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straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. S-246954 Date: 7/25/2019
<br /> Shipper(from) Consignee (to)
<br /> LAWRENCE LIVERMORE NAIL LAB Clean Harbors *CLHA*
<br /> CORRAL HOLLOW RD. 1020 Berryessa Rd.
<br /> TRACY, CA 95376 San Jose, CA 95133
<br /> Technical Contact: Scott A. Graham; (925) 423-4229 ContactName: Customer Service
<br /> Job/Work Order. (925) 423-6541
<br /> Route: Reference rl' Weight
<br /> No. Description of Articles,Special Marks,and Exceptions
<br /> NMFC Item No. Class Rate (Subject t
<br /> Shipping Type of Package HM
<br /> {Subject to Correction} Corrrctian)
<br /> Units
<br /> 7 DRUM, FIBER Non-regulated waste, solid (fluorescent straight tubes) IDOP0165-11 343 The
<br /> - 85 GALLON
<br /> 1 DRUM, FIBER Non-regulated waste, solid [compact fluorescent bulbof (DOP0164-1' 6 be
<br /> - 30 GALLON
<br /> I DRUM, FIBER Non-regulated waste, solid (metal halide lamps) (DOP0167-1) 24 lbs
<br /> - 14 GALLON
<br /> In lh.went or dam,"or bar.f th.r,r.1.,wd#aM din 423 lbs
<br /> 5 IN THE EVENT OF AN EMERff NCY,TELEPHONE (925) 423-420$ -74 FIRS th'nBelot lading while M th-p.n.ruonel llw ori r,,IM
<br /> cc Total�'Itt e5 urt,er.rr.et m notify th.d,ippeHr.,ni--dhm 1..e 192 kgs
<br /> Contact or Registrant Name,or Contract Number LLNL Emergency Dispatch hour
<br /> FREIGHT CHARGES If this shipment is to be delivered to the This shipment is on behalf of the U.S.Department of E porgy and the actual total Remarks:
<br /> ARE: consignee without recourse on the transportation charges pa d to the carner(s)37y the consignor or consignee are
<br /> consignor.the consignor shall sign the assignable to,and shall be reimbursed by,the U.S-Government and is subject to SJUN19-04; shipping document 5-246954;
<br /> 0 Prepaid following statement.The carrier shall not the terrns and conditions set forth in the standard form of the U 5 Government Reference release number LXE0325 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 f41 CFR 109.40.50 and 41 CFR 109-40 3}
<br /> charges. El Yes ❑ No
<br /> (see Remarks) U.S. NNSA
<br /> SECTION 13712/10721 RATES APPLY TENDS R NO
<br /> Received,subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,if applioblr,otherwise to the rates,classifications co and roles that have been established herein,
<br /> by the carrier and
<br /> are available to the shipper,an request. The property described above,in apparent good order,edcept 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.If on its route,
<br /> otherwise to deliver to another carrier an 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 parry 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 an the date hereof,if this is a rail or rail-water shipment.or(2)in the applicable molar carrier classificalion
<br /> 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
<br /> terms and conditions are hereby agreed to by the shipper and accepted for him/herself and their assigns.
<br /> This is to cendy that the above named materials are properly classified,described,packaged, Trailer Loaded by ❑ Shipper ❑ Driver Placards Required Labels)applied:
<br /> marked,labeled,and are$11 proper condiunn for transportation according to the appf cable
<br /> regulations of the Department of Transportation(Apphcablc for Hazardous Materials Only) Freight Counted by
<br /> ❑ Shipper
<br /> Shipper,acting under contract DE-AC52-07NA27344 with the ❑ Driver,Loose pieces
<br /> U.S.Department of Energy: ❑ Dover,pallet said to contain
<br /> LAWRENCE LIVERMORE NATL LAI] on behalf of NNSA ❑ Driver,pallets containing iafne
<br /> C HA / Clean boys Environmental 5ervicesr, In
<br /> Veit cle/Car No:
<br /> Scott A. Graham, Ship or nator Per Ltatc. ,� �j f
<br /> Per Date 7/25/2019 Seal [/ f
<br /> TRANSp ION DFPARTMFNT-PERMANENT POST OR If F ADDRESS OF SHIPPER PAGE 1 OF I
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