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STRAIGHT BILL OF LADING ORIGINAL-NOT NEGOTIABLE Shipper's No. Z- 2 Sv Carrier's No. CARRIER: SCAC DE to T®: �h` Ism YYr FROM L ilei rC 4 fU7 ILK G ✓1 Consigneep , Shipper y Street 6`6 Street ,� e- Destination °' �' e Zip ' Origin C'A Zip Route-- 00 Vehicle Number U.S.DOT Hazmat Reg.No. 6 ac �, ii' .yes •,•• .• c - A c /IL Af b vt '1� - Remit C.O.D.to: C.O.D. Amt: C. 0. D. FEE: Aw Address: Prepaid City: State: Zip: Collect $ 1 b' Ito section 7 of the d: lthe eN tie to bea: di the Isom rewarse on the i sa,ec pman �gnee vti NOTE-Where the rate is dependent on value,shippers are required to state specifically in writing eon'saer maeonee�gnat �,nafa�,r,•gslaremem FREIGHT CHARGES the agreed or declared value of the property. The agreed or declared value of the property Is The carrershslnol aake deeerycllhashpmemWhautpa} anteffre:ghtandalo:herla„frichugae. PREPAID COLLECT PAM hereby specifically stated by the shipper to be not exceeding $ Per lageolme at conegnar) ` RECEIVED,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 Where the applicable tariff provisions specify a .' rules that have been established by the carrier and are available to the shipper,on request;and all applicable stale and federal regulations;the Properly described below,in apparent good order, limitation of the carriers liability NMFC Item 172), Y s ss`. except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as Indicated below which said company(the word company being understood If there is no release or value declaration by the ihrou hoot this contract as meaning an arson or Corporation in possession of the property under the contract agrees to car to derive at said destination,if on its route,or otherwise to shipper,and the shipper does not declare a value ,�ffik 9 9 Y p P P P P tY ) 9 carry delivery or release the carriers liability,that liability shall 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 io each be limited to the extent provided by NM FC Item party at any time interested in all or any of said Properly that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein 172.California intrastate shipments must comply contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. with NMFC Item 173. NOTE:Liability Limitation for loss or damage In this shlpment may be appllcable.See 49 U.S.C.14706(c)(1)(A)and(B).This is to cert fy that the above-named materials are properly class hed,descr bed,packaged marked and labeled and arein proper conddfon for transportaton accordng to the applcabe regulations of the Department of Transportaton YES �NO-FURNISHED BY CARRIER Per DRIVERS SIGNATURE: r 1.f SHIPPER,-64.r.,_, -�� t."A.' leli-1-i -'w= CARRIER: PER: f DATE: 741ZPER: DATE: �y EMERG NCY RESPONSE Monitored at all times the azardous Material is in transportation is TELEPHONE NUMBER: ( >�f ) " "; including storage incidental to transportation(172.604). • 4. _ r rM-.11711INT, r r ti J .