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Straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. s - 236301 Date: 10/30/2018 Shier(from) Consignee (to) LAWRENCE LIVERMORE NATL an behalf of the U.S. NNSA Clean Harbors Environmental Services, Inc. *CLHA*CORRAL HOLLOW ROAD 1021 Berryessa Road TRACY, CA 95376 San Jose, CA 95133 Technical Contact~ Contact Name: 1ob/Work order. Project 32150 Task OPS.RBWH.DISP Route: I Reference ft: No. Weight Shipping Type of Package NAR Description of Articles,Special Marks,and Exceptions NMFC Item No. Class Rate (Subject to Units (Subject to Correction) Correction) 4 DRUM, FIBER Hoa-regulated waste, solid (fluorescent straight tubes) (DOP0165-1) 407 lb - 85 GAL 1 DRUM, FIBER Non-regulated waste, solid (compact fluorescent bulbs) (DOP0164-1) 73 lb - 30 GAL 1 DRUM, FIBER Non-regulated waste, solid (mercury vapor lights ) (DOP0167-1) 42 lb - 30 GAL 1 DRUM, FIBER Non-regulated waste, solid (sodium vapor lights ) (DOP0167-1) 16 lb - 14 GAL rnrnewm%erd."*ortossoru,.,�wdald.r„b.ai„ 53B lbs 7 +.c Total Pieces IN THE EVENTOFAN EMERGENCY.TELEPHONE (925) 423-4205 -24 HRS uds 041.1 Wi .un ng.W&in th.pd-1"-A".the Contact or Registrant Name.or Contract Number LLNL Emergency Dispatch cont.r.gn.sm_dyur.sMpp.rls.nsi'".rwithin 1— 244 kgs h-um FREIGHT CHARGES It 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: ARS consignee without recourse on the transportation charges paid to the carrier(s)by the consignor or consignee are x consignor,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; ❑ 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; ❑ called make delivery of this shipment without Bill of Lading and to any available special rates or charges See attached packing list for container numbers. ❑ 3r1 Party payment of freight and all other lawful (41 CFR 109-40 50 and 41 CFR 109-40.3) charges. IM Yes ❑ No (see Remarks) U.S. NNSA SECTION 13712/10721 RATES APPLY-TENDER NO. 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 carrier and 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 herein,which said 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, 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 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 to all the terms and conditions of the Uniform Oamestic 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 classification or tariff if this is a motor carrier shipment Shipper hereby certifies they are familiar with all terms 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 terms and conditions are hereby agreed to by the shipper and accepted for him/herself and their assigns. This is to;ert,fy that the above named materials are property classified,described,packaged, Placards Required: Label applied: marked,labeled,and are in proper condition for transportation according to the applicable Trailer Loaded by El Shipper ❑ Driver acar9 Label(s)I PP regulations of the Department of Transportation(Applicable for Hazardous Materials Only) Freight Counted by ❑ Shipper Shipper,acting under contract DE-AC52-07NA27344 with the ❑ Driver,Loose pieces U.S.Department of Energy: ❑ Driver,pallet said to contain ON BEHALF OF NUSA ❑ Dfiver.pallets containing Garner / CZean 8a ors nvironmental Service, LLC Vehicle/Car No: Scott A. Gra , moping Coordinator Per4' 7 / �- Date 10/30/2018 Seal Pe1� A 1 r/ Date. TRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS Of SHIPPER PAGE 1 OF 1 V 2 `