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� a MAIIUn I Daf.,i- ur L-mtpaavu Shipper No.—CzA3 $D4D$ <br /> ORIGINAL—NOT NEGOTIABLE <br /> Carder No. 1*07-61ZI <br /> Page t of f� f9u f2t/t,, Co nr Date 6417!'�t��$r <br /> (Name of timer)) (SLAC) <br /> On CDIWM 0e11rory ahlpmmis,Walk-'000'—A appoarbaa.m Innes namo.r.s Aemnmemokad In llMag30,sent. FROK <br /> TO: Shell Oil Products US Shipper IWeWLI <br /> Consignee MARTINEZ REFINERY 7r - <br /> - 2 Street / <br /> Street 1881 MARINAVISTA city ofGy slate (;A >pcaae <br /> olty MARTINEZ state CA 2p Code BASRA <br /> 24 hr.Emergency Contact Tel.No. <br /> Route Vehicle l <br /> Number <br /> No.of UnitsM BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> S Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (We Volume. (Subject to RATE (For Canter <br /> a etc.) Corrector) Use Only) <br /> NON-HAZARDOUS GROUNDWATER -96'6 <br /> Contains water with<18%oil bearing material and IT ay include ext acted <br /> groundwater from service station facilities that wouk be non-hazer us under <br /> federal and state waste classification criteria <br /> SOP US Martinez Refinery <br /> Receiving Gate to direct driver to the Effluent Treatnt Plant Oper for <br /> (x3202)for Offloadin directions <br /> SAP INCIDENT#: 79ff oat! <br /> RIPR 11: <br /> PLACARDS TENDERED:YES C7 NO REMIT <br /> Not.—(1)Whose Ne Rio b dapeolem an vanod,'aboom ae taQaited w la C.O.D.TO: <br /> petiJealry N wnwq me Red or aedared vtle.d m.pwpvrty,et itbars:410 I M1eraby delve mal lhv mnlents of Wa ADDRESS <br /> agreedadetlarea valva el Ne papeM Isharotry spell[caly elated by Ihn aM1gpefb corukrno.1.,a WRI nod¢mourn, <br /> too.w.z tan par aesc aBu above by Jle amp OOON pn®qy C.O.O.FEE: <br /> tel vrneR me apgmad.tnea eaatoon oamo eod m.donauk"I psdv9oa, COD PREPAID ❑ <br /> n apally albaWtlont mamKafsllahfilyab�am mghed and ebeaadptommod.nod era Aml: <br /> a reloose br a vau.nets Ion by the on noon.end oho eldpper dcea. .oboe N all Rapeda m opor.Mdleen I., COLLECT❑ $ <br /> ma wdera gaaarym axare a vak,.,ma wrnar9 eauan shag tie gaeead la ma anMt nammoft xcaa�rrg w appecael. s.N.ot w s;awa y d m.emsmrn,a w aao m W Oa-a-,.w IM TOTAL <br /> pRNtledbywMprovWona.eoc NMFG nem ill. al"matgrW andnalbnN ovemmenW mn91W IJrwt Rraa ze on ma wreymr,me wtulpnw sM1lll alpn Ing CHARGES $ <br /> t3)IbmmOgJPa rMUWrq sPotla or adakmaWm Or altent1.n 0 NnVlinp.r stoeing re IBtiata logov�ing Gammm4 H <br /> meal be so morkedeod pecWgeiasw annum.am lranaponolbo.Soo3mrbn ab of Tne comm Nall nor make maveryarfiu abipmont wN,ml paymMt er FREIGHTCHARGES <br /> Iral JM1l eM w ane Io-xIW BMrpea <br /> Item M,Man of Laaap,Frel&M1l eJla and 3NwmMU of Chagm Mtl Soclbn f( a FREIGHT <br /> ARGExxCWpp� <br /> ItiBr'iOnIBtl TCrma OnU CMAl0ar191IXII1b1 a5WVl arY.aa. 1m Malt ambM <br /> 3lgnalum (s�aaasmnrogrml ngatidh f ❑ mac <br /> RECEIVFD,wlSooebtlm tludnmUMs and LNgsMe➢mtM yro WN dNeleundUvs 6!UalaJNp, Wabnantl oa toaWlpany nl elry Uma NleraNad Nallmeny sett prapary.maev.ryzorvba to <br /> YlaprapMyJ08[tliA'tlBIgVOln appeNnlea Jefdel,NCepl as nalaC(NnWNa Me teldNno <br /> aWn. bamrwroodhowMefaNAma.l. lwdl Jia N�Oektling win.&'IdfdldiAtll9'N9M paVa(tMf tl9a <br /> tints to pa urtar onkndmt , th mnsipnea-and 1m, a9 NCcaroJ moue wtlM"o e.1. erppapm Mr hamb coollnot ma <br /> QM1e awrd wnbr P"non,urderamd ootcon OW Jak ambo,as meaning am'al doLw I.'don In Sh¢apor ireteby a nad t mal ha u"ear uim eu Ne bid wrens W bythestua N Jw <br /> paaeaNMallMprapCM1yurvb JM mMReQ eyeasbrnrrywla V9Vtlpka0a tl0&MryryaaaitltlasJ- g..ro eastirmalNnaw me ztd terms nod mndilitrs.ao horeb�y agreMwbymeehippereM <br /> retlar,NMga Rum,oRenaire to tlaWorwvromeroaMaronmemmCtosak devbotlen.nlsmely- azmpwa wrNmmilaaantaaaalgm. <br /> .ny agreed u w each carder a eA m My of and prop.nr owr a!I m eny poleM ai sad mine a am- <br /> SHIPPER Shell Oil Products US CARRIER <br /> PER ON BEHALF OF SHELL PER <br /> RECEIVING SITE SIGNATURE/DATE: DATE 17 2C?7 <br /> Permanent post-office address of shipper. STYLEP376-4 02(112 LABELIVIAWERO (8(10)821-5808 mottJobeimaster.com <br />