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v e ea R e.a WAbP0eJu/§6A bri No <br /> ORIGINAL—NOT NEGOGO7IABLE� . . I) c� e <br /> N fS 1 k 6�tJ e,5—) Carrier No. �I ©(09, p 2 <br /> Page of ( it Date 2 eP <br /> (Name of carrier (SCAC) <br /> co cWxl ono 'q Ate'eenk,the IWeM eoo'mull sppem We,.awaynea'.tlmnve,u.lnanrae PeAded h Item U.Goo.I. <br /> TO: Shell Oil Products US <br /> Consignee MARTINEZ REFINERY shipper �j <br /> Street / – ytr.�p A,� r <br /> Street 1801 MARINA VISTA "' 1 <br /> city State CA 2p Code <br /> city MARTINEZ slate CA Zip coda <br /> 24 hr.Emergency Contact Tel.No. <br /> Route <br /> VeNda <br /> Number <br /> No,of Units HM BASIC DESCRIPTION TOTAL QUAN7ny WEIGHT CHARGES <br /> &Container Type UN or NA Number,Proper Shipping Name;Hazard Class,Packin Group (We Vmum0, <br /> 9 P ono em.) Corton)t to <br /> RATE (Use am r <br /> j NON-HAZARDOUS GROUNDWATER <br /> Contains water with<30%oil hearing material and in aY Include eXtf acted - <br /> groundwater from service station facilities that w0ulc he non-hazart ous under <br /> federal and state waste classification criteria <br /> SOP US Martinez Refinery <br /> irleceiving Gate to direct driver to the Effluent Treatant Plant Oper for <br /> (4202)for off loading directions <br /> SAPiNCIDENT#; ��G� 3y <br /> RIPR M <br /> PLACARDS TENDERED: YES O No gEMIT <br /> Not.—l0 wnem uta rate to depond.d on value,nhypers ere re.ldlad 1..mle C.O.D.TO: <br /> spa fi*In wAGnp Via n9raed or declared wM1re.!uw 1 rveby tleHere tM1nt Ne amlenm.l tl,b <br /> egreedortledeved venue.I IM m here a p1.F.M.u blbrvc Mlle wpygpplml.rc lull,.nd m..1.1, ADDRESS <br /> Ua nol0+mokrg P�M par � P.�eY salad by ft W*p.r l0 dssrrgod ap.ve EY Olv P�Oper sN <br /> fs'tYnole Pa alWlkama Wpplwishv roe 7.fimaalgnol as mnar.14,k ao., IAV 119 end ate dde911eq paaug.d9 COQ C.O.D.FEE: <br /> . elate ora vela.d.dm d.n by to.shipper od ure sEipper Coos nm w.w. mnMed ad tWftftl. ad,and vee Amt. $ PREPAID D <br /> Rle w:deh YablGrywdw4.reavaWe,Ihv.vRCf9OdbGry 6tmN ae llmiadb Pd edam 1n ll respvcm M proper oe"tabe lot COLLECT❑ Is <br /> Pwsldad by nacM1 p,miylan¢,Sve NMFC lIwn lJ2. rpv" Mcortlly o epp5wblp 6ulyulwsavbn>INma t'wWlbro,tl Rdev�en�km WdaqumeC qpn 7eTAL <br /> m vbow nnrmnei awnmwnmt wgneo.~flbom ro..Bne."me wool mia. RE d9 E CHARGES S <br /> �pfmCAmingGlla9 r A{ 6 aCI.I W add WnelyN ar alfeman Nhan69.g p alcwi,p 1 Qp- ; IOtlaw.p W b h t s"ar.uta <br /> tmwmandd andpackapadazt.mwmsaf.u.wpalmlias Sa.Sacaon z(el of rrepinz arenomiawiln cis d¢Ilvay d due ahpmBM WiRlwl paymwl of FREIGliI'CHAgGES <br /> Imm lee,aNs of Lading,ReISM1I apo and elaw.0.of Charae.and 5,, m i(o).1 <br /> rMC.Mra.I Terms end CardiUa"s lora Rsrol wall alll01e9. Fael'd(r FPEPNe [MIXLrB <br /> ignaturewsw¢a..emml �u�auaba u ..°i w"�pe <br /> aELErvEaplopedy,auyxlpma da.dficatur.eldlar/Ism ellwlan rdd9lealdb iseua aaAs e&.1latl'Bg, ❑ `� <br /> Ihadeed bMnbw.in"ppAreMgoodeltl¢r,eaepl aemled(write emwrER.nolwn- bnalbnar nstoe.ch Poor elo%lime IMorosmE in A or arc/saltl pmpedy,all ev.q a.M.to <br /> lents el peaMyges aanwmi,mahM,conyned,Intl eeswwduMvalad aheva"zil nil wn'wr be etf—nNe-0 .l.Nipn�.w al ftbillcl la drywmnmdwllddywNPagwemsn9 day <br /> Ise Ymd pude,WIMI Qndertlwd thm0ahWl ft, I,aG vamnMlp any pelsan.rpmppra.onM ShIpperhe ea <br /> pM5e.4q(I.Ilhalapp.dYl¢IderQwap'IQd.li agR8810faTY lvlanSWl 0.0dab'RryryNedldd.A g.vendy ft. <br /> lB lilMne.,Qha l ere 141,g <br /> 41, ayaetlW rood 68Ma 1,RIB <br /> ltery i(.is roub.oe.wealoddlwrb NwlhernarMrm Ne roWo bwltldesallatlen.ilk mum' I Pporand <br /> ,Ie'. edosmeechwnbr OlW prang W,avdplapedyavera'lwvry porllan of slid laala lodeG a¢epretl tat lNmsNlaM Manscpns. <br /> SHIPPER Shell Oil Products US CARRIER <br /> PER ON BEHALF OF SHELL PER <br /> RECEIVING SITE SIGNATURE IF DATE; DATE <br /> Permanent post-office adtlte55 of shipp., STYLE F3784 02012 LABEL)`e'IASEER® <br /> (800)621.sima xvrn.iabeimastar.com {¢. <br />