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RECEIVED ON 4/5/2022 VIA EMAIL ro 2 <br /> Date: - BILL OF LADING-SHORT FORM-NOT NEGOTIABLE <br /> Page 1 of 3 <br /> SNIP FROM_ silt of lading Pltlntber; <br /> -- — _ . <br /> Onsite Electronics- <br /> Recycling-North County Landfill <br /> 1 17720 E.Harney bane <br /> Lodi,CA 95236 <br /> SHIP TO — -- __... <br /> carrier Name: Onsite Electronics Recycling <br /> 0nslte Electronics l ec cling <br /> 2331 Teepee Drive <br /> Stockton,CA 95205 <br /> i 9 <br /> _ ..__ ....._—_.._.._..—_..__._...__—...._.-.....__.._ ...............,..._...�._.._.__ r <br /> Special Instrttctrons: _ ..__! �,..._____-- <br /> > Freight Charge Terms(Freight charges are prepaid unless marked otherwise}; <br /> Prepaid J Collect Q 3rd Party ca <br /> J Master bill of lading with attached underlying bills of lading. <br /> ......_......_......_:.._ — —mCUSTOMER ORDER INFORMATION <br /> Customer Order No. _g PailetJSiip - <br /> #of Packages i Welgl7t ."�Additional Shipper�-~ ._. _ {circle ones pper information <br /> l <br /> i - Y - _ �.... - . <br /> I <br /> i ....... <br /> —... �_�_..... ... Y __...._ �.... <br /> y N <br /> -.... __. <br /> -_ .:... <br /> - . _ <br /> Grand Total <br /> l <br /> CARRIER INFORMATION ww ` <br /> #Containers � �Container <br /> LTL Only <br /> Hyl{X} Co'mmod>ty Descriptloo <br /> commodities r uirin s g g { sleight <br /> requiring special a add t oriel rare or aftenkwrr in handling or slowing musk t so marked <br /> -----— I and packaged as to ensure safe transportation with ordinary care.See Section 2(e)of tJMFC dem 360 Il <br /> _ __.._ <br /> E ( ' Used Oil containing.Capacitors <br /> i <br /> I Used Oil <br /> i <br /> Universal Waste Mercury Devices <br /> _- <br /> ___ <br /> Universal Waste Lamps <br /> ....._ _ <br /> X ` Polychlorinated Biphenyls,9,UN2315,III _ <br /> _.... _ <br /> i I Refrigerant Oil <br /> X Fr — <br /> __. <br /> c � eon <br /> I _....__.... ..._....___,. #g fi�g».y, [ <br /> _.-�}� <br /> Where the rate 3s dependent on valve ehr . _. _. ...___ ..._.._,_.._ ..._.....�,__._.,1.. <br /> declared vatu the capers are required to state specifically in writing the agreed or _ -- <br /> Property as foifows:"The agreed or declared value of the Property is specifically CHID Amount <br /> staked W the shipper to be not exex�dmg - <br /> - - per Fee terms:Collect U Prepaid J Customer check acceptable D <br /> Note:Liability limitation for loss or damage in this shipment may be applicable. see 49 USC§14706(c)(1)(A)and(B). <br /> Received,subject to individually determined rates orCOntFacis That have been a reed —�- _._._.._ .,�..._._.......,...__--...,.._.__i <br /> g The carrier shall not make delivery of this shipment without payment o€charges and 1 <br /> Pon in writing between the carrier and shipper,if rtraapplicable,otherwisE to tlt8 rates, ° <br /> ClassiflcaCfnns,and roles that have been establish if <br /> by the carrier and are avaiiabt8 t> t all other lawful fees. <br /> The shipper,on request and to all applicable state and federal regulations. a Shipper Signature <br /> — -- <br /> j Stripper gn ctre gate t- � -. re Picks Date <br /> 1 / Traileroacfed: i Freight Counted; Carrier S' n - — r <br /> J B shipper <br /> -_� � Y pRer' ` J By shipper � � p 1 � <br /> OPPR:Carble <br /> Er*that the above named materials are ...-......... '-1 Ry driver €;;J driver/pallets"said to Contain _classified,packaged marked and labeled,and a e -__ _r Wnditl6n fpr ttdn5(7prtati0tt aGCrardtng td the j Q 6y driver/pieces er ledges receipt of packages anti require f Is r er cerCiRes eine a es ret3uFations.of the QOF. !I ri c'F fe DO Information <br /> wa ode available and/or earner hes the DOT emergency <br /> rise guidebook or equivalent d%umentation in die <br /> 1 chicle.Property described above is received in good order, <br /> ...._.....,.._.,_._.........__.�_ except as noted.. <br /> 1 <br />