TM 5-6635-386-12&PAPPENDIX GLETTER OF INSTRUCTIONWARNINGThis vehicle is carrying radioactive materials.Military/Commercial Vehicle Permanent Transport DocumentPURPOSE. The document provides information required by Title 49 CFR Part 172.203(d) for the movement of the Tester,Density and Moisture, MC-1, by military/commercial vehicles. (Documentmustbemaintainedinoperator’scompartmentofvehicle).Required information:1.Item being Transported: Tester, Density and Moisture, Nuclear Method, NSN 6635-01-030-6896.2.Radioactive Material Special Form N.O.S.3.Identification Number: UN2974.4.10 mci Cs 137 & 50 mci Am 241/Be.5.Special Form. (Sealed in double encapsulated stainless steel).6.Radioactive-Yellow II.7.Transport Index: (Numeric value as listed on the Yellow II label which is determined by the LRPO, each time thetester is shipped out).8.Number of testers being shipped:9.Unit issued the tester: Mailing address.10.Tester being transported to:Tester being transported from:11.Date(s) of Travel:12.Certification and supporting safety analysis for special form source, Tester, Density, and Moisture, MC-1, NSN6635-01-030-6896, LIN W02673, is maintained by the U.S. Army Tank-Automotive Command (TACOM), ATTN:AMSTA-CZ, Warren, MI 48397-5000, Commercial Telephone: (313) 574-7635/6194 or AUTOVON 786-7635/6194.13.Certification and supporting safety analysis for specification 7A packaging TYPE A container for Tester, Densityand Moisture, MC-1, NSN 6635-01-030-6896, LIN W02673, is maintained by TACOM, ATTN: AMSTA-CZ, Warren,MI 48397-5000. Commercial Telephone (313) 574-7635/6121 or AUTOVON 786-7635/6121G-1
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