E marked and,Freight as to ensure sale transportation.See Section 2(e}of -wgtr�peyme" FREIGHT CHARGES traigm and all rnrwr,motor enages- item 960,Blas of Catling,Freight eels and Statements nt charges mrd section t(al of -� FREIGHT PREPAIE) Check boz rcnergea the Conbad Terms and conditions for a list of such artrdes. Signature I&IYetwe d Csregnod + a H El odls WCEIVFI)suhias to the dassiricsMns and tarefs in effect on the date of the issue of this ail 01 Lading, dnatlon and as to each parry at arty rime interested in all a any amid properly,that every service to the property described Above n WparW good Order,exCepl a6 noted(conlems and conditior.of con. be perlerrned hereunder shall be subiact to all the hill of lading lerms end conditiorw In the governing dos .11 til Pi unkmwnl,""imn,sgred,and destined as iroi above when sold tatter slaratbn on the date of 6hipi (the word carrier Laing understood throughout this corl as meaning arty person or corporation fn Shipper hereby tai that he is familiar with all the lading tens;and conditions In the possession of the property under bre contract)agrees ro tarry to its usual place of delivery at said dost- g,mng classification and the said terms and conditions are hereby agreed m by the shipper and nation,ti on its route,otherwise to cidtver 1 m III another carrier on the nom to said desdral Il is Inti animlo d for himself end his assigns. ally,Agreed as to earn carrier dad or any of,said property over all or any porton of said mule to des- -ER WrItt-C$UlifWd SdWMA DhUkt(SerraH50) CARRIER Advanced Chunks! Tranapo t, Inc- PER ntPER f PER j f "t,' ^n.l•vd,%r DATE " Permanent post-office address of shipper. STYLE F375-3 ®2012 LABELMASrrR® (WO)621-5806 www.lat)eimaster.corn f.[�`''F�nUrtE➢OX nECYGIFD KMEk Ri XrEa wirx USING 501 INN