UNIFORM STRAIGHT BILL OF LADING

1 UNIFORM STRAIGHT bill OF , subject to individually determine rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable,otherwise to the rates, classifications and rulesthat have been classifications and rules that have been established by the carrier and are available to the shipper, on request:AFFIXPRO-LABELHEREMAILING Box 3020 San Leandro, California 94578888-699-0333 SHIPPER S NO. NO. _____DATE SHIPPEDNAME_____STREET _____CITY _____STATE _____ ZIP _____SHIPPER (FROM)SHIPPERSELECT:SHIPPERSELECT:MARK X IN HM COLUMN FORHAZARDOUS MATERIALSMSDS PROVIDEDYES NO QUANTITY/CONTAINER TYPEHM OR RQDESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONSFAILURE TO PAY BILLED CHARGES MAY RESULT IN A LIEN ON FUTURE SHIPMENTSWEIGHT (SUBJECT TO CORR.)

2 CLASS OR RATETECHNICAL NAMES ARE REQUIREDFOR AND OTHER GENERICDESCRIPTIONS FOR ALL HAZARDOUSMATERIALS to Section 7 of conditions, if this shipmentis to be delivered to the consignee withoutrecourse on the consignor, the consignor shallsign the following carrier shall not make delivery of thisshipment without payment of freight and all otherlawful agreed or declared value of theproperty contained in this shipment is agreedto be $ lb. unless specifically noted orpre-established by the Limitation for loss or damage onthis shipment may be applicable (49 USC14706, et seq.)

3 Commodities requiring special oradditional care or attention in handling orstoring must be so marked and packaged asto ensure safe transportation (See (e), NMFC, Item 350.)The property described above, in apparent good order, except as noted (comments and condition of contents of packages unknown) marked,consigned, and destined as shown below which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrieron the route to destination. Every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed orwritten, herein contained, which are hereby agreed to by the shipper and accepted for himself and his CertificationThis is certify that the above named materials areproperly classified, described, packaged, marked andlabeled, and are in proper condition for transportationaccording to the applicable regulations of the _____Date _____Driver name: by _____PCS.

4 _____Date _____Carrier CertificationCarrier acknowledges receipt of packages and required placards, Carriercertifies emergency response information was made available and/or carrier hasthe DOT emergency response guidebook or equivalent document in the _____Package Nos. _____Date_____ORIGINAL - NON NEGOTIABLE_____(Signature of consignee)SHIPPER SIGNATURE:X_____(AMOUNT)$REMIT :(IF DIFFERENT THAN SHIPPER ABOVE)EMERGENCY RESPONSE TELEPHONENUMBER FOR ALL HAZARDOUS () SHIPPER TO PAY FEE CONSIGNEE TO PAY FEE CONSIGNEE S CHECK ACCEPTABLE CASHIER S CHECK ONLYCODHAZARDOUSMATERIALSSECTIONFREIGHT CHARGESARE TO BE COLLECTUNLESS MARKED PREPAIDBILL TONAMECITYMAILINGADDRESSS TAT EZI PNAMESTREET3rdPARTYTO BEPREPAIDCOLLECTBILL FREIGHT CHARGES TO.

5 (IF DIFFERENT THAN ABOVE)CITYSTATEZIPSTATEZIPNAMEOn Collect on Delivery Shipments, the letters COD must appear before consignee s (TO)TELEPHONENUMBERTELEPHONENUMBER