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RECEIVED ON 4/5/2022 VIA EMAIL <br /> �}gi-a Z- <br /> Date: (43-0-zL BILL OF LADING—SHORT FORM —NOT NEGOTIABLE <br /> Page 1 of 1 <br /> SHIP FROMBit( <br /> —� of Fading Number: _.._-_._. � <br /> onsite Electronics Recycling-North County Landfill <br /> a 17720 E.Harney Lane I <br /> Lodi,CA 95236 <br /> ._ <br /> � _ SHIP TO ..—.......... .. . . �..._- __._ . <br /> _._ <br /> onsite Electronics Recycling_ .. . <br /> carrier game: onsite Electronics Recycling <br /> 2331 Teepee breve _ f <br /> Stockton,CA 95205 <br /> Special lnstruWtons: —- - <br /> Freight Charge Terms(Freight charges are prepaid unless marked otherwise): <br /> E Prepaid J Collect Ll 3rd Party L <br /> CCS Master bill of lading with attached underlying bills of lading. <br /> CUSTOMER ORDER INFORMATION <br /> l Customer Order No. Pallet/Slip <br /> #of Packages 1 Weight ; Additional Shipper Information <br /> - (circle one) <br /> N <br /> _._..._ _�. Y _.._.... <br /> I _......._._. . .._---------------- <br /> `._..-_____ --—i <br /> Grand Total l.. _. <br /> CARRIER INFORMATION <br /> _..._...,�__m.-.. ontainer <br /> Containers C - <br /> _.. T e LTL Only <br /> -- p --_ <br /> j I ' HMXCommodity )escription -T <br /> Weight <br /> Commodities requiring special or additional care or attention in handling orstow stowing must 1Je&4 mar <br /> -...____....... 1 E and packaged as to ensure Safe transportation with ordinary care.See Section 2(e)of St item 340 _....— <br /> ___ <br /> 1 Used t7it containing Capacitors <br /> I 116s <br /> i Used Oil <br /> Universal Waste Mercury Devices — <br /> _... T. <br /> Universa[Waste Lamps , ..A_I <br /> X Polychlorinated Biphenyls,4,UN231S,lit _.. <br /> _ i <br /> Refrigerant oil i <br /> r _ __ _... -i - <br /> -47 <br /> IL <br /> ... <br /> X .I Freon <br /> Where the rate is dependent on value shippers ___._.. <br /> are — _ <br /> required to 3tate.SpeCiffCaily in writing the agreed or ."----.- ---� <br /> declared vaioe of the property as follows: The agreed or declared value of the property COD amount $ _ x <br /> stated by the shipper to be not exceeding R perty is specifically _ <br /> per Fee terms:Collect[i Prepaid 0 Customer check acceptable YJ <br /> Note.Liallility limitation for toss or damage in this shipment may be applicable See 44 USC§14706(c)(1)(A)and(B), r <br /> Received,subject to individually determined rates or contracts that have been agreed -- — <br /> upon in writing between the carrier and shipto the ?The carrier shall not make delivery of this shipment without payment of charges andLL <br /> dassifications,and rules that have been established bySithe icarrieir and are available sti I <br /> all other lawful fees, <br /> the shipper,on request,and to all applicable state and federal regulations. <br /> Shipper Signature <br /> i She __.__ <br /> Aper Si to #Date _ <br /> Trader Loaded, Freight.Counted. T, ..� � - <br /> i7 B shipper I Garner fiture/Pickup Date I <br /> = y pper 0 By shipper <br /> I s r at the above reamed materials are U By driver By driver/pallets said to contain <br /> {{ By driver _.... _�.,.... _....- i <br /> ` peri ssr£ted,Packaged marked,and labeled,and are i cbnoydfi+rdge5 face t of <br /> p[ r condition for transportation according to the t /pieces ids.Carrier certifies emergency ilackages and Ulted <br /> ash ble regulations of the DIST. rgency response information <br /> 7a,„✓ s made available and/or carrier has the DOT emergency <br /> response guidebook or egujvaient documentation in the <br /> i vehicle.Property described above is received in good order, <br /> __ . <br /> except as noted. a <br /> �... _.._._. ... ,.-.._-... __m._._ -—:.. _�..._..__.... <br />