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AFMAN 24-204(I)/TM 38-250/NAVSUP PUB 505/MCO P4030.19H/ DLAI 4145.3
11 NOVEMBER 2001
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The transport index, preceded by the prefix "Ti", assigned each package having a "Radioactive
Yellow-II" or "Radioactive Yellow-III" label and dimensions of each package (including dimensional
units).
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The fissile class. If the package is exempt enter the words "Fissile Exempt."
Key 18. Authorization.
- Nonradioactive shipments enter:
- When applicable, enter the words "Limited Quantity" or "LTD. QTY."
- Radioactive shipments enter Approval Identification Markings (if relevant). List the package identification
markings of any of the documents listed below issued by a competent authority. Include the words
"attached" to indicate that the documents are attached to the declaration form.
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Special form approval certificate.
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Type B package design approval certificate.
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Type B(M) package shipment approval certificate.
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Fissile material package design approval certificate.
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Fissile material package shipment approval certificate.
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Special arrangement approval certificate.
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Any similar documents.
Key 19. Additional Handling Information. Enter:
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The PSN, hazard class, and net quantity of each secondary hazard for items with multiple hazards.
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Handling instructions, when specified by a packaging paragraph. Only enter if the handling instruction
applies to the material being shipped.
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The name and quantity of non-hazardous fuel contained in tanks of vehicles or equipment. Include
statement "non-hazardous battery installed" if applicable.
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The number, type of container, and quantity of fuel per container when transported in permanently
configured and approved holders on vehicles or equipment (i.e., 4 jerricans X 11 liters).
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The 24-hour Emergency Response number for the hazardous material listed on the Shipper’s Declaration
for Dangerous Goods. Enter the words "EMERGENCY CONTACT:" followed by the number. See 2.8
for
Emergency Response numbers used by DoD activities.
- The control and emergency temperatures for temperature controlled Class 5.2 materials.
Key 20. Name/Title of Signatory. Enter the name and title of the official signing the form.
Key 21. Place and Date. Enter the place and date the material was certified (i.e., Hill AFB, 1 Jan 97).
Key 22. Signature. The official who certifies that the shipment complies with the requirements of this
instruction must sign the form in longhand.
