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STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLE BOL505466N <br /> SHIPPER NO. <br /> Environmental LogisticsCARRIER NO. <br /> -Hayward CAROW217513 <br /> 'ARRIER DATE J 1 <br /> TO <br /> SLAC <br /> Hazmat TSDF Inc. FROM <br /> CONSIGNEE SHIPPER Tesla Treatment Facility <br /> STREET 18D W Monte Aventile STREET 9000 W Vernaks Rd <br /> PHON& 909-421-2012 F ION&415-252-3977 <br /> DESTINATION Bloomkoon STATE CA ZIP 9MM ORIGIN TraCYCA <br /> RSTATE ZIP 953T,OUTE <br /> VEHICLE NUMBER U.S.DOT Hazmat Reg.No. <br /> Number and .- s <br /> Weight <br /> of . DescriptionHM <br /> correction t Rate <br /> Xy LJNversal wleI-Aa <br /> I X lr{1J Excluded Recyebble hbilierlal-Car Batteries <br /> z/0'zo �'lr �10* <br /> I <br /> V"50541 <br /> i <br /> emit COD t0: Subject to Section 7 of conditions,If ih[a COD FEE. <br /> shipment I,to ba <br /> deli <br /> vMed to the consignee r -OD AMT. <br /> ddre$$: wehoui recourse on the con•lgnar,a e cans gear �f <br /> shoe rage the fors all shotamake Prepaid ❑ <br /> 7Tte carder par not make ht and of th r <br /> ItY: State: Zip: sl,tpmcy,l vrtteout paymerrt of,night and ed calor Collect ❑ <br /> )TE:Where the rate is dependent on value,shippers are required to state specifically in writing the tswrul chargee. <br /> reed or declared value of the property, The agreed or declared value of the property is hereby TOTAL CHARGES: FREIGHT CHARGES: <br /> scifically stated by the shipper to be not exceeding $ Per <br /> ^EIVED�, , -aolamor or) ❑Prepaid ❑Collect <br /> lecf to any(the <br /> rd m pan rates a cordraas that have been agreed upon in waling between the[ardor andshipper,d appllcaWe,otherwise to the rates.aasslticauons and rules that have been eaawlshed by the carrier and arc avallable <br /> llryee s which <br /> sant Last,and all applicable state and fedarW regulations;the Property desalted above,in apparent good order,except as notod(contents and condllion al mrilanls of packages uridmowni,marked,consigned,and destined as indicated <br /> company thea outs company being undersfeed ttroughorn this contract as meaning any person a corporation In possession of the property under the contract)agrees to carry to dolivary at said dastinadon,d on its route,or otherwise to <br /> ver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or arty of said Property over all or any portion of said mute to destination and as to each <br /> +toe to be performed harounder shall be subject to all the wndrdons not prohlbited by law.whethK printed or written,herein contained,inciuding the conditions on the back hereof.which arae hereb agreed to by ttime he 5hlppor aned in all of d accepted for of said hIm elf thus <br /> ig—nS <br /> ATE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.147o6(c)(1)(A)and(B). <br /> lis is to certify that the above-named materials are properly classified,described,packaged, marked,and labeled,and <br /> in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: <br /> r _ <br /> ZIPPER: Of <br /> CARRIER: cfl/�� ii/ _',e 'GL' <br /> :R: / � <br /> PER: <br /> T DATE: <br /> MERGENCY RESPONSE NAME OR CONTRACT NUMErkR <br /> ELEPHONE NUMBER: 889 641 - 3 9 4 0 OR OTHER UNIQUE IDENTIFIER: <br /> -BLC-04 12277(Rev.9/10) T <br />