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I f115 1V1C'IIIUCd[IUUI11 '-—. :.,...a...c py... . . co.n.g the property
<br /> mad rein,and
<br /> i
<br /> Bill of nor aro or duplicate,asverin the ro named herein,and is Shipper No.
<br /> intended solely for filing or record.
<br /> Carrier No.
<br /> EIEBY�MCEn_ CHE- __ a
<br /> CAL TeNSR0RT, INC Date
<br /> Page of (Name otcarrier) (SCAC) 0&2&2019
<br /> C on Delivery shipments,the letters'COD'most appear before consignee's nal oras otherwise provltled In hem 430,Seal. FROM: !tiW tital U School it isftkt(East Ern Ll;O)
<br /> Till Shipper °`'�'�'�•
<br /> Consignee l aMem U md Sc . `1
<br /> Street 1700 N t,ll*ld1 ROW
<br /> Street 2271 w Louise AveManfil � 95no
<br /> City State Zip Code
<br /> City Mardeca State CA Zip code 95336 88 444225 x128260)
<br /> 24 hr.Emergency Cortact Tel No.
<br /> Route Vehicle
<br /> Number
<br /> No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> 8 Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject RATE (Far Carrier
<br /> Gallons,etc.) Correction)
<br /> use only)
<br /> -EJN3291.Regulated tical.,N.0,3.(PattKAOi tai
<br /> 51 -lliA3l2,Haza Wouts,��, n os. .ria" sitz, /
<br /> at L_ earl chloride).4 PGIN f iJ
<br /> ;"f- L -UM3264,Corrol kA4 all Lriixganicl n a s.
<br /> thydMCrOOM Oil al ,
<br /> -
<br /> UNIPS3, , se_ .s, aXMVM.zZil
<br /> L. ctdorW ,3 , RGAI
<br /> Ft K3023,Corrosive liquil oxi€dirt%n-o s_
<br /> G i
<br /> -ill RA Hanrldous Waste Liquid
<br /> 1l.. , �4 {
<br /> r 1
<br /> PLACARDS TENDERED: YES D NO D REMIT
<br /> .D.TO:
<br /> Note—i11 Where the rage is dependlarr on lue c shippers are ras Yuri m stall I he"dedara that the comants Of this AD S
<br /> apecficaiy in vrtrtirhg the agraetl or declared valuer 6 the property,as 7otows'rhe mnatgirmant are fully and accurately Dl
<br /> agreed or declared value or the property is hereby specifically stated by bre slipper to deacriiaid ai the ro shi in
<br /> he not exceeding per by P Per pP g C.O.D.FEE-
<br /> {21
<br /> Whom the appliralawtariffprovisionsspeexyaInitiationorthecariWl liability absent marekeda^tlaeiclasshed. pac4aged. COQ t. s PREPAID ❑
<br /> release are value declaration by the shipper and the shipper does not release -proper con and are COLLECT ❑ $
<br /> the tamers liabi or declare a value,the raniam I� snail be Gretert no thn-tent tr all reaped m Proper condition for
<br /> thY transport according to applicable I�m Sacro^7 of the ewh" this shin to oe stet., w me TOTAL
<br /> provided by such p—sions.See NMFC Item 172 irlemalianal end naaonal govemmerhfol oonslpnae wrthaut recon a rAnssiner, the rn� Ionil ergo me CHARGES S
<br /> {31 Cornmodites requiring special or addrdanal far-rx aaamio i in h.T.R g m st—rig uatiana iorrnxmp stehemaht:
<br /> must be so marked and packaged as m eaaure safe transportation.Seo Sec ion 2{e)al The carni- not male delivery of this ahipnrem'"Dol P67 tot FREIGHT CHARGES
<br /> tretght omen lawtul charges.
<br /> item M.Bills at Lading,Freight Bills and Statemer�al Charges antl Section t(a)m FI�IGHr PREPAID ChKar hon:h csragea
<br /> the Cemred Terata and Conditions lora list of such artidea Slgnatllre - „�, ° .crocked fo aft i
<br /> c-sil � ❑
<br /> RECEIVE0,sit w to the dairiffr»r and tarils:n allied on the date of"is:a.e of this&r of Lading, oration and a;to each party at any time Interested in all or any said property,that every service to
<br /> the property descdoed above in apparent good order,au,4pt as noted(contents aro condloon of corn be parcel hereunder shall be auto to al;the oil of lading tons and contlhions in the governing tial
<br /> terra of Packages uni marked,oormgned,and destined as sidinned above which said farrier s�raiion on the date o!shipment.
<br /> Ithe word canter being wri— d thn-9i this cvntran as heraiiing any persrn or corporation In Shipper hereby cerihiaa that he is remits,with all rhe lading terns and conditions in the
<br /> passeasmn of the prnperry render the conli agnes in carry In its usual plats ol dertvary at said dela
<br /> nation,d on its route,otherwise to delenarta another rameron the route to said destnatfon.It's murv- WrrAp ng or him et!m and the said terms and condoms ere hereby agreed to by me shipper and
<br /> accepted for himself and his assigns.
<br /> ally agreetl as to each rarner of en a try oE,raid property won all or any palm at said route to ilea
<br /> DER Manteca Ur wad Scl D&Lmi CARRIER Advirc ed Chemlictatl Transport, Inc,
<br /> f
<br /> PER t1 j PER
<br /> 1 r
<br /> DATE
<br /> Permanent post-office address of shipper. STYLE F375-3 ®2012 LABELMvSTFR 40 (800)621-5808 www.lacrelmaster.com
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