AFMAN 24-204(I)/TM 38-250/NAVSUP PUB 505/MCO P4030.19H/ DLAI 4145.3
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11 NOVEMBER 2001
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The PSN, hazard class, and net quantity of flammable fuel, and any other additional hazards. When an item is
completely drained (but not purged) so that the quantity of fuel does not exceed 500 ml (17 ounces), the shipper’s
estimate of the quantity of fuel remaining in the unit may be entered.
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The name and quantity of any non-hazardous fuel in vehicles or equipment tanks.
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Include the statement "non-hazardous battery installed" if applicable.
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Reference to the technical directive used to prepare the item for military air shipment is not required.
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Identify jerricans secured in permanently configured and approved holders of vehicles or equipment as a secondary
hazard in Key 19 of the Shipper’s Declaration form (see Figure A17.1, Key 19). A separate certification is not required.
Fuel quantity limits are restricted for the DOT 5L jerrican (see paragraph 3.7).
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Drained and purged repairable engines and fuel devices prepared according to A13.5.6 and A13.6.7 are not hazardous for
transportation. Follow procedures specified in 1.10.4.
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Certification is not required for movement of wheelchairs with patients.
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Dual-powered vehicles (designed to operate on both flammable liquid and gas) must meet the requirements of A13.5 for
each fuel tank. Describe as "Vehicle, Flammable Liquid Powered".
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Describe vehicles fueled with a combustible liquid (flashpoint greater than 60.5 degreees C) as "Vehicle, Flammable
Liquid Powered".
A17.4.3.2. Life-Saving Appliances. For life-saving appliances, Class 9, prepared according to A13.11, show:
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A specific description and the number of the items packaged for shipment in Key 16. For example; “1 wooden box x 3
self-inflating life vests”.
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The PSN, hazard class and net quantity of each hazardous component within the shipping container in Key 19.
HA17.4.3.3. Dry Ice. When dry ice is used as a refrigerant for another hazardous material, identify the dry ice as a secondary
hazard by PSN, hazard class, and net quantity in Key 19 of the Shipper's Declaration form. Ensure packaging meets the
requirements of A13.9.
HA17.4.4. Competent Authority Approvals (CAA). If the shipment is packaged and transported under the authority of a CAA,
cite the CAA number in Key 17. Annotate the shipping papers, "PACKAGING AUTHORIZED BY COMPETENT
AUTHORITY OF THE UNITED STATES OF AMERICA (USA)." If the CAA is from a country other than the USA, that
country must be annotated in place of USA on the shipping papers. A copy of the CAA must accompany the shipment.
HA17.4.5. Empty Packaging. Packagings considered empty according to 1.10 do not require a Shipper’s Declaration for
Dangerous Goods form. Follow procedures specified in 1.10.4.
A17.4.6. Excepted Quantities. A Shipper's Declaration for Dangerous Goods is not required for excepted quantities prepared
according to A19.2. Annotate the shipping papers "Dangerous Goods in Excepted Quantities." See A15.2 for labeling
requirements.
A17.4.7. Grandfathered Shipments. Certify grandfathered munitions shipments according to the applicable paragraph in
Attachment 27.
HA17.5. Completing the Shipper’s Declaration for Dangerous Goods. Use figure A17.1 for detailed instructions on
accomplishing the shipper’s certification form for nonradioactive and radioactive shipments. Use figure A17.2 to determine if a
Shipper's Declaration for Dangerous Goods is required for radioactive shipments.
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For forms with the "Nature and Quantity of Dangerous Goods" in columnar format, enter information in the appropriate
column.
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For forms with the "Nature and Quantity of Dangerous Goods" open for continuous printing, use two oblique strokes, i.e.
“//”, to separate sequences of information or place each sequence on a separate line. Separate information within a
sequence with a comma. See Figure A17.3 to identify separation of each sequence.
Figure A17.1. Step-by step Instructions for Completing Shipper’s Declaration for Dangerous Goods form.
Key 1. Shipper. Enter the address and telephone number where the hazardous material was certified.
Key 2. Consignee. Enter the six-digit Department of Defense Activity Address Code (DODAAC) and/or the
in-the-clear geographical location of the ultimate consignee (if known.)
For shipments of infectious substances, enter also the name and telephone number of a responsible person
for contact in an emergency.
