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RAIGf iT BILL OF LADING - SHORT F t - Original - Not Negotiable <br />Shipper's No. <br />Gl <br />Lrrier) PHILLIP WEST INDUSTRIAL SERVICES INC-SCAC. Carrier's No. <br />=1VED, 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 <br />dished by the carder and are available to the shipper, on request-, and all applicable state and federal regulations; <br />395 WEST CHANNEL RD. BENICIA <br />, date from <br />Property described below, in apparent good order, except as noted (contends and condition of contents of packages unknown), marked, consigned, and destined as indicated below which said company <br />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 <br />te, 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 <br />;h 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 <br />_ . . . _ __ I --- I.- ­__ ....:...........a a....e ,# r.., hitt ohH hie aeeinne <br />ltainea, lncluaing ine conch—ts — arc uacn --m—, <br />(Mail or street address of consignee for purposes of notification only.) <br />FROM: <br />SHELL OIL PRODUCTS US. <br />SERVICE STATION <br />MARTINEZ REFINERY <br />Shipper <br />isi nee <br />?et 1801 MARINA VISTA <br />Street <br />MARTINEZ, CA. 94303 <br />� <br />,tination Zip <br />Ori in <br />Zi <br />fte: <br />ivering Carrier <br />Trailer InitiaVNumberU.S. <br />DOT Hazmat <br />Reg. Number <br />ie HM Description <br />Class Number Group <br />correction) <br />column I <br />GASOLINE _MIXTURE ._. _...._ <br />._3 <br />UN1203---.-- <br />- <br />733 <br />kf <br />Contains water with <10% oil be.: <br />groan water from service station . <br />�- iol end may <br />�-� ou--non-Hazardous <br />includ <br />extracted <br />er <br />federal and state waste classificati <br />SOP US Martinez Refinery <br />_.. <br />__. _ _ _-- <br />-- _ .__..__ ._ - <br />-_-_.__. _ <br />... _ _,_._-___. -...-._-- <br />-- — <br />—�oceiving-{Trite-tLS--direCtZjT1Ve2' tib- tint <br />u><ucu� 1 lea <br />tDT <br />3�{)Zj <br />--._ <br />- <br />For off loading directions. <br />5?Y <br />SAP / INCIDENT#: -989955$6 <br />-RIPR-#-542-7Q.- - - <br />--- <br />- — <br />---- ---- <br />--.. <br />NT1) <br />JUN <br />_ 2.. 2007. <br />a <br />t..11t C.O.D.lt�: <br />V <br />/� <br />■ SOD AMT. <br />l`/� <br />Subject W Section 7 of conditions, t this <br />shipment is to be tlelivered to the consignee <br />without recourse on the consignor, the <br />C. 0. D. FEE: <br />cress: <br />consignor shall sign the following statement: <br />Prepaid ❑ <br />p <br />r State: Zip: <br />$ <br />The canner shag not make delivery of this <br />shipment without payment of freight and all <br />18w1ui Charge e. <br />"a" <br />Collect ❑ $ <br />nlchw1 .ehippemerereQu"drestate er« �mgfne.gre�a��-I-of11 rty Charges Advanced <br />denoee <br />we the mte5oe <br />FREIGHT CHARGES <br />I or dedered value of t he Property k hereby <br />stated M the evpetto be rat exceeding per <br />$ <br />ED Prepaid �iDlleCf <br />(Signature of consignor) <br />•M fa). r , <br />,elury Lhnastbn tp toes or eemege M this a WW. tnee ee a ftftte. see s➢ e5.G. lQeetextNA=15 <br />��,. im eco a minis m.te .s .re orooe H aemis.d. d�aloed. P.O"ed. .*wW tabard. ware . ! YES O - FURNISHED BY CARRIER <br />w the Dewem rtma Trarrnatahan. SIG ATURE- <br />en,o� ro. rnnsaon.lroe attore,ng to me iiwl, cr ng1wh— ! <br />Po, <br />DRIVER'S <br />IV <br />OF <br />-;IAL INSTRUCTIONS: <br />CARRIER: <br />DATE: •�_ PER:DATE: <br />EMERGENCY RESPONSE 'T <br />TELEPHONE NUMBER: <br />1 <br />/ Monitored Wall times the Hazardous Material is in transportation including storage incidental to transportation (§172.6D4). <br />29 -BLS -C3 969 (Rev. 11/04) <br />l <br />