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Straight Bill of Lading—Short Form—Original—Not Negotiable Shipper's Number: s - 236301 Date: 10/30/2018
<br /> Shier(from) Consignee (to)
<br /> LAWRENCE LIVERMORE NATL on behalf of the U.S. NNSA Clean Harbors Environmental Services, Inc. *CLHA*CORRAL HOLLOW ROAD 1021 Serryessa Road
<br /> TRACY, CA 95376 San Jose, CA 95133
<br /> Technical Contact: Contact Name:
<br /> Job/Work Order. Prosect 32150 Task OPS.RHWM.DISP
<br /> Route: Reference 9:
<br /> No, Weight
<br /> Shipping Type of package HM Description of Articles,Special Marks,and Exceptions NAAFC Item No. Class Rate (Subject to
<br /> Units (Subject to Correction) Correction)
<br /> 4 DRUM, FIBER Non-regulated waste, solid (fluorescent straight tubes) IDOP0165-1) 407 lb
<br /> - 85 GAL
<br /> 1 DRUM, FIBER Non-regulated waster solid icompact fluorescent bulbs) (DOP0164-1) 73 lb
<br /> - 30 GAL
<br /> 1 DRUM, FIBER Non-regulated waste, solid (mercury vapor lights ) IDOP0167-1) 42 lb
<br /> - 30 GAL
<br /> 1 DRUM, FIBER Non-regulated waste, solid (sodium vapor lights ) (DOP0167-1) 16 lb
<br /> 14 GAL
<br /> IN THE EVENT OF AN EMERGENCY,TELEPHONE (925) 423-4205 lothest'fntardamyeinthe o—sio G1thenMn, h 538 lbs
<br /> 7 «Total Pieces -24 HRS this eiR of lading whits in she pesuuien or the Orrin,the
<br /> Contact or Registrant Name,or Contract Number LLNL Emergency Dispatch —W.gnntsneutythe*hipp.,ft—ignerwithintwe 244 kgs
<br /> FREIGHT CHARGES If this shipment is to be delivered to the This shipment is on behalf of the U.S.Department of Energy and the actual total Remarks:
<br /> ARE: i fi nsignee without recourse an the transportation charges paid to the carriet(s)by the consignor or consignee are
<br /> cot:signor.the consignor shall sign the assignable to,and shall be reimbursed by,the U.S-Government and is subject to SJUN19-01; shipping document S - 236301,
<br /> ❑
<br /> x Prepaid following statement The carrier shall not the terms and conditions set forth in the standard form of the U.S.Government Reference release number LXE0090 on invoice;
<br /> ❑ Collect make delivery of this shipment without Bill of Lading and to any available special rates or charges See attached packing list for container numbers.
<br /> ❑ 3'd Party payment of freight and all other lawful (41 CFR 109-4050 and 41 CFR 10940.3)
<br /> charges. 0 Yes ❑ No
<br /> (see Remarks) U.S. NNSA
<br /> SECTION 13712/10721 RATES APPLY-TENDER NO
<br /> 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 been established by the carrierand
<br /> are available to the shipper,an 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 herein,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,it on its rotate,
<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 said route to destination,and as to each party at anytime interested in all or any of said property,that every service to be performed hereunder shall 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 hereof,if this is a rail or rail•water shipment.or(2)in the applicable motor carrier cfassificati m
<br /> or tariff if this is a motor carrier shipment. Shipper hereby certifies they are familiar with all terns and conditions of the said bill 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 /> This is to certify that the above named materials are properly classified,described,packaged, placards Required- Label(s)applied:
<br /> marked,labeled,and are in proper condition for transportation according to the applicable Trailer Loaded by [3 Shipper 13 Driver 9 PP
<br /> regulations of the Department of Transportation(Appli.able for Hazardous Materials Only] Freight Counted by-
<br /> 13
<br /> y❑ Shipper
<br /> Shipper,acting under contract DE-AC52-07NA27344 with the ❑ Driver,Loose pieces
<br /> U.S.Department of Energy: ❑ Driver.pallet said to contain
<br /> ON BEHALF OF NNSA ❑ Driver,pallets Containing
<br /> Career / Clean Ha or9 nvtroamental Service, LLC
<br /> Scott Al., Graham, hipping Coordinator Vehidel=arNo:
<br /> Per Date
<br /> Per ��r=;� �t;r/ Date 10/30/2018 Seal.
<br /> TRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE 1 OF 1
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