|
straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number: S - 227795 Date: 2/27/2018
<br /> Shipper(from) Consignee (to)
<br /> LAWRENCE LIVERMORE NATL LAB on behalf of the U.S. NNSA Clean Harbors Environmental Services, Inc. *C H43.liltl*
<br /> CORRAL HOLLOW ROAD 1021 Berryessa Road
<br /> TRACY, CA 95376 San Jose, CA 95133
<br /> Technical Contact: Contact Name:
<br /> Job/Work Order: Project 32150 Task OPS.RHWM.DISP
<br /> Route: I Reference aa:
<br /> Weight
<br /> No. Description of Articles,Special Marks,and Exceptions NMFC Item No. Class Rate (Subject to
<br /> Shipping Type of Package HM (Subject to Correction) Correction)
<br /> Units
<br /> 2 DRUM, FIBER Non-regulated waste, solid (fluorescent straight tubes) (DOP0165-1) 194 lb
<br /> - 85 GAL
<br /> 1 DRUM, FIBER Non-regulated waste, solid (compact fluorescent bulbs) (DOP0164-1) 85 lb
<br /> - 30 CAL
<br /> 2 DRUM, FIBER Non-regulated waste, solid (metal halide, sodium, mercury 34 lb
<br /> - 14 GAL vapor lights ) (DOP0167-1)
<br /> N tti..wnt.l dwy..r l.u.iti,.maNetal d.raih.d In 313 lbs
<br /> IN THE EVENT OF AN EMERGENCY,TELEPHONE (925( 423-4205 -24 HRS cra�e+N.rr.d�hoWhile, tn.pou.ss..n.ru,.o t'th.
<br /> 5 e:To Piecesorrier.pnn.m writ the.hipp 1wrteipn.r ui+hin 142 kgs
<br /> Contact or Registrant Name,or Contract Number LLNL Emergency Dispatch i
<br /> FREIGHT CHARGES If this shipment is to be delivered to the This shipment is on behalf of the US.Department of Energy and the actual total Remarks:
<br /> ARE, consignee without recourse on the transportation charges paid to the carrier(s)by the consignor or consignee ate SJUN18-02; shipping document S - 227795;
<br /> consignor,the consignor shall sign the assignable to,and shall be reimbursed by,the U.S.Government and is subject to Reference release number LSJOB33 on invoice;
<br /> El Prepaid following statement The carrier shall not the terms and conditions set forth in the standard form of the U.S Government See attached packing list for container numbers.
<br /> ❑ Collect make delivery of this shipment without Bill of Lading and to any available special rates or charges
<br /> ❑
<br /> 3-Party payment of freight and all other lawful (41 GFR 109-4050 and 41 CFR 10940.3)
<br /> charges. El Yes ❑ No
<br /> (see Remarks) U'S. NNSA
<br /> SECTION 13712/10721 RATES APPLY-TENDER NO
<br /> Received subject to individually determined rales 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 established by the carrier and
<br /> are available to the shipper,on request. The property described above,In apparent good order,except as noted(contents and conditions of contents of packages unknown)marked consigned and destined as shown heroin,which said
<br /> carrier(the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to its usual place of delivery at said destination,if on its route,
<br /> otherwise to deliver to another carrier on the route to said destination. It is mutually agreed,unless otherwise specifically stated in Individually determined rates and contracts that have been agreed upon in writing between the carrier and
<br /> shipper.as to each carrier of all or any of said property over all or any portion of Bald route to destination,and as to each party at anytime interested in all or any of said property,that every service to be performed hereundersha8 be subject
<br /> to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth(1)in Uniform Freight Classification in effect on the date heneof,if this is a rail or rail-water shipment,or(2)in the applicable motor carrier classification
<br /> or tariff if this is a motor carrier ahipmenL Shipper hereby certifies they are familiar with all tarts and conditions of the said big of lading,set forth in the classification or tariff which governs the transportation of this shipment and the said
<br /> terms and conditions are hereby agreed to by the shipper and accepted for him/herself and their assigns.
<br /> Thi%i s to Certify that the above named materials are properly classified described,packaged, Trailer Low ed tty ❑ Shipper ❑ Driver Placards Required: Label(s)applied:
<br /> marked,labeled,and are in proper condition for transportation according to the applicable
<br /> regulations of the Department of Transportation(Applicable for Hazardous Materials Only) Freight Counted by-
<br /> Shipper
<br /> yShipper
<br /> Shipper,acting under contract DE-AC52-07NA.27344 I with the ❑ D,wer,Loose pieces
<br /> U.S.Department of Energy: ❑ Driver,pallet said to contain
<br /> ON BEHALF OF NNSA 13 Driver.pallets containing Career. C.BA / Clean rs Environmental Service, LLC
<br /> Vehicle/Car Na' �I
<br /> Scott, A. Graham, Sh' ping Coordinator
<br /> Per r Date- G
<br /> Per Date 2/27/2018 Seal: i LGL -a 7`4Q
<br /> rRANOEMTATION DEPAR MENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE 1 OF 1
<br />
|