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STRAIGHT BILL OF LADING - SHORT FORM - ORIGINAL - Not Negotiable SHIPPERSN(JArIEER SR -100313 DATE: 09/25/2013 1 Shipper (from) I Consignee (to) LAWRENCE LIVERMORE NATL LAO SITE 300 ILAWRENCE LIVERMORE NATIONAL LAB ICORRAL HOLLOW RD FOR NNSA ]FOR: NNSA I '* I TRACY CA 95376 17000 FAST AVE. GT+ TECHNICAL CONTACT: LIVERMORE CA 94650 1 JOBA NORK ORDER: ICONTACT NAME ATTN: BATTERY SHOP f BLDG 404 I ` ROUTEI No.I REFERENCEt1_ _ _ I • - 9hlPping Typo of Padutge I HM I Description of Arildes, Spacial Marks, and Eli rceepUoms .� ._ ._ — —. -- — I -- �-.-- — _ hight— Uolts 1 (Sutt;sct to Corrscflon) NMFC 4am No. Class I Ray (Subject to I 1 PAIL I X ItU73090, LITHIUH BATTERY, 9. POII, 179 each 16 !b IDOT ZAERGENCY RESPONSE GUIDE 4139 ATTACHED 1 1IPAIL X IW2800, BATTERIES, HET, NCH -SPILLABLE, 8, PGIII. 15 each IDOT EMERGENCY RESPONSE GUIDE 9154 ATTACHED I I 54 1 i 1 (DRUM I (BATTERIES, NON-REGULATED (ALKALINE) RECEIVED I 266 1bI I ] I I 1042015 ] I I I 1 { I ! I I ENVIR6NMENTA� 1 ______ __ _ _ _ _ HEALTH�P�TM f 3 AN THE EVENT OF EMERGENCY, TELEPHONE 1-(925)423-4205 24HRSi*i1v; 'rd—"-h.ii1ew 3361b' «<To1al Pieces I ,.rr tumabe a tar• sm a t.a o.e.a. • e. I Confect orRegishwtName,orCorKraCNumber LLNL EmergenCy otspatch Itr.•..rere.rnl.r.erran..r•P•••r• ••aro. I I 15s><9, i j FREIGHTaweafs _ era-�..�.. •+1. ��.., Ahs If n.,. .MpMwr 1. m M 41t.•r•a ro rn. I peer.[ 1s for the U.S. tXpart„tr.t of Entrqy and the a[twl I Remarks: j >� p�pd This shi rqY Cl Loses e'++lv+• ,r.rr,o.r ..�r,.r+r w te. reglv^o•. total transpartation charges paid to the carrierts) by the consignor or constgnte are as3.gnable to, and shall be releboned by the u.S. J tM Party Ira rar _temall s1" tn. f.11 9I Government and is stb)ect to the teres and conditions sat by, 1n 1 .r•r•.r�r: m. carr... .coil A< .•4 e•t,.. the standard fern of the u.s. wversu,ent sill o! tadfnq and to any n available special rates or charges I (Bee Ranurks) or rat, ,ain't .raloor r•r...r or r.ae•t (41 CM 109-40.$0 and 41 cm 109-40.1) ,b •11 ern.. 144.1 <turyr,. I X Yes ) I Na SECTION I 13117116721 RATES APPLY - TENDER NO. I I Received, subJect to lndMdua4y detam>fned on rates or contracts that haw been agreed upon to writing between the carrier and st%Ppsr, U a0l'S"t4o, otherwise to the rates. daaIIIIZZ lens and rules that have been -- astabfished by tho carrier and are available to the shipper, on request. The property descrUmd above, In apparent good order, eacapt as noted (contents and conditions of contents of packages unknown) nmritod, Iconsigned and destined as shown heroin, which said carrier (the ward carrier being tusdarstood thrwghout this contract as meaning arty person or coMoration In possession of the property under the contract) sgreas to carry to Us usual place of deffwry at said destination. If on Its route. otherwise to dotriarto another carrier on the rout' to said destln3gWL it is mutually agreed, unless otherwise spedlieatly stated Ire Individually 1 delarmltred rates and contracts that have boon agreed upon in writing between the carrier and shipper. as to each harrier of all or any all said property over so or arty portion of said routs to destinatlaM arm as to each party at anythtts Interested In all or any of said property, that every service to be performed hermnrider shall be su*ct to 94 the terms and conditions of the Uniform Domestic i Uniform Freight Class iRestian In 0@0 on the date haroof, It this Is a rad or rail water shipment, or Min the apptfcahy molar carrier classKicatlen or tarifa If this Is a mater carrier s4ttnt ro M �g � �certifiesfi they am famBfar with all terms and conditions of the" btA of lading, set forth In the classif cation or tariff which governs rho tratnportatfon of this shipment. and the said terms a cad ttlota� hereby to try the Shipper and ace"ted for htntfherself and their assign. hereby agreed This is to cetdrythat the above rimmed maieriWs ere property dessilied, descrtbect PackDSed. I Placards ReGUirtid Latrf3!(S) aRRGed —' I marked. Iabdeed, and aro n proper cordition for bansportam e000rd ng to the applicable I Trader traded br i t Srapper , J 1 regulatlo a of the Depintment of Transportation (Apacable ter Hazardous Wlerials Only) `I FraigM Counted by: I .. Shipper S pM, Aefttt0 r — 1 with the E' Driver. Lease pieces — - - - U.S. Depa — — — — — — I i Driver. Pallet sold to cmgaur I LAWRENCE LIVERMORE NAIL LAB -SITE 300 I 1 1Driver,paDeftcon Cartier GR. OPMRUCe . I VshklefCarNo. Per Dt.b Per GEORGE AZEVEOO Date 09/25/2013 Seat TRANSPORTATfON DEPARTMENT - PERMANENT POST OFFICE ADDRESS OF SHIPPER Page t of 1 -- -