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S <br /> is I <br /> Lott TiwLn+ ��� i <br /> o <br /> 'b� .°IVERSIFIE ►� <br /> ❑ ERaLs ���. BILL OF LADING Ticket No. MpWC- 1427 7 <br /> Received,sugjeC{to the classifications and lawfully Source: y filed tariffs in effect on the date of the issue of this B;II aFLading Load <br /> 6 ❑T�Stockton LLC 2526 W.Washin on St. Stockton CA 95203 CQ1711'�']Odit <br /> y<� COrlSlgnee: Diversified <br /> Minerals Inc. 1100 Mountain View Ave_ Oxnard CA y' DIES Fl Ash <br /> ❑e s d pati o n: Holloway Environmental Solutions LLC, gas 247-1069 <br /> Delivery Address: 13850 Hollows Road, Lost Hills C <br /> DeliveringA 93249 <br /> Carrier: 0DNII Transportation <br /> i ❑ other <br /> Source: (Non-Hazardous Material Manifest) z <br /> Carrier: (To Be Filled In By DTE) <br /> Nome; DTE55tockton,LLC Truck# <br /> 7 q0 GROSS <br /> Address: <br /> 2526 W. Washington St. Truck Lic# 100 TARE <br /> City 15tate/Zip: Stockton,CA 95203 Phone:(209)320-3712 <br /> Trailer# VV NeT <br /> This is to certify that rhe Orfs F!y Ashtram biomass combustion is a non. Trailer{51 Lic# �� Z3,3-L TONS <br /> hazardous material when use or beneficial use in accordance as defin in D TES Fly ash is properly package,marked,labeled and in proper condit on for <br /> + nia Wost & e Code Section 25143.5 Section h transportation according to the applicable regulo(ions of the Department of <br /> ill Tronsportotion and the EPA.505 are available upon request. <br /> ,bN3 <br /> x 8rp71l� <br /> yg3 Authorized Signoture are& rme Caaded <br /> 31y Authorized Signature Dat &Tim Shipped <br /> ' 3 Liability Statement: subject to conditions appllcoble to California law and this bill of lading,this shipment is robe delivered to the destination only without <br /> C>S recourse on the 50urce,Consignee and DestinatJan,Delivery vehicle is designed for public road conditions.Request by Destination for material placement in area not <br /> '9 so designed relieves Source and Consignee,Proposition hon 65:Thspr <br /> odurt is known in the Stare of Colifarnia to cause cancer.Addi[ianal safety is listed ort SDS <br /> 4 Nates- <br /> 1C <br /> This Bill of Lading isto remain in 4 parts until time of shipment <br /> x X <br /> �r <br /> Receiving Signature Date Receive <br /> (White:(D75tockton LLC) Canary:(Destin ation) Pink:(DMI) Goldenrod:(Transporter) <br /> WS Ticket# <br /> Trip Ticket 555555557 <br /> Product FLY ASH <br /> Load# STKTN-13245 Species BULK <br /> Tons LB <br /> Gross 38.37 76,740 Date in 10/27/20 12:28:11 Scale/Scaler 0142 DENNIS DOLIN JR <br /> Gross 15.05 30.104 Date Out 10/27/20 12:28:11 <br /> Net 23.32 46,640 <br /> Sample Type: BULK <br /> WEIGHMASTER CERTIFICATE Requested tests <br /> THIS I5 TO CERTIFY that the following described commodity was weighed,measured,Of counted by a weighmaster,whose sigh 41UR E <br /> certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 127001 o f Division 3 of the California <br /> "W"i <br /> art Business and Professions Code,administered by the Division of Measurement Standards o}the California Department of Food and heAgriculture. <br /> (DRIVER OFF SCALE) <br /> Driver: <br />