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THIS MEMORANDUM is an acknowledgement that a bill at lading has been issued and is not the Original Bill of lading,nota copy nr duplicate,covering the property named herein,and is intended solely for firing or record. Shipper's No. Carrier RAMOS ENVIRONMENTAL SERVICES SCAC Carrier's No. RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,it applicable,otherwise to the rates,classifications and rules that have been established by the carrier and are available to the shipper,an request;and all appiicabie state and federal regulations; at , date from the Property described below,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as indicated below,which said company (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 to delivery at said destination,if on its 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 or any portion of said route to destination,and as to 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 pro lhiled by law,whether printed or written,herein contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. TO: FROM: BIG SKIP ENTERPRISE t i Consignee Shipper u c La kir ,a c. 401 WEST CHANNEL DRIVE Street Street (- Destination BENICIA, CA Zi 94510 Origin ti:. ', r 1t Zip 5 d ?C Route CAL000301 639 Delivering Carrier Vehicle Number U.S. DOT Hazmat Reg. No. t I.D.Number and Type Packagesof NumberIN WHO IIIA FWA DFAIN D USED OIL FILTERS N/A 7WA R N/A . . ..... -... ...... . ... .... ... ........ SI®# J 1 r I Eft CONTRACTOR]RAAMOS ENVIRONMENTAL SERVICES Remit COD to: 5nh;esto section t of conditions,if this COD FEE. shipment is to he tleln the to the consignee ` -O D AMT: Add,J without recourse on the consignor, the v ress: conslgnnrshall sign the following statement: Prepaid The tamer shall not make delivery of this City. State: Zip. shipment without payment at freighl and all 1) Collect L1$ other(awful charges. NOTE:Where the rate is dependent on value,shippers are required to state specifically in writing TOTAL CHARGES: FREIGHT CHARGES: the agreed or declared value of the property.The agreed or dec€aced value of the property is hereby specifically stated by the shipper to be not exceeding $ Per lsignacnre of consignor) $ ❑ Prepaid ❑Collect NOTE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C. MDRIVERIS 19705 c 1 A)and (B). []BYSHIPPER 11BYCARRIER This is to certify mat the move-named materials are properly cfassilied,descnhed,packaged,markedand labeled,and are in proper condition£or transportation according to the applicable regulations of ■the DepartmentofTransportation- Per SHIPPER: i t G. L f r CARRIER: RAAMOS ENVIRItIES PER: i DATE: f i PER: `^ DATE: EMERGENCY RESPONSE NAME OR CONTRACT NUMBER TELEPHONE NUMBER: (916)371.5747 OR OTHER UNIQUE IDENTIFIER: 969(Rev.3117)