REGULATED DANGEROUS GOODS 24-HOUR NUMBER: (Only if applicable) ERAP reference #: ERAP telephone number: UN Number Shipping name (If applicable, Technical Name) Primary Class … SHIPPER'S DECLARATION FOR DANGEROUS GOODS Air Waybill No: Page of Pages Shipper's Reference Number … MULTIMODAL DANGEROUS GOODS FORM. When this Dangerous Goods Form is used as a container/vehicle packing certificate only, not a combined document, a dangerous goods declaration signed by the shipper or supplier must have been issued/received to cover each dangerous goods … This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, Chapter VII, regulation 54; MARPOL 79/78, … 1 … to ensure the diagonal hatchings on the completed Shipper’s Declaration form appear in red. 11 : a copy of ICAO category 6 dangerous goods … DOD MULTIMODAL DANGEROUS GOODS DECLARATION. 10. This form meets the requirement of SOLAS 74 chapter VII, regulation 5; MARPOL 73/78 ANNEX III, regulation 4 and the IMDG CODE, General introduction, section 9 IMO DANGEROUS GOODS DECLARATION Reference number(s) Page 1 of 1 Shipper's Reference Number Container packing certificate/vehicle declaration … Two completed and signed copies of the Declaration must be handed to the operator. Failure to comply with the applicable Dangerous Goods … … a. Installations/units will use DD Form 2890, DoD Multimodal Dangerous Goods Declaration, Figure J-8, as a shipping paper and to provide emergency instructions to drivers when operating on public roads. This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS, chapter VII, regulation 4; MARPOL, Annex III, Regulation 4. a copy of the ICAO category 1 dangerous goods training record of the person signing the dangerous goods transport document (shipper’s declaration), valid at the date of the flight + one month . Declaration for Dangerous Goods; Name, Title, Place and Date fields can be entered/printed on this form. DANGEROUS GOODS SHIPPERS DECLARATION FOR ROAD, RAIL, & SEA ... and (6), covering the positioning of the information on the form and recording aggregate quantities, are also met by completing the front of this form ... dangerous goods … TRANSPORT DETAILS This shipment is within the limitations prescribed for: (delete non-applicable) Airport of Departure: WARNING! WorldShip shipping system prints the Shipment Signatory Information ... For information on this form, see the Dangerous Goods … Air Waybill(s) accompanying dangerous goods consignment(s) for which a dangerous goods declaration is required must include the following statements, as applicable, in the Handling Information box: “Dangerous goods as per attached Shipper's Declaration…
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