SHIPPERS DECLARATION FOR DANGEROUS GOODS
(Provide at least two copies to the airline)
Shipper
Air Waybill No.
DEFENSE DEPOT RICHMOND VIRGINIA
Page 1 of 1 Pages
RICHMOND, VA 23297
Shipper's Reference Number
(optional)
Consignee DISHOO
GOVERNMENT OF ISRAEL
MINISTRY OF DEFENSE
MAPA MESHUTAFIM
ISRAEL
Two completed and signed copies of this Declaration must
WARNING
be handed to the operator
Failure to comply in all respects with the applicable
Dangerous Goods Regulations may be in breach of
TRANSPORT DETAILS
the applicable law, subject to legal penalties. This
Declaration must not, in any circumstances, be
This shipment is within the
Airport of Departure
completed and/or signed by a consolidator, a
limitations prescribed for
forwarder or an IATA cargo agent.
(delete non-applicable)
PASSENGER CARGO
AND CARGO AIRCRAFT
AIRCRAFT
ONLY
Shipment type (delete non-applicable)
Airport of Destination
NON-RADIOACTIVE
RADIOACTIVE
NATURE AND QUANTITY OF DANGEROUS GOODS
Dangerous Goods Identification
Class
UN
Pack- Subsi
or
or
ing
diary
Quantity and
Packing
Proper Shipping Name
Authorization
Divi-
ID
Group Risk
type of packing
Inst.
sion
No.
XYLENES
3
UN130
III
1 STEEL DRUM (1A2)
309
7
X 0.94 LITRES
STORE IN A COOL, WELL-VENTILATED AREA AWAY FROM SOURCES OF HEAT,
Additional Handling Information
FLAME, SPARKS, COMBUSTIBLE MATERIALS OR OXIDIZERS. CONTAINERS MUST BE KEPT TIGHTLY CLOSED
TO PREVENT EVAPORATION OF FLAMMABLE LIQUIDS. 24 HOUR EMERGENCY CONTACT NUMBER
1-800-851-8061
I hereby declare that the contents of this consignment are fully and
Name/Title of Signatory
Quinton McHale, Packing Specialist
accurately described above by the proper shipping name, and are
classified, packaged, marked and labelled/placarded, and are in all
Place and Date
respects in proper condition for transport according to applicable
Richmond, VA 23297
3 Jan 95
international and national governmental regulations.
Signature
(see warning above)
Figure 2-5. IATA Shippers Declaration of Dangerous Goods
