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f <br />Gross: <br />Tare: <br />Net: <br />Ticket: 1150282 <br />Date: 6/9/2022 <br />Time: 09:21:09- 10:13:32 <br />Scale <br />47480 LB In Scale 1 <br />38120 LB Out Scale 1 <br />9360 LB <br />BILL OF LADING - SHORT FORM AT13 87 G, 9013, 9014 13 84 1, L3 8 4 1, 3843 <br />FAIMAEAD LANDFILL <br />21739 ROAD 19 <br />ClI 0WC111LLA, CA 93610 <br />(559) 665-1310 <br />Truck: 9F44098 <br />Customer: 0400000137/ALL ENVIRONMENTAL: <br />Grid: LNDFILL/FAIRMEAD <br />Comment: <br />S9370 <br />Origin <br />Materials & Services ------ ----------- — ----- <br />JUAQU1N COUNTY MSWC/CONTRACTED TRASH PER <br />• <br />Quantity Unit <br /> Dispatch Order: ALL-0038 <br />4.68 ton ------------ <br />Driver. <br />Deputy Weighmaster: <br />Susan Main <br />FAWN 14, <br />Trp1.4.,•MVOn Peauft-ING gr...fing the transportation o <br />orr--inei ••••ect,nd for identifying harendaus matenuis &Ps of Lading per 172.201(al <br />Cade oi rode,fRegulatves kso teen slopping hazardous materiels. the sh;pper's certification statement toes 172.201 (1-lazardou—s—MaTERIT-Tarrieran„-,,......___ <br />pea-a-iced Sc3,111172 20444 of the Fedel,:d Rrgula',o,s, as indicated on the Bill of Lad;ng does apply. Proper shipping n me, hazardous class, UN identif,caton r <br />t.j ., -`c r•,-puon Inn, the irvixement a p,v,oed in the Regulation fore particular material. and subsidiary class(es). 14706(c ( <br />SHIPPER CARRIER <br />This is to certify that the above named materials are properly classified, packaged, Carrier acknowledges receipt of packages and any required placards. Carrier certifie e ency response inforrna- <br />... marked, and labeled, and are in proper condition for transportation according to the Lion was made available and/or carrier has the U.S. Department of Transportation e • ency response guidebook <br />applicable regulations of the U.S. Department of Transportation. or equivalent documentation in the vehicle. Property described above is received in good order, except as noted. <br />PER PER <br />CamScanner