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ATTENTION SHIPPERS! FREIGHT C GES ARE PREPAID ON THIS BILL OF LADING U is an acknowledgment that a Bill of Lading has been issued and is not the Original This Memorandum Bill of Lading, nor a copy or duplicate, covering the property named herein, and is intended solely for filing or record. of (Name of carrier) (SCAC) 1S MARKED COLLECT. r Shipper No. WAT ` Carrier No. Date On Collect on Delivery shipments. the letters `COD' must appear before consignee's name or as otherwise provided in Item 430, Sec. 1. To: Shell Oil Products US Consignee MARTINEZ REFINERY FROM: Shipper Street J �_ C� • < r •' l ' Street 1801 MARINA VISTA Cite f'C' i� State CA Zip Code City MARTINEZ State CA Zip Code 94553 24 hr. Emergency Contact Tel. No. CHEMTREC 800-424-9300 - Route (�! ' '-,? '•r� Vehicle Number No. of UnitsBASIC & Container Type M DESCRIPTION Proper Shipping Name, Hazard Class, Identification Number (UN or NA), Packing Group, per 172.101, 172.202, 172.203 TOTAL QUANTITY �Nf "tWplume, C—Gall?,* etc.) WEIGHT (Subject to Correction) RATE CHARGES (For Carrier Use Only) 1 GASOLINE MIXTURE, 3, UN1203, PGII`-� ERG #128 Contains water with < 10% oil bearing materials and may include extracted groundwater from service station facilities that it uld be non -hazardous under federal and state waste classification criteria. SOP US Martinez Refinery Receiving Gate to direct driver to the Effluent Tre itment Plant Oil erator (x3202) for off loading directions. " SAP/INCIDENT PLACARDS TENDERED: YES V NOD REMIT C.O.D.TO: ADDRESS Note—(1) Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property, as follows: "The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding per (2) Where the applicable tariff provisions specify a limitation of the carrier's Iiablllty absent a release or a value declaration by the shipper and the shipper does not release the carders liability or declare a value, the carrier's liability shall be limited to the extent provided by such provisions. See NMFC Item 172. (3) Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation. See Section 2(e) of item 360, Bills of Lading.. Freight Bills and Statements of Charges and Section 1(a) of the Contract Terms and Conditions for a list of such articles. I thereof declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked and and are in all respects in proper condition for transport according to applicable international and national governmental regulations. gmonsignor - ! f Signature COD Amt: $ C.O.D. FEE: PREPAID ElIabelled/placarded, COLLECT ❑ $ S red"t to Section const n of the conditions, d this he shipment is to be consignee without recourse on the consignor, the delivered to the sign statement: shall sign the otlo make The carrier shall not make delivery of this shipment without payment of freight and as other lawful charges. TOTAL CHARGES $ FREIGHT CHARGES FREIGHT PREPAID Check box if charges except when box at❑ ere m be right is checked collect (Signature of coaayeorl RECEIVED, subject to the classifications and tariffs in effect on the date of issue of this Bill of Lading, the property desimill and as to each party ar any lime interested in ell or any said property, that every service to be performed described above in apparent good order, except as noted (contents and condition of contents of packages unknown), hereunder shall be subject to all the bill of lading terms end conditions in the governing classification on the date of marked, consigned, and destined as indicated above which said carrier (the word carrier being understood throughout shipment. this contract as meaning any person or corporation in possession of the property under the contrail) agrees to carry to Shipper hereby celthat he is familiar with all the lading terms and conditions in the governing classification and J!" usual 01— ^' ' ry at said destination, if on its route. otherwise to deliver to another tamer on me mute to said me said terms and cordnions are hereby agreed to by the shipper and aocepteo for himself and hts atl fly agreed as to each carrier of all or any of said property over all or any portion of said route to I Products US CARRIER ^kI 011AI r nr 42 JICI I i C:n1III nod I PER - `• ' 1 , `E SIGNATURE / DATE: shipper. 14