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TMs Memorandum ''kill ki.;KIIUwItKjgtrt7rtl rllal a GRI UI LAulflg nas l Issueu ana Is=unglnal Ell t of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. Carrier No. ADVANCED CHEMCAL TRANSPORT, low. Date QMWIL Page of (Name o1 carrier) (&CAC) -Ion Delivery shipments,the lelters'CC1D`must appearbetore consignee's name oras otherwise provided in gem 130.Sec.1. FROM: Pftft=t)llftd /�1 Y�,�HW SaIOtl °r,-;-t Shlpper i��Mf1M�i Consignee —1w R v RRA Street Street I E"L AVS City ilikuIll state CA Zip Code 7 City vaiif zn State CA Trp Code W- —7226 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units H M BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Wel to Volume, (Subject n) RATE {For Carrier Gallons,etc.) Correction) Use Only} UN-VK oxwft ftd4 cormsm,FLS. 5-1 fit (MiylIkoddork Atm,A&*Lffk lill 9,P811 PLACARDS TENDERED: YES p NO o REMIT C.P.D.Tlx Note—(1)Where the rate is dependent on value.shippers are fequimd m state I hereby darlare that the corrtants of this ADIaRESS speclfinalhy in wining the agreed or declared value of the pmperty,as follows:'The mns,gnmanl ere fully and accurately agreed or declared value o1 the properly is hereby specifically staled by the shipper to described above by tha Proper shipping wOw G.O.Q.FEE: be not exceetling per name and are classified, packaged, COD ---, PREPAID ❑ l2)where the applirabie tarXl pro'vWons specify a limilstien of the trainers liability absent marked end Iebelledfpiecerded,and ere ,� Amt: / COLLECT❑ a release a a value declaration by the shipper and the shipper does not reVease in all respects€n proper condition ipr the carttafs 3lebllity or declare a valh e,the carriers lability ahei be limited to the Ward transport according to applicable sub)ep in section 7 of the condilisr<X the snlprdeat is a be aalrwred b the TOTAL prowded by such provisions.see NMFC hem 172 international and netionei govemmenral °ignee whhoul recourse gs-Vie concis r,the eona,gnor shell acgn me CFFARGFS $ 13)Commodities raQLIIrig special or addNunal cans or attention in handling or smvnng regulations ro ThegeB�er shall not`,mha dative of m must be so marked and packaged as to ensure sate transportation.See 5ection 2lei of ry ire,Mp—nt without payment of FREIGHT CHARGES Hem 350.Bill&or Ladin,Freight bills arM Statements o}Cha {} freghl ane an oeperlavnui charges. g Charges and Section 1 a a! FREIGHT PREPAID Chook bm"=—be dpargos the Contact Terms and Conditions for a fie:of such articles. s Signature,- RECEIVED, w carrawrl t Ie tl,arlmd ❑ are RECEIVED,subiact to the dasstfl silo s and lar&in affect an he date o1 the issue of this all of Lading, - tinallon and as to each party at any time Interested h all or any said property,that every service to the property described above m apparent good order,except 05 noted(contents and eandtion of con- be pilrtotmed heremder shall be subject to as the bill at lacing toms and emciti ns in the:warning clan tents of paolrages unknown),marked,consigned,and desthad as indicated m—whwh said came[ si iwtion on the date of shipmenl ll-word ranter being undamlpod throughout this contract as meaning any Person«eorporelion, Shipper hereby certifies that he is familiar with alt ma lading temps and eondirl ns in the peseessien otthe property under the contract)agrees m carry w ice usual place of delivery at wA desti- govemtng NeasXiCkfil and the said terns and condtons are hereby agreed to by line shipper and nation,g on he route,otherwise to deliver to another carrier on the mute to mid destination.It is mute- accepted ter himself and his assigns. ally agreed as m each carder of all or any of,sold prop"war as or any portion of said route to des- S'' '.ER CARRIER Adtpl an Cwt i ra sport no PER y I• PER DATE Permanent post-office address of shipper. ,c�'vRiwrm Div Recvcreo M'k STYLE F375-3 ®2012 LABELMkS FR® L�� RwTso sutra (800)621-5808 www.labelmaster.cdm 1:W uswo sn,nl am SDY INK