SHIPPER'S DECLARATION FOR DANGEROUS GOODS (VESSEL)
SHIPPER (Name and Address):
TRANSPORTATION CONTROL NUMBER:
DEFENSE DISTRIBUTION DEPOT RICHMOND
1 XXX
RICHMOND, VIRGINIA
23297-5000
NAME OF CARRIER or DESIGNATED AGENT:
CONSOLIDATED SHIPPERS INC.
RADIOACTIVE
X
NON-RADIOACTIVE
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CONSIGNEE:
SAUDI NATIONAL GOVERNMENT
PORT/PLACE OF DEPARTURE:
PORT OF DAHARAN
NORFOLK, VIRGINIA
SAUDI ARABIA
PORT/PLACE OF DESTINATION:
I
DAHRAN, SAUDI ARABIA
MEANS OF TRANSPORT: THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR
WHICH TYPE OF VESSEL:
PASSENGER AND CARGO VESSEL
X
CARGO VESSEL ONLY
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NATURE AND QUANTITY OF DANGEROUS GOODS
PROPER SHIPPING NAME: ISOPROPANOL
TECHNICAL NAME (nos):
HAZARD CLASS/DIVISION: 3.2
ID No.: UN1219
PACKING GROUP: II
FLASH POINT: 12 C
CLASS:
GROSS MASS (KG):
NET QUANTITY:
CUBE:
LIMITED QUANTITY:
.
15
12 CANS
4.6 CU FT
YES
X
NO
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No. OF PIECES:
TYPE OF CONTAINER:
HAZARD LABEL:
MARINE POLLUTANT:
.
1
FIBREBOARD BOX 4G
FLAMMABLE LIQUID
YES
X
NO
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DOT EXEMPTION NO. : N/A
CAA No.:
NEW: N/A
KG
EMERGENCY RESPONSE 24 HOUR NUMBER:
NSN OR Manufacturer's Part Number:
l-800-851-8061
6810-00-32l-9200
ADDITIONAL INFORMATION:
DECLARATION: I hereby declare that the contents of this consignment are fully and accurately described above by correct proper
shipping name, technical name; are classified, packaged, marked, and labeled; and are in all respects in proper condition for transport
by vessel according to the
international and national government regulations.
SIGNATURE:
DATE:
NAME: ERNEST BILK0
TITLE: PACKAGING SPECIALIST
PLACE: RICHMOND, VIRGINIA
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Figure 2-6. IMDG Shippers Declaration of Dangerous Goods
(Vessel)
