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a nh�un 1 �rLL Vr' LHLJIIVu Shipper No. ORIGINAL—NOT NEGOTIABLE Carrier No. D219134 Adl+amed Chemical Transport inc./DBA ACTENViRO Page 1 of 1 Date if (Name of carrier) (SCAC) On Collect on Delivery shipments,the letters"COD"must appear before consignee's name or as otherwise provided in Item 430,Sect. FROM: TO: Shipper Thatcher Company of California Consignee Advanced Chemical Tteatment Street 1010 Indi tStrlal Ddre Street 6133 Eclith Rhd NE Cay Stockton State CAZip Code q City AlbWlewue State Nell Zip Code 87107 24 hr.Emergency Contact Tel.No. 88&785-7 Route Vehicle Number No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject RATE (For Carrier Gallons,etc.) Correction) Use Only) ,X G i)LIN11950,Aerosol&,Z1, Ufi*sai Waste(ACT89NO) 340 p PLACARDS TENDERED: YES O NO REMIT C.O.D.TO: Note—(1)Where the rate is dependent on value,shippers are required to state I hereby declare that the contents of this ADDRESS specifically in writing the agreed or declared value of the property,as follows:"The consignment are fully and accurately agreed or declared value of the property is hereby specifically stated by the shipper to described above by the proper shipping C.O.D.FEE: be not exceeding per name and are classified, packaged, Amt: $ PREPAID ❑ (2)Where the applicable tadtt provisions specify a limitation of the carrier's liability absent marked and labelled/placarded,and are COLLECT ❑ $ a release or a value declaration by the shipper and the shipper does not release in all respects in proper condition for the carriers liability or declare a value,the carrier's liability shall be limited to the extent transport according to applicable Subject to Sectlon 7 0 ondiliorw,If this shipment Is to be delivered to the TOTAL provided by such provisions.See NMFC Item 172. international and national governmental consignee without recourse o consignor,the consignor shall sign the CHARGES $ following stat.menb (3)Commodities requiring special or additional Care or attention In handling or stowing regulations. The carrier shall not make delivery o ant without payment of must be so marked and packaged as to ensure safe transportation.See Section 2(e)of freight and all other lawful charges. ry p y FREIGHT CHARGES Item 360,Bills of Lading,Freight Bilis and Statements of Charges and Section 1(a)of FREIGHT PREPAID Check box if charges the Contract Toms and Conditions for a list of such articles. Signature except when box at are to be g (Slgnatureot Consignor) dght is ch.kad ❑ collect RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, tination and as to each party at any time interested in all or any said property,that every service to be the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shall be subject to all the bill of lading terms and conditions in the governing clas- tents of packages unknown),marked,consigned,and destined as indicated above which said carrier sification on the date of shipment. (the we'd carrier being understood throughout this contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the possession of the property under the contract)agrees to carry to its usual place of delivery at said desti- governing classification and the said terms and conditions are hereby agreed to by the shipper and nation,it on its route,otherwise to deliver to another carrier on the route to said destination,It is mutu- accepted for himself and his assigns. ally agreed as to each carrier of all or any of,said property over all or any portion of said route to des- SHIPPER Thatchers Com,.pahy of Califomia CARRIER Advanced Chemical Transport lnr../DBA PER Yw AM PER�tyl�� Q 00 n,WZ DATE Permanent post-office a cess of shipper. STYLE CF375-4 @2012 LABELNIASTER® (800)621-5808 www.labelmaster.com INK