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Straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. S12192018 Date: 12I19/2018 Shiper(from Consignee (to) LAWRENCE LIVERMORE NATL Site 30 FOR NNSA LAWRANCE LIVER14ORE NATIONAL TOR.NNSA *GT+* CORRAL HOLLOW RD. 7000 EAST AVENUE TRACYr CA 95376 LIVERNORE, CA 94550 Technical Contact:OMAR SILVA, (925) 422-7911 Contact Name:BATTERY SHOP BLDG. 404 Job/Work Order. Route: 1 Reference 0 No. weight Shipping Type aF package HM Description of Articles.Special Marks,and Exceptions NMFt hem No. (Subject to (Subject to Correction) Correction) Units 1 PALLET, WOOD X UN2794, Batteries,wet, filled with acid,0 796 lbs NET 361 KG DOT Emergency Response Guide 4154 attached 1 BUCKET, X UN2794, Batteries,wet, filled with acid,0 20 1111P 5-GAL NET 9 KG PLASTIC DOT Emergency Respona• Guide #154 attached 1 BUCKET, X UN3090, Lithium metal batteries , 9 12 lbi 9-GAL NET 5 KG PLASTIC DOT Emergency Response Guide 1130 attached 1 DRUM, 30-GAL NON REGULATED ( ALKALINE BATTERIES ) NET 39 KG 86 Ibis N even er dINOW wkwof no erwwasr drw&W In 924 lbs 4 «Total Pieces IN THE EVENT OFANEMERGENCY.TELEPHONE (925) 423-4205 •24HRS orse isiLm y-rw r w an p»p .uietowarrwt.rhe Contact or Registrant Name or Contract Number LLNL 131ERiGENCY DISPATCH 'r""'"0two 4I5 kgs FREIGHT CHARGES 11 this shipment is to be delivered to the This sh pment is on behalf of the U.S.Department of Energy and the actual total Remarks: ARE: consignee without recourse on the transportation charges paid to the amer(s)by the consignor or consignee are Recycle material from site 300 to site 200 cons-gnor,the consignor shall sign the assignable to,and shall be re mbursed by.the US.Government and is subject to ® 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 available special rates or charges ❑ 3a Party payment of freight and a'I other lawful (41 CFR 109.40.SO and 41 CFR 109403 charges. ® Yes ❑ No (see Remarks) U.S. NHSA SECTION 13712/10721 RATES APPLY-TENDER NO. gaeeWed subject to individually determined rates or contracts that have been agreed upon in wilting between the arrier and shipper,if applicable,otherwise to the gates.classifications and rules that have beta established by the carrier and are avaAabie to the shipper.as request.The property desas3ed above.le apparent good order.except as noted(contents and conditions of contents of packages unknown)marked,consigned and destined as shorn herein,which said artier(the word carrier being understood throughout this contract as meaning way preen or cog ration in possess$w of the property under the cowbwq agrees to carry to its usual plan of delivery at said destination,if an Ns rout*. otherwise to deliver to another carrier on the route to said destination. R is mutually agreed unless otherwist specifically stated in individually determined rates and contracts that have been agreed upon In writing beMaen the carrier and shipper,as to each cagier of alga any of said property over all or any portion of said route to 4sstination,and as to each parry at anytirm interested in all or any of said property,that*wry service to be performed hereunder shall be subject to all the temp and conditions of the Unifoms Domestic Straight 010 of Lading set forth(I)In uniform Freight Classification in effect on the date hereof.If this Is a rag or rai-water shipment.or(2)in On applicable motor Lanier tlasdficatien a tariff H this is■motes arrie,s*mtnt.Shipper hereby certifies they are familiar with all terns and conditions of the said bill of ladiriS set forth in the classification or tariff which governs the transportation of this slipment,and the said terrro and conditions art hvft agrwd to by the shipper and scctpted for WnVhenetf and their assigns. This is to certify that the above named materials are properly classified,desrnbed packaged. Trailer Loaded by, ❑ Shipper ® Driver placards Required: Label(s)applied marked labeled and are in proper condition lot transportalion according to the applicable CORROSIVE regulations of the Department of Transportation(Applicable(or Hazardous Materials Only) Freight Counted by. CLASS 9 0 Shipper Shipper.&cling under contract L-AC52-07NA27344 with the ❑ Driver.Loose pieces U.S.Department of Energy. ❑ Driver,pallet said to contain LAWRENCE LIVER! a NATL LAD ❑ Driver,pallets containing Camer GT+ / ve gat Truck Vehicle/Car No � � J� frank Zatte i I—f/G! l/ D.W. Per Date 12/19/2010 Seale TRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE 1 OF 1