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STRAIGHT BILL OF LADING-SP-7 FORM-Original-Not Negotiable i errs No. PHILLIP WEST INDUSTRIAL SERVICES IN 9 2007 I rrier) 'k .l n 11 f a C rri r s No. =1VED,subject to individually determined rates or contracts that have been agreed upon in writi l et`oljeen the carrier and shipper i Iicabl otherwise to the rates,classifications and rules that have been --.olished by the yui�r�IQ�rgfytI ble to the sshhipper,,00n request;and all applicable state and fe ral r ulatio *Vt�A `yl �iW�/�r,, �L 'i`CBENICIA at , date INDl[,NpP0L1S rom the Property described below,in apparent good order,except as noted(contents and condition of Is 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 carryto delivery at said destination,'it 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 add�P��on�ilgnLepRf8D[JCTS US cation only.) FROM: SERVICE STATION MARTINEZ REFINERY Consignee Shipper Street 1801 MARINA VISTA Street 2375 Grantline Road Destination MARTINEZ,CA. Zip 94303 Origin Tracy CALIFORNI Zi Route: Delivering Carrier/ Trailer 1nitial/Number U.S. DOT Hazmat Reg. Number DescriptionNo.of Hazard . Packing • packages HM. Class Number, Group -- ---GA-GLINEM1XTURE _..__. _--.-_-- __. - -- _- _ TJhT120 ___.-ii _-- -- _-- ------- ERG#128 Z ,f ----Eontains-water-wiearin ly in-c-iud eXVaRet -d groundwater from service station fac lities tha would be non-ha ardous imder e eraI--and state waste classification nte-Ha. ---- Receiving Gate to direct driver to the Effluent Treatme t Plant Operator 0202 --For-offioadingdirecti�t -- — SAP/INCIDENT#��] S G 7 -- Gzz� Subject to Section 7 of conditions,H this C. 0. D. FEE: Remit C.O.D. to: shipment is to be delivered to the consignee .1 D AMT. without recourse on the consignor,the EJ consignor shall sign the following statement: Prepaid The canter shall not make delivery of this City: State: Zip: $ shipment without payment of freight and all Collect El other lawful charges. "a.—where the rate is dependent onvalue,shippers ammiliredtostate specifically inwriting the agreed or declared value of the prrperty. Charges Advanced FREIGHT CHARGES The agreed or declared value of the property is hereby specifically stated by the shipper to be trot exceeding per $ (Signature of consignor) Prepaid El Collect N01YL4bllay LJma.aon for loos or Gmaa.in theshipment may be•�ble.sae 49 eS.C.14706(a)(1)(A)end(e). This a to oatiy that"'aa_hemad materets are properly dassa,ed.de=oed,packeped,manna and labeled,a YES NO-FURNISHED BY CARRIER proper condition lar trar,aporbdor,—ording ro the applcad.neguladon,of the Depenmenl of Tran�onalbn. ' r i DRIVER'S SIGNATURE: Per --CIAL INSTRUCT r' 'ER: 6 F CARRIER- PER: DTE: P -DATE:. ! LEMW RESPONSE ONE NUMBER: Permanent post office address of shipper Monitored at all times the Hazardous Material is In transpo i including storage incidental to transportation(§172.604). 29-BLS-C3 969(Rev.11/04)