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RECEIVED ON 4/5/2022 VIA EMAIL Date: OLI -Q 1 - 2° BILL OF LADING-SHORT FORM - NOT NEGOTIABLE Page 1 of 1 SHIi?FROM" Bill of Lading Number: Onsite Electronics Recycling-North County Landfill 17720 E. Harney Lane Lodi,CA 95236 SHIP TO Carrier Name: Onsite Electronics Recycling Onsite Electronics Recycling 2331 Teepee Drive Stockton,CA 95205 Special Instructions; Freight Charge Terms(Freight charges are prepaid unless marked otherwise): Prepaid❑ Collect Cl 3rd Party❑ ❑ Master bill of lading with attached underlying bills of lading. _ CUSTOMER ORDER INFORMATION Customer Order No. #of Packages Weight Pallet/Slip Additional Shipper Information (circle one) Y N Y N Y N Grand Total CARRIER INFORMATION" #Containers Container LTL Only Type HM (X) Commodity Description Weight Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care.see section 2(e)of NMFC Item 360 Used Oil containing Capacitors , 1 Used Oil Universal Waste Mercury Devices Universal Waste Lamps X Polychlorinated Biphenyls,9,UN2315,III / II ' tE Refrigerant Oil X Freon 6r t - - Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or COD Amount- — declared value of the property as follows:"The agreed or declared value of the property Is specifically Fee terms Collect❑ Prepaid O' Customer check acceptable❑ stated by the shipper to be not exceeding - ____-per___. --_- -... Note: Liability limitation for loss or damage in this shipment may be applicable.See 49 USC§14706(c)(1)(A)and(B). Received,subject to individually determined"rates or contracts that have been agreed The carrier shall not make delivery of this shipment without payment of Charges and upon in writing between the carrier and shipper,If applicable,otherwise to the rates, all other lawful fees. classifications,and rules that have been established by the carrier and are available to the shipper,on request,and to all applicable state and federal regulations. Shipper Signature Shipper Sign ure%Date Trailer Loaded: Freight Counted: Carrier Sign'ptuDate ❑ By shipper ❑ By shipper -i---Z ❑ By driver ❑ By driver/pallets said to contain — l`- - This i rti a above named materials are eac4�0?'0' LJ receipt of packages and required pro class' packaged,marked,and labeled,and are ❑ By driver/pieces Carrier certifies emergency response information kn. oper co 'on for transportation according to the de available and/or carrier has the DOT emergency alatlons of the DOT. e guidebook or equivalent documentation in the Property described above is received in good order, except as noted.