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Dangerous goods declaration manifest


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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.

Company: BOBS TRUCKING CO

Consigning Branch: AUCKLAND

Page No: 1 Remarks: SAMPLE COPY ONLY

Vessel: Aratere 

Kaitaki 



Date of Sailing:

Time of Sailing:

Thursday 27, April, 2006

0600


am 

pm 

Direction of travel: Picton – Wellington 

Wellington – Picton 



U.N. No.

Class

Sub Risk

Marine Pollutant

Proper Shipping Name

Flash Point (C)

Packing Group

M3

Kg/ℓ

No & Kind of Packages

Limited

Quantity

Additional Information

1950

2.1

    

Yes

AEROSOLS (max 1 litre)

    

   

.714

14.1

1 ctn

DGLQ

1 litre per inner

1992

3

6.1

Yes

FLAMMABLE LIQUID, TOXIC N.O.S (containes Acetone)

-12

II

.411

28

1 ctn

    

     

2984

5.1

    

No

HYDROGEN PEROXIDE, AQUEOUS SOLUTION

    

III

.019

5

1 ctn

DGLQ

1 litre per inner

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

     

    

    

    

     

    

   

     

     

     

    

     

Clearly indicate the location of DG’s on the vehicle plan (use class No’s). Detail the registration & transportation unit type below.

Vehicle Reg:

AFG369



C

A

B




     

     


     

     

     


     

     

     


     

     

     


     




     

     


     

     

     


     

     

     


     

     

5.1


     




Trailer Reg:

6350Z / 6351Z




Fleet #:

#32

     

3


     

     

     


     

     

     


     

     

     


     

     

     


     

     

     


     

     

     


     

     

2.1


     




Booking Ref:

A666666






Cargo Transport Unit Type Open  or Closed 

Cargo Transport Unit Type Open  or Closed 




I hereby declare that these goods will be packed and carried in accordance with the provisions of the IMDG Code:




Submitted by:

JOHN BLACK




Position/Title:

SUPERVISOR




Signature:

JOHN BLACK

Telephone: (09) 721 1111

Facsimile: (09) 721 1112

After Hours: (0274) 721 123

Date:

Wednesday 26, April, 2006




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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