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Original-Not Negotiable Straight Bill of Lading-Short Form ShippeesNo. 50076—B Haz Mat Trans, Inc. 0. Box 5129 San Bernardin 92 Carrier's No. Name of Carrier AECEiVEO,subject to the classif'icatians and lawfully filed tariffs in effect on the date of the issue of the Bill of Lading. at 1990 Piccoli Rd 20 From Unified Western Grocers ft the property descnbad be}ow,in apparent goon order, except as of nnoted(cony is and ihe to 7dit on ag etas to cowry to its usual place of eents of packages unl li erynatgs d destinaned and tion, onas'its i route,cated balm,which le deliveatoea�anor(the ther carder anord rthe�route to si deng understood stimlion`It is contract as meaning any Person er corpoabe Po 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 parry al any time interested in al!or any of saEd property,that every service to be perfamhed hereunder shell ba atht>iect to a the terms and cantli[ions of the Unrform t?amestic Straight Bill of Lading set forth(1)in uniform Freight ClassBlcation In effect on the date hereof,it this is a call or a rail-water shipment.or(2)in the applicabEa motor carter c€assifcation or tariff it this is a motor carrier shipment. Shipper hereby canilies that he Is Sarhhalar with all the terms and conditions of the said bill of lading,set forth in the classification or tariff whkh governs the transpoliatlon of this shipment,and the said terms end conditions are hereby agreed to by the shipper and atxepted far himself and his assigns. Consigned to A { pil or street address or eonal elpurposes of notification oniy.) DiMilery Destination 30677 Huntwood Ave State CA zip9�} 4County Address' 'ro be tilled In Doty,when shipper desires and governing tariffs provide for delivery thereof. Route Ha ward Delivering Carrier Car or Vehicle Initials No. 'WEIGHT CLASS Subject to Section 7 of conditions of NO. HAZARDOUS DESCRIPTION OF ARTICLES.SPECIAL MARKS AND EXCEPTIONS SUBJECT TO CORK. OR RATE +pplipbb bill of lading, 1f this PACKAGES MATERIALS shipment is w be demrsed to the consiggnee vrllhoul recourse on the con BATTERIES, DRY CONTAINING POTASSIUM f bawl 9 etatementj9nor shelf elan the The wrner shall not.maRa delivery of HYDROXIDE SOLID 8 UN3028 this pmol wtsnout , , freight end all other Isedul charregeepayment e+ s. Per TV (Signature of Censlgirl If charges are to ba prepaid,write or stamp Ihera,"To be Pre-pald." Received S to apply in pre raynhant of the charges on the property described thereon. L v Agent w Cashier. per (The slgnistum here acknowledges the anwunts propel Charges advanced: SHIPPERS CERTIFICATION;This is to certify that the above-named materials are property Classfied,described,packaged,marked and SIGNATURE TITLE _ labeled,and are in proper COndilion for trapspovation according to the applicable regulations of the Department of Transportation. C.O.D. SHIPMENT "If the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it is'carriers's or shipper's weight." Shipper's imprints in lieu of stamp;not a part of Bill of Lading approved by the Interstate Commerce Commission. Nots-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property. C.O.D.Amt The agreed or declared value o!the property is hereby specifically stated by the shipper to be not exceeding Collection Fee THIS SHIPMENT IS CORRECTLY DESCRIBED. ""The fibre boxes used for this shipment conform to the spec- Total ificatfons set forth in the box makers certificate thereon,and all ShipperCharges_ CORRECT WEIGHT iS LBS. other requirements of the Consolidated Freight Classification. Per Shipper, Per a2 Mat Trans, IncAVt, P Permanent post office address of shipper