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STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLEBOLS06466N SHIPPER NO. CARRIER NO. Environmental Loq -Hayward CAR00021761 S DATE_ ;ARRIER SCAC TO eAI398244**81l -CAKa00285932 m CONSIGNEE Hazat TSDF Inc. SROM Testa Treatment Facey STREET 180 W.Monte Avenue STREET 9M W.Wirnalls Rd PROM& 909-421-2012 PHON& 415-252-3977 DESTINATION l3loomingiton STATE CA ZIP 9346 ORIGIN TmcY STATE CA ZIP 953T' ROUTE VEHICLE NUMBERU.S.DOT Hazmat Reg.No. Number and Type of Packages HM Description of Articles . . • L rMmal waste-qtr. o 2x y fT A.-,,lift" V V4-VO-410 I Exctuded RegciebW totaled-Car Sattrles IN 1 l 2 - �� 375 V"505466N 3-2.0 -19 3@t711t COD to: Subject to Section 7 of conditions,If this ///�� COD FEE: shipment Is to be delivered to the consignee 1 -OD AMT. It without recourse on the consignor,the consignor v lddreSS. shall sign the following statement: Prepaid ❑ "Ity: State: Zi The carrier shall not mak gdelivery of this i p shipment without payment of'height and all other lawful charges. Collect ❑ JOTE:Where the rate is dependent on value,shippers are required to state specifically in writing the TOTAL CHARGES: (greed or declared value of the property.The agreed or declared value of the property is hereby _ FREIGHT CHARGES: pacifically stated by the shipper to be not exceeding $ Per (Signature of Consignor) — ❑ Prepaid ❑Collect IECEIVED,subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rates,classifications and rules that have been established by the carder and are available the shipper,on request;and all applicable state and federal regulations;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 bove 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,If on its route,or otherwise to efiver to another came'on the route to said destination.It is mutually agreed as to each carder 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 ervice 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 ssigns. TOTE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(8). his is to cerin, ti, ---- „�, a,packaged,marked,and labeled,and ire in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: 'HIPPER: CARRIER: 'ER: j / PER: DATE: ASC �r EMERGENCY RESPONSE NAME OR CONTRACT NUMBfR TELIEPHONI= 899 d41 _ Sgq,0 OR OTHER UNIQUE IDENTIFIER: 11-BLC-04 12277(Rev.9/10)