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THIS MEMORANDUM is an acknowledgement that a bill of lading has been issued and is not the Original Bill of Lading,nor SHIPPER NO. ,copy or duplicate,covering the property named herein,and is intended solely for filing or record. CARRIER NO. DATE CARRIER ingenium (Sacrarnento)(*'"h"'ERI PHONE-Cost IN 87W CAROW17MA1117 TO FROM CONSIGNEE SHIPPER lic-Chern, LLC C-AD008364432 323-776-6233 American Mastertech Scientific STREET 425 Isis Avenue STREET 1330 Thurman Road DESTINATION lnglevvoW , CA M3Lodi, CA 95240 01 STATE ZIP ORIGIN STATE ZIP ROUTE ' VEHICLE NUMBER OT Hazmat Reg. No. U.S.U S DOT Hazmat Reg. N 0 Document D85374 Sales Order 15%,L Number and Type Total Qua I ntity HM Description of Articles :(mass,)volume, Class or of Packages tivity) Rate or activity -IT Nali6Hazardous Waste Liquid(RNSA71_WAETEWATER) 99ee58-00 Received By: Dat: .___. - Remit COD to: t Subject to Section 7 of conditions, f this COD FEE: shipment a o be delivered to the consignee without recourse on the consignor,the consignor CODAMT: Address: shaosign the following statement: Prepaid ❑ The carrier shall not make delivery of this $ City: State: Zip: shipment without payment of freight and all other lawful charges. Collect El$ NOTE:Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property is hereby TOTAL CHARGES: FREIGHT CHARGES: specifically stated by the shipper to be not exceeding $ Per Si nature of Consignor) - [❑__1P $ repaid [:]Collect RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writ Ing between the carrier and shipper,if applicable,otherwise to the rates,classifications and rules that have been established by the carrier and are available to the shipper,on request:and all applicable state and federal regulation.;the Property described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as indicated above which said company(the word company being understood throughout this contract as meaning any person or corporation in Possession of the property under the contract)agrees to carry to delivery at said destination,it on its route,or otherwise to deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein contained,Including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. NOTE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.14706(cXl)(A)and(B). This is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: SHIPPER: American Mastertech Scientific CARRIER: Ingenium (Sacramento)(`ERI A I I PHOW-Cust low 0_7 r. PER: PER: CAR0001 79747 1-1* DATE: EMERGENCY RESPONSE NAME OR CONTRACT NUMBER TELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: 12267(Rev.3/17)