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STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLE SHIPPER No. 59, t*;2 <br /> CARRIER NO, <br /> x'- <br /> DATE <br /> BARRIER SCAC <br /> Inpenhirry Sacrarrienf4i ... 876"(X)AIII) <br /> TO FROM <br /> CONSIGNEE AFRC Receding 8olulJons SHIPPER Kelly Moore Paint Company <br /> 10677 HuntwoW Avomm- <br /> STREET Ha�Waia,CA 941544 STREET 3206 E Hammer Lane SUitC1 A 209-474-3706 <br /> Stockton, CA 95212-2814 <br /> DESTINATION STATE zip ORIGIN STATE ZIP <br /> ROUTE VEHICLE NUMBER U.S.DOT Hazmat Reg.No. <br /> ENT1 307525/Order#; 593662 <br /> Number and Type HIM Total Quantit)" Weight Class or� <br /> of Packages Description of Articles (mass,volume, (subject to <br /> or activity) correction) I Rate <br /> SPENT ALKALINE BATTERIES UW-ALK <br /> SPENI'FLOURESCEN LI T BES UW-Fluor Scent Lamps <br /> SPENT ELEC'TRUNI STE(Sc UW-EI tranic 141aste <br /> Received by; Date: <br /> ;emit COD to: Subject to Section 7 of conditions,If this <br /> shipment Is .be delivered to the consignee COD FEE: <br /> without recourse on the consignor,the consignor COD AMT: <br /> l,ddress: shall o sign the following statement: <br /> The carrier shall not make delivery of this Prepaid ❑ <br /> 'ity: shipment without payment of freight and all other %1� <br /> State: Zip: lawful changes. Collect ❑$ <br /> OTE:Where the rate is dependent on value,shippers are required to state specifically in writing the TOTAL CHARGES: <br /> Ireed or declared value of the property.The agreed or declared value of the property is hereby FREIGHT CHARGES <br /> )ecifically stated by the shipper to be not exceeding$ Per (Signature of Consignor) $ [_1 Prepaid [:1 Collect <br /> 'CEIVED,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—he 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 /> 'ove 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 /> sliver to 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 /> mice 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 <br /> signs. <br /> 3TE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(B). <br /> his is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and <br /> ,e in proper condition for transportation according to the applicable regdlations of the Department of Transportation PER:. <br /> Ingenlum Saaamento("'L.RJ 6 66-0004­') <br /> HIPPER: Kf�!­M��n'e pai-f e <br /> Y CARRIER: <br /> ER: PER: <br /> DATE: <br /> WERGENCY RESPONSE NAME OR CONTRACT NUMBER <br /> :ELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: <br /> AMR #4120 (800)878-4919 (REV 6/2019) <br />