COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. S-251102 Date: 11/19/2019 Shiner(from) Consignee (to) Lawrence Livermore Natl ab Site 300 on behalf of the Clean Harbors *CT H * U.S. NNSA 1021 Berryessa Road JJC1L� Corral Hollow Road Tracy, CA 95376 San Jose, CA 95133 Technical Contac Scott A. Graham; (925) 422-1925 Contact Name: Customer Service Job/Work Order. (925) 423-6541 Route: Reference fl: No. Weight Shipping Type of Package HM Description of Articles,Special Marks,and Exceptions NMFC Item No. Class Rate (Subject to Units I (Subject to Correction) Correction) 10 DRUM, FIBER Non-regulated waste, solid (fluorescent straight tubes) 319 lbp DOP0165-1 1 DRUM, FIBER Non-regulated waste, solid (metal halide lamps) 51 ltss DOP0167-1 ]n the erects of dam.ge a,teas el the materw de,crib d In 3713 lbs 11 «Total Pieces IN THE EVENT OF AN EMERGENCY,TELEPHONE (925) 423-4205 -24 HRS maanmLd.9%vhueInthepa .+w,.orue rnf;..rh Contact or Registrant Name,or Contract Number LLNL Emergency Dispatch R+4m+tonohryeheehippr,/ranegm.iddrilwa 160 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 carriers)by the consignor or consignee are consignor,the consignor shall sign the assignable to,and shall be reimbursed by,the US.Government and is subaec;to Emergency Response Phone (925)423-4205. Load# 17 Prepaid following statement:The carrier shall not the terms and conditions set forth in the standard form of the U.S.Government SJt7N20-02, Ship Doc# S-251102. Reference release ❑ Collect make delivery of this shipment without Bill of Lading and to any available special rates or charges number LXE0410 on invoice- See attached for ❑ 314 Party payment of freight and all other lawful (41 CFR 109.40.50 and 41 CFR 109-40.3) container numbers. charges. 17 Yes ❑ No (see Remarks) U.S. NNSA SECTION 13712/10721 RATES APPLY-TENDER NO. 77TT 1/lJ Recelved,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,classificatians and rules that have been established by the carrier and are avallable to the shipper,an 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 rales and contracts that have been agreed upon In writing between the carder 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 Domestic 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 12)in the applicable malar 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 certify that the above named materials 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 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 conta n LAWRENCE LIVERMORE NATE LAB on behalf of the U.S. NNSA ❑ Driver,pallets containing Carney CLHA / Clean Harbors Environmental Services, In Vehicle/Car No Scott A. Graham, Shipp Coor nator `,Q Per. / �_ � Pate: �� ! ! Per �_�i� ), Date 11/19/2019 Seat TRANSPORTATION DFPARTMENT P RMANFNT POST OFFICE ADDRESS OF SHIPPER PAGE 1 OF 2