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Straight Bill of lading—Short Form—Original—Not Negotiable Shippers Number. S-04102018 Date: 4/16/2010 Shipper1from) Consignee(to) LAWRENCE LIVERMORL NATL R SA LAWRENCE LIVERMORE NATIONAL QR:NNSA SITE 300, NEST ON CORRAL HOLLOW ROAD 7000 EAST AVENUE *GT+* BLDG. 405 TRACY, CA 95376 LIVERMORE, CA 94550 Technical Contact: Frank LiFottef (925) 4235327 Contact Name: BATTERY SHOP BLDG 404 Job/Work Order. Route: Referents 0; No. Weight Shipping Type of Package HM Description of Articles.Special Marks,and Exceptions NMFC Ilam No. Class Rate (Subject to Units (Subject to Correction) Correction) 1 DRUM, 30-GAL X UN2794, Batteries,wet, filled with acid, , a 42 The NET.WT.19 XG DOT Emergency Response Guido 1154 attached 1 BUCKET. X UN3090, Lithium metal batteries , 9 14 lba 5-GAL NST.WT.SXG PLASTIC DOT (Emergency Response Guide 1138 attached 1 DRUM, 55-GAL Batteries, Noss Regulated ( Alkaline 1 b■ NET.WT.87 RG M!M rwrf W w lar Iru,lr,�M oral Pieces IN INE EVENT OF AN EMERGENCY,TELEPHONE (925) 423-4205 248 lbs 3 <<v 24 HRS lir.mart.caw.r,n.ilMr.o.,,r...ru.or.a...r►. Contact or Registrant Name,or Contract Number LLNL EMERGENCY DISPATCH to ft" 6WPP"/"ft64~ "^+ 113 legs n.aa~ PREIGHT 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. ARE: consignee without recourse on the transportat on charges pard to the canrerls)by The cons gnor or consignee are consignor.the consignor shall sign the assignable to,and shall be reimbursed by.the U S.Goverment and Is subject to Recycle material from Site 300 to Site 200 © Prepaid following statement The carrier shall not the terms and conditions set forth in the standard form of the US Government ❑ Collect make delivery of this shipment without Bill of Lading and to any ova bble special rates or charges ❑ 3N Party payment of freight and all other lawful 141 CFR 109.4050 and 41 CFR 109.40.31 charges. © Yes ❑ No (see Remarks) U.B. MUSA - SECTION 13712/10721 RATES APPLY TENDER NO Raceiwrd,subject to individually detemlinmed rates or cootruU that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rotes,classifications and odes that haw been establhhod by the carrier and ate available to the shipper.on request The Property described move,In apparent good order,except as noted(coments and conditions of contents of packages unknown)marked,consigned and destined at shown henein,which said carrier(the word earritrbeing understood throughout this contract as meaning airy parson or corporation In possession of the property under the contract)agrees to carry to its usual place of delivery at sold destination,if an its route. otherwise to d*Hver to anotherarrier on the trout*to said destination.n Is mutually agnad,unless otherwise spetifitaly stated in individually determined rates and contracts that have been agreed upon in writing between the canforw4 shipper,as to each carder ofall!or any of said property aver all or any portion of said roue to destination,and as to each party at anytime interested in all or any of said prepersy,that every service to be performed hereundersha0 be subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set fordo(1)in Uniform Freight Classification in effect an the dale hereof,if this Is a nil or rtml-wattr shipment,or 121 in the applicable motor carrier classsifiation or tariff if this is a motorarrier shipment Shipperhereby certifies they are fan"arwith all terms and conditions of the said big of lading,set forth in the classification or tariff which govems the transportation of this shipment and the said terms and condiHom are hereby agreed to by the shipper and accepted for hlm/herself and their assigns. This is to certify that the above named matenals are properly class reed,described,packaged, Trailer Loaded Shen r Placards Required Labels)applied marked labeled,and are in proper condition for transportation according to the applicable by ppe ❑ Driver 4 regulations of the Depanment of Transportation(Appl'cabfe for Hazardous Materials Only) Freight Cournad toy ❑ Shipper Shipper,acting under contrail DE-AC -07NA27344 with the ❑ Driver.Loose pieces U.S.Department of Enew.. ❑ Driver.pallet said to contasm LAWRENCE LIVERMORE NATL LAB ❑ Dower.pallets containing Garner CT+ / mrarr+na Truck 11'rank satta Yehrcie/Car No, Per Date: Per Date 4/18/2016 Seak TRANSPORTATION DEPARTMENT-.PFRMANENT POST OFFICE ADDRESS OF SHIPPER PAGE I OF 1