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THIS MEMORANDUMis an acknowledgement that a bill of lading has been issued and is not the Original Bill of Lading,not a copy <br /> .,duplicate,covering the property named herein,and is intended solely for tiling or record. <br /> Shipper's No. <br /> Carrier RAMOS ENVIRONMENTAL SERVICES SCAC Carrier's No. <br /> RECEIVED,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,classifications and rules that have been <br /> established by the carder and are available to the shipper,on request;and all applicable state and federal regulations; <br /> atdate from ; <br /> the Property described below,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destinedas indicated below,which said company <br /> (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry tc delivery at said destination,if on its <br /> route,or otherwise to deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination,and as to <br /> each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein <br /> contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> TO: FROM: <br /> Consignee B*SKY ENTERPRISE Shipper <br /> Street 401 WEST CHANNEL DRIVE Street ( � t �, , _ t c" U <br /> Destination BENICIA,CA Zi 94510 Origin -,, G Zi F; _. <br /> Route <br /> CAL000301539 <br /> Delivering Carrier Vehicle Number U.S. DOT Hazmat Reg. No. <br /> DescriptionNumber and Type I.D. of Articles <br /> of Packages HM Number <br /> N/A IWA DRAINED USED OIL FILTERS <br /> ER CONTRACTOR RAMOS <br /> ENVIRONMENTAL SERVICESRemit COD tO. Subject Section 7 of conditions,if this COD FEE. <br /> without is to rs delivered to c the consignee COD AMT: <br /> without recourse on the consignor, the El consignor shall sign the following statement: Prepaid The carrier shall not make delivery of this p u <br /> City: State: Zip. shipment without payment of freight and all Elother lawful charges. Collect <br /> NOTE:Where the rate is dependent on value,shippers are required to state specifically in writing TOTAL CHARGES FREIGHT CHARGES' <br /> the agreed or declared value of the property.The agreed or declared value of the property is <br /> hereby specifically stated by the shipper to be not exceeding $ Per (Signature of Consignor) $ ❑Prepaid ❑Collect <br /> NOTE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C. - <br /> 14706 c(1 A and(B). ,s 11BY SHIPPER []BY CARRIER <br /> This is to certify that the above-named materials are properly classified,described,packaged,marked <br /> and labeled,and are in proper condition for transportation according to the applicable regulations of DRIVER'S <br /> the Department of Transportation. Per SIGNATURE: <br /> SHIPPER: A_ IZ, 4 CARRIER: RAMOS IRO_*-1&_ArNrrA1 5ERVI <br /> PER: ��- DATE: `g PER: DATE: <br /> EMERGENCY RESPONSE NAME OR CONTRACT NUMBER <br /> TELEPHONE NUMBER: (916)371-5747 OR OTHER UNIQUE IDENTIFIER: <br /> 969(Rev.3/17) <br />