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STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLE SHIPPER NO. Sq38132 <br /> CARRIER NO. <br /> DATE <br /> BARRIER linceniain Sacramento '""ERR 8766-0004-1) SCAC <br /> TO FROM <br /> CONSIGNEE Covatila Marjory SHIPPER Kelly Moore Paint Company <br /> 4850 Brooklake Rd M: <br /> STREET BrooKs.UR 9?3015 STREET 3206 E Hammer Lane Suite A 209-474-31706 <br /> DESTINATION STATE C F,0ZIP 7 C L, ORIGIN Stockton, CA 95212-2814 STATE ZIP <br /> ROUTE VEHICLE NUMBER U.S.DOT Hazmat Reg.No. <br /> EN 1'*1307522/Order#: 593662 <br /> Number and Type HM ption of Descri Articles Weight Class or� <br /> of Packages (subject to <br /> Rimcorrection)l Rate <br /> NON-HAZARDIJUS WASTE SOLID(EMPTY PLASTIC BOTTLES)bU16567 <br /> ReoWived by: Date: <br /> Subject to Section 7 of conditions,If <br /> lemit COD to: shipment is to be delivered tothe consignee is COD FEE: <br /> without recourse on the consignor,the consigner <br /> DAMT: <br /> Wdress: shall sign the following statement: <br /> 'ity: ship ❑ <br /> The carder shall not make delivery of this $ Prepaid <br /> State: Zip: fment without payment of freight and all other <br /> lawful changes. Collect ❑$ <br /> OTE:Where the rate is dependent on value,shippers are required to state specifically in writing the TOTAL CHARGES: — <br /> greed or declared value of the property.The agreed or declared value of the property is hereby FREIGHT CHARGES <br /> 3ecifically stated by the shipper to be not exceeding$ Per (Signature of Consignor) $ E Prepaid D Collect <br /> ECEIVED,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 carrier and are avallal <br /> 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 indicat <br /> rove 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 <br /> Alverto another carrier 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 ev, <br /> �Xa to be performed hereunder shallbe 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 <br /> ;signs. <br /> OTE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(8). <br /> his is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and <br /> re in proper condition for t<ansportatibn according to the applicable reg0lations of the Department of Transportation PER: <br /> PER' Company Inge-nium Sacramento(­ PJ 8766- 004... <br /> HIP Kell-Moore Paint C CARRIER: <br /> A F <br /> 760160 1-y M A r <br /> E 't, <br /> PER-7 _(/r <br /> R: � UIW <br /> t— DATA_[�—A I <br /> :.MERGENCY RESPONSE NAME OR CONTRACT NUMBER <br /> rELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: <br /> MBR, #4120 (600)878-4919 (REV 6/2019) 1 <br />