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Straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number: S-246954 Date: 7/25/2019 Shipper(from) Consignee(to) LAWRENCE LIVERMORE HATL LAB Clean Harbors *C H * CORRAL HOLLOW RD. 1020 Berryessa Rd, Cr1..1��L"� TRACY, CA 95376 San Jose, CA 95133 Technical Contact Scott A. Graham; 1925) 423-4229 ContactName: Customer Service Job/Work Order. (925) 423-6541 Route: Reference N: No, Weight Shipping Type of package HM Description of Articles,Special Marks,and Exceptions NMFC Item No. Class Rate (Subject to Units (Subject to Correction) Correction] 3 DRUM, FIBER Non-regulated waste, solid (fluorescent straight tubes) (DOP0165-1) 343 lbs - 85 GALLON 1 DRUM, FIBER Non-regulated waste, solid ]compact fluorescent bulbs) (DOP0164-1) 56 The - 30 GALLON 1 DRUM, FIBER Non-regulated waste, solid Imetal halide lamps) (DOP0167-1) 24 lbo 14 GALLON In th....m of drr "or Wr.r th.—1.,W dt"flbd M 423 lbs S IN THE EVENT OF AN EMERGENCY,TELEPHONE (925) 423-4205 -24 HRS ihkbaro(4dh,y.hu.inrh.powsAenefinecarrkath- c�ToWlPietes Contact or Registrant Name,or Contract Number LLNL Emergency Dispatch R agi`0""""h r" rt"' p°ertwrwiq°urithin tm 192 kgs FREIGHT CHARGES If 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: ARE: consignee without recourse on the transportation charges paid to the canier(s)by the consignor or consignee are 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 S-246954; 17 Prepaid following statement:The carrier shall not the terms and conditions set forth in the standard form of the ir.5.Government Reference release number LXE0325 on invoice; ❑ 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. ❑ 3'd Party payment of freight and all other lawful (41 CFR 109-40 50 and 41 CFR 109-40.3) charges. 0 Yes ❑ No (see Remarks) U.S. NNSA SECTION 13712/10721 RATES APPLY TENDER NO Received,subject to individually determined rales or contracts that have been agreed upon In writing between the carder and shipper,If applicable,otherwise to the rales,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 ward 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 perforated hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of lading set forth(1)in Uniform Freight Classification in effect on the date hereof,if this is a rail or nil-water shipment.or(2)in the applicable motor carder classification or tariff If this Is a motor carrier shipment. Shipper hereby certifies they arc 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 cenify that the above named matenals are properly classified,described,packaged, Trailer Loaded by: ❑ Shipper ❑ Driver Placards Required: Label(s)applied: marked,labeled,and are in proper condition for transportation according to the applicable regulations of the Department of Transportation(Applicable for Hazardous Matenats 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 LAWRENCE LIVERMORE NATL LAB on behalf of NNSA ❑ Driver.pallets containing Carne C HA / Clean bars Environmental Services, In Vehrcic/Car No Scott A. Graham, Ship or tor �} Per Date I Per Date 7/25/2019 Seal TRANsPKRrAfioN DEPARTMENT- PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE 1 OF 1