DANGEROUS GOODS DECLARATION MANIFEST
This declaration is only a prior advice of goods to be carried on the sailing listed below. It does not replace the individual Dangerous Goods Declaration, a copy of which must remain with the vehicle and be available for inspection, if required. The information below represents the minimum required by Maritime legislation.
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Company: BOBS TRUCKING CO
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Consigning Branch: AUCKLAND
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Page No: 1 Remarks: SAMPLE COPY ONLY
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Vessel: Aratere
Kaitaki
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Date of Sailing:
Time of Sailing:
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Thursday 27, April, 2006
0600
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am
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pm
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Direction of travel: Picton – Wellington
Wellington – Picton
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U.N. No.
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Class
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Sub Risk
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Marine Pollutant
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Proper Shipping Name
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Flash Point (C)
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Packing Group
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M3
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Kg/ℓ
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No & Kind of Packages
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Limited
Quantity
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Additional Information
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1950
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2.1
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Yes
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AEROSOLS (max 1 litre)
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.714
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14.1
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1 ctn
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DGLQ
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1 litre per inner
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1992
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3
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6.1
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Yes
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FLAMMABLE LIQUID, TOXIC N.O.S (containes Acetone)
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-12
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II
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.411
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28
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1 ctn
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2984
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5.1
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No
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HYDROGEN PEROXIDE, AQUEOUS SOLUTION
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III
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.019
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5
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1 ctn
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DGLQ
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1 litre per inner
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Clearly indicate the location of DG’s on the vehicle plan (use class No’s). Detail the registration & transportation unit type below.
Vehicle Reg:
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AFG369
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C
A
B
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5.1
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Trailer Reg:
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6350Z / 6351Z
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Fleet #:
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#32
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3
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2.1
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Booking Ref:
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A666666
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Cargo Transport Unit Type Open or Closed
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Cargo Transport Unit Type Open or Closed
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I hereby declare that these goods will be packed and carried in accordance with the provisions of the IMDG Code:
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Submitted by:
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JOHN BLACK
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Position/Title:
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SUPERVISOR
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Signature:
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JOHN BLACK
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Telephone: (09) 721 1111
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Facsimile: (09) 721 1112
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After Hours: (0274) 721 123
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Date:
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Wednesday 26, April, 2006
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Dangerous Goods Co-ordinator: Fax: 04 498 3084 E-mail: tildangerousgoods@interislander.co.nz Phone: 04 498 3068 Mobile: 021 8444 99
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