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STRAIGHT BILL OF LADING 3 3 33q <br /> ORIGINAL-NOT NEGOTIABLE Shipper's No. <br /> Carrier's No. <br /> CARRIER: SCAC Date <br /> TO: 1 0. ytl^ T � -. FROM: Svvn� P� Wi si ��6 ,� ✓ <br /> �1 <br /> Consi nee��� (7oG� Shipper/5/ <br /> Street / Street S1_GCS vw!' C G,�Z•O4 <br /> Destination Zip Origin 'v / Zip <br /> Route: Vehicle Number U.S.DOT Hazmat flag.No. <br /> fi A• 't � <br /> 7-7 ii2noylerly4e," UN307 7 <br /> q , <br /> .��' s_ qA P& � <br /> 1 <br /> 20 <br /> ,ova <br /> LL, <br /> cter` <br /> Nil <br /> Remit C.O.D.to: C. Collect $ <br /> O.D. Amt: C. 0. D. FEE: <br /> Address: <br /> Prepaid ' <br /> City: State: Zip: ' <br /> �?<. <br /> NOTE-Where the rate is dependent on value,shippers are required to states ecificall m writin sob;aatt s Lon7mm rot - alnh en e,t istobeda;,ered le me n.nsatvthcatramurseaalhe <br /> p PP p p y g m. II 9 I Ih I:c e t m " FREIGHT CHARGES <br /> the agreed or declared value of the property. The agreed or declared value of the property is The carrier shalxA make 0.Rery of lhs shymenh Ihoul paymont of f,xghl andO other W&I charges. rt <br /> hereby specifically stated by the shipper to be not exceeding $ Per sga ce ignep PREPAID P COLLECT <br /> RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing betw n the carrier and shipper,if applicable,otherwise to the rates,classifications and Where the applicable tariff provisions specify a <br /> s.rules that have been established by the carrier and are available to the shipper,on request;and all applicable slate and federal regulations;the Property described below,in apparent good order, limitation of the carrier's liability NMFC to <br /> 172), <br /> Y 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 <br /> shipper,and the shipper does not declare a value <br /> i.;throughout this contract as meaning any person or corporation in possession of the properly under the contract)agrees to carry to delivery at said destination,If on its route,or otherwise to or release the carrier's liability,that Ilability shall <br /> -.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 be Ilmited to the extent provided by NMFC Item ' <br /> 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 172,California Intrastate shipments must comply ', <br /> 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 17�. <br /> NOTE:Liability Llmllallon for lose or damage In this shipment may be appllcable.5ee 99 U.S.C.19708(c)(1)(A)and(B). <br /> This is to Carl fy that the above named materials are properly olass fled,described,packaged,marked and labs ed and are r ?% <br /> ,proper condition for transportation according to the applicable regulations or the reparlmenl of Transportation. J9,Z YES .Q NO-FURNISHED BY CARRIER <br /> a T// DRIVERS SIGNATURE: <br /> Par <br /> `' SHIPP R: m f <br /> PER DATE. PER: DATE: <br /> EMERGENCY RESPONSE Monit all times the Hazardous Material is in transpo tat-ion <br /> - <br /> TELEPHONE NUMBER: ( ®� ) including Atorage incidental to transportation(172.604). 1 <br />