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$TRAIGHT DILL OF LADING -! SHO" FORM-Original-Not Negotiable 13 6 I Shipper's No J A,Z PHILLIP WEST INDUSTRIAL SERVICES INC. 'er) SCAC. Carrier's NS o a J 'I, __,✓ED,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 available to the ship er,on request;and all applicable state and federal regulations; 395 WEST CHANNEL RBENICIA SD. (/ at , date Q from the Property described below,in apparent good order,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 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 to 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 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 contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. TO: (Mail or street address of consignee for purposes of notification only.) FROM: SHELL OIL PRODUCTS US. SERVICE STATION Consignee MARTINEZ REFINERY Shipper Street 1801 MARINA VISTA Street 2375 Grantline Road Destination MARTINEZ,CA. Zip 94303 Origin Tracy, CALIFORNIA Zi Route: Delivering Carrier ( � Trail Initial/Number U.S. DOT Hazmat Reg. Number DescriptionNo.of 'packages HIM . Mug.--.MR , --- GASOLINE MIXTURE 3 JN1203 II ERG#128 ----- ----- _.—_ -- -. --.. ------------------- ----Contains wa er with__<T00/o oi1bearing ma et rial and ma-include ex racte Groundwater from service station facilities that would b non-hazardous under Federal and state waste classification c ritena. -------- --SOP-US-Martinez--Refinery_..__.. ----- ---- ---------- ----- ----- --- ------ -..__. Receiving Gate to direct driver to the ffluent reatmen Plant Operator (x,3202) For o f a ng d rections. --SAP-/--1NNGMENT-#=t 3 6-187-1-9-747 19. 7 ----------- �_ Q -- ---- RIPR##d£rC0e)31-7 ------- -- Subject to Section 7 of conditions,If this C. 0. D. FEE: Remit C.O.D. to: shipment is to be delivered to the consignee 1 COD AMT. without recourse on the consignor,the El consignor shall sign the following statement: Prepaid Thecarrier shall not make delivery of this City: State: Zip: $ shipment without payment of freight and all Collect El $ other lawful charges. Note.-where the rate is dependent an value,shippers am required to starling theagreedordeclaredvalueoftheproperty. Charges Advanced FREIGHT CHARGES The agreed or declared value of the property is hereby . Q specifiraltr stated by the shipper to be not exceeding per _(t (Signature of consignor) ❑Prepaid ❑Collect NOTE blebglty Limitation for loss or damage In t us ablpment may be pl bIs.Sae 09 U.S.C.147a6(c)(1)(A)end(B). •1 This Ie to ceruy that me above-remea mntedals ere properly aaasinad. ,cdbe. acloged,raadred and iabeled,and a.a m '1 YES NO-FURNISHED BY CARRIER Ll provercordbionfor transportation accordinglomeapplicable reguladon Imeoepz amol'rans .,i.n. 1 1 1 DRIVEWSSIGNATURE: Per 7CIAL INSTRUCTIONS:-,---" ER: 4/ 0 al CARR : ' t.,j PER 1- DATE: °7' PER. DATE: EMERGENCY RESPONSE p p.4� TELEPHONE NUMBER: 0 Permanent post office address of shipper Monitored at all times the Hazardous Material is in transportation including storage incidental to transportation 9-BLS-C3 435(Rev.11/04)