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STRAIGHT BILL OF LADINC SHORT FORM - Original - Not Negotiab. Shipper's No. l 3fo .rrier) PHILLIP WEST INDUSTRIAL SERVICES INC.SCAC. Carrier's No. RECEIVED, 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 established by the carrier and are available to the shipper, on request; and all applicable state and federal regulations; 395 WEST CHANNEL RD. BENICIA at date %b ` 14-t — 0 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 compe (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, ff on 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 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, hen contained, including the conditions on the back hereof, which are hereby aqreed to by the shiooer and acceoted for himself and his assinns. 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 -375 W GRANT LINE RD - Destination Zip Origin Zi Route: I Delivering Carrier Trailer Initial/Number U.S. DOT Hazmat Reg. Number of packages HM DescriptionNo. . Class Number Im GASOLINE MIXTURE 3 UN1203 II ,. i ERG#128 e Contains water with materia's and may includ group waterom st aties thal would non -hazardous extracte - nae+ --- -- federal and state wa- riteria. SOP US Martinez Refinery — ReceivingGate-to-direct driver -to --tire (fluent- freatmei it- lant peratcT -- For off loading directions. M SAP / INCIDENT#: 98995907 --- --- --_-R1PR# 3 7 Remit C.O.D. to: 5"°"" `° se"i ' °'.Dict"°ns shipment Is to be tletivered to nsignee C. 0. D. FEE: ,(/�I- Address: VOD AMT: without recourse on t onsignor, the consignor she" sign o"owing statement: Prepaid ❑ City: State: Zip: $ The .artier not make delivery of this shipmen out payment of freight and all orae of s. Collect ❑ Note. - w era the rate Is depel osm on vakm. shipper, ara repaired to State specrically in +ming the agreeo or oeoared value o' me nropeny Charges Advanced FREIGHT CHARGE The agreed or declared —, d Ina progeny is hereby ( I nature of consignor) obecdr-alry stated by the shipper to be not meed% per $ a aid 0 ColleC Nor, u Ilhy umanion fir lo.c rx —.9. m this a.p . m.y ..pplica . s.e U.S.C. 1< c)It NAI ano "I T'. a m ..nary mat me .00.� _ mat.r;ets .re .—Yclaseared, aocro.o, P.T.cy rrsnra. neo tewi.c... ere In llll r - ! YES NO - FURNISHED BY CARRII omper.rnbiaon 1« aansp«Ialbn as«anp tome apaicaok regulatwnz a m. Derunment a!Transpataaon ! ! e DRIVER'S SIGNATURE: per AL IN SHIPPER.- PER: HIPPER:PER: V*- L� I x CARRI DATE: 10 l L'i , O� PER: - DATE: ' y- 'if EMERS-E-44CY RESPONSE/ Q TELEPHONE NUMBER: ( ) ` a~ O d J 9' 0 s( � tI � i Monitored at all times the Hazardous Material is in transportation including storage incidental to transportation (§t .E( 297BLS-C3 969 (Rev. 1 U