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This Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. <br /> Bili of Lading,nor a copy or duplicate,covering the property named herein,and is <br /> �. intended solely for filing or record. <br /> Carrier No. <br /> Page 1Df__ ADVANCED CHERCAL TRANSPORT, INC. Date __ ��f17 �►� <br /> (Name of carrier) (SCAC) <br /> On Cdi.ct on Dellwry ahlpments,Ole letlars'COEr must appear belore wnngnse's name ar m othamse prcvided In Ilam 130,Sm.t. FROM. <br /> TO: Shipper Nbrdetcil Unified Saud Distinct (iMlankcs Him <br /> Consignee NianitRot-A uroFAd Sct104A Dmtkt <br /> Street 450 E YOa Ave <br /> Street 2271 w 11 o4 a Ave 8533s <br /> city UWACC111111 Stas ode <br /> City i Edeca state CA zip Code 95336 Bit-M-TV5(GAte9981MM) <br /> -.r Emergency Contact Tel No. <br /> fVehicle <br /> louts <br /> Number <br /> No.of UnitsBASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> &Container Type HM UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject 10 RATE (For Carder <br /> Gallons,etc.) Correcgon) Use Only) <br /> i <br /> NA3092, Hamirdous waste, AqW4 rLaoA. (Capper _ <br /> k r <br /> -� NA3082r Hazardous waste, <br /> P.14 rii o.& (Copper <br /> KA3082.Hazardous waste. bquid. revs. (Copper <br /> SuffatIL Barium Chkxide).-51 ME <br /> PLACARDS TENDERED: YES p NO O REMIT <br /> .O.D.TO: <br /> NOW—(1)where the rate is dependent on value,Wppilm are required to state I hereby dmlaro that the contents W.this RESS <br /> spect owiy in writing the apmed co dedared velue d the property.as follows "The consignment are fully and accurately <br /> agreed or declared wlua of the property is hereby spwftaly Staled by Ins shpper to described eloo"by the proper shipping �- C.O.D.FEE: <br /> be not wDeading per name and ere classified, packaged, CO PREPAID ❑ <br /> (2)Where the eApedabie tmtl phv+isforhs spedfy a limitation d the camera rebury absent marked and labelledlplacardea,and are COLLECT ❑ $ <br /> a rsla=ora value deGanti by the shipper and Me ahippar does not mieane In all roapeere m proper wndihon for <br /> line Gaolers eabiary or decrore a value,the tamers liabety slhali be lurked to the extent transport eoaording to applicaaVe rSxu�i nA- m Srhlo^7 oRiftt ew d rhe ahiprnsm i.to he doinnad m the TOTAL <br /> crovided W shah prowsioru;Ser NMFC Item t 72 ihternellonal end nesanal gwammenlel IdloMrg'w'id' saw on tna ror.IM oorroignor shall sign trts CHARGES S <br /> (31 Corrhrrhotlitla:squiring BpaClal or add-Mona]care or steniiw in handing or stowing regurotl irm Shill <br /> mur.be W marked an <br /> sides <br /> to ensure safe trarhspanetor.See Smllorh 2(a)d t and vl ro4t—laww qas�. or It.a r.�itewul paymerr,d FREIGHT CHARGES <br /> dem MC,alta d Lading.Freight Bills and Statenente d Chargee end Sectlon 1(a)d FREIaHr PREPAID Chu&bMldharges <br /> trw Contract Tama and Corhditons for a Ret of such arbolea. Si attire __• �� arnspl.MnorYn —lob, <br /> 9n spwsvca:yAn rgr.n.do Q aeca <br /> RECENED,subject q the pa9sthcabdru enc refits n Med on M data of the ieaue of the Bill d Ledaq, I.herion and as to each parry at any line i ersalatl in at or erry said prop" Iral era?IetThCa io be <br /> the property described above n epparerr good order,except as noted(mrrarts"cw dilpm of cot, gator-.ad remunder srwq be eWjaa to al be oil of lading terms and axG ions in true gNaming tlu- <br /> tann d p.r:k.g..hhrhlmamy.—.d —9r d,a•,d deetrrd o ndealao am u r ha h Said tameraih..r,on an hoe erred anpma <br /> (fro Acrd miner oerng undemeood thmughott thecontract as mnening any nersm or odpdason in SMpoer nereby c Musa That he 4 fahhlfat with all me ledrhg terms and crhdbati mass <br /> poression of the property"A' <br /> he x <br /> tn7actapses to apto cam to hro <br /> IN ua pars dhe <br /> tlary at said dgcti. goveming —liication and the 9Wlemhe and oorhdltlons ere thereby agreed to by the shipper and <br /> n&Wr t on he mute,oererwuse to Jaw to another tamer m the rust to said desbratim k B rte hk ...p'ied Lor n-1 end his assigns <br /> aly agreed a to tarn carrier W all or any of.sal!property over all a arty portion of Laid touts to da- <br /> SHIPPER Manteca Unified Sehc" District JManteca Pugh) 'CARRIER Advanted COnIcal TranspoM Inc. <br /> PER x I PER �Lf� <br /> 5 �r <br /> DATE r/ <br /> Permanent post-office address of shipper. yr,.� �. STYLE CF3775-4 02012 LABEAAS-M(I <br /> (800)621-58D8 www.fabelmaster,com <br />