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Straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. 512192018 Date: 12/19/2018 Shiper(from Consignee (to) LAWRENCE LIVERMORE NATL Site 30 FOR NNSA LAWRANCE LIVER14ORE NATIONAL TOR.NNSA *GT+* CORRAL HOLLOW RD. 7000 EAST AVENUE TRACY, CA 95376 LIVERI1ORE, 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 Fyfe 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,8 796 lbs NET 361 KG DOT Emergency Response Guide 4154 attached 1 BUCKET, X UN2794, Batteries,wet, filled with acid,e 20 1111P 5-GAL NET 9 KG PLASTIC DOT Emergency Respona• Guide 4154 attached 1 BUCKET, X UN3090, Lithium metal batteries , 9 12 lbo S-GAL NET 5 KG PLASTIC DOT Emergency Response Guide 4130 attached 1 DRUM, 30-GAL NON REGULATED ( ALKALINE BATTERIES ) NET 39 KG 86 lbs N even er dINOW wkwof no erwwirr drw&W In 914 lbs 4 «Total Pieces IN THE EVENT OFANEMERGENCY.TELEPHONE (925) 423-4205 •24 HRS orseWerudry-rwrwan p»p .uietowarrwt.rhe Contact or Registrant Name or Contract Number LLNL 131ERGENCY 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 ing 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 Sill of Lading and to any available special rates or charges ❑ 3a Party payment of freight and a'I other lawful (41 CFR 109.40.50 and 41 CFR 109403 charges. ® Yes ❑ No (tae 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 arvier and shipper,if applicable,oth*rwise to the gates.class.1katior and rules that have beta established by the carrier and are avaAabie to the shipper.an request.The property desras3ed 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 Prean or corporation 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 beMaers the carrier and shipper,as to each carrier of alga any of said property over all or any portion of said route to d•ss nation,and as to each parry at anytirm interested in all or any of said property,that*wry service to be performed heraumdor shall be subject to all the temp and conditions of the Uniform Domestic Straight 010 of Lading set forth(1)1n Uniform Freight Classification in effect on the date hereof.If this Is a rag or rai-water shipment.or(2)in On applicable motor Carrier tlasdficatien a tariff H this is■motes arrie,stdpmtnt Shipper hereby certifies they an familiar with all terns and conditions of the said bill of lading,tet forth in the classification or tariff which governs the transportations of this slsiprnent,and the said terms and conditions art hvft agrwd to by the shipper and aaepted 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 to proper condition lot transportation according to the applicable CORROSIVE regulations of the Department of Transportation(Applicable(or Hazardous Materials Only) Freight Counted by. CLASS 9 I] Shipper Shipper.&cling under contract E-AC52-07NA27344 with the ❑ Driver.Loose pieces U.S.Department of Energy. ❑ Driver,pallet said to contain LAWRENCE LIVERY 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