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    Multimodal Dangerous Goods Form: Export

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    gohilsahilp
    This document details the shipment of 17,000 liters of the chemical Pendimethalin 456 g/L CS in 850 corrugated fiberboard boxes within a 40-foot shipping container from Hazira, India to Tekirdag, Turkey. The document provides shipping marks, container and seal details, and declarations required for transporting dangerous goods by sea.

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    © All Rights Reserved
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    Multimodal Dangerous Goods Form: Export

    Uploaded by

    gohilsahilp
    47 views1 page
    This document details the shipment of 17,000 liters of the chemical Pendimethalin 456 g/L CS in 850 corrugated fiberboard boxes within a 40-foot shipping container from Hazira, India to Tekirdag, Turkey. The document provides shipping marks, container and seal details, and declarations required for transporting dangerous goods by sea.

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    This document details the shipment of 17,000 liters of the chemical Pendimethalin 456 g/L CS in 850 corrugated fiberboard boxes within a 40-foot shipping container from Hazira, India to Tekirdag, Turkey. The document provides shipping marks, container and seal details, and declarations required for transporting dangerous goods by sea.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views1 page

    Multimodal Dangerous Goods Form: Export

    Uploaded by

    gohilsahilp
    This document details the shipment of 17,000 liters of the chemical Pendimethalin 456 g/L CS in 850 corrugated fiberboard boxes within a 40-foot shipping container from Hazira, India to Tekirdag, Turkey. The document provides shipping marks, container and seal details, and declarations required for transporting dangerous goods by sea.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MULTIMODAL DANGEROUS GOODS FORM

    Export
    This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, chapter VII, regulation 4;MARPOL 73/78, Annex III, regulation 4
    Shipper/Consignor/Sender : Transport document number : EBKG04699353-1 Page

    Haz ref no. SUR36032 (Liquid)


    UPL LIMITED Shipper's reference : Freight forwarder's reference :

    UPL HOUSE, 610 B/2, BANDRA VILLAGE Off WEH, BANDRA ( E ) Line ref.: MEDITERRANEAN SHIPPING COMPANY

    MUMBAI - 400 051 INDIA Consignee : UPL ZIRAAT VE KIMYA SAN TIC VE LTD
    MOB: +91 9819436597 CTC : STEPHEN LAZER
    EMAIL ID: stephen.lazar@upl-ltd.com
    ADALET MAH. MANAS BLV.,KULE
    K:31 D:3107-3110
    BAYRAKLI IZMIR - 35530,TURKEY
    CTC:ASYA GONUL,M +90 533 705 65 93 / +90232 446 57
    SHIPPER'S DECLARATION : Additional handling information :
    I hereby declare that the contents of this consignment are fully and accurately described,below by the
    Proper Shipping Name, and are classified, packaged, marked and labelled/placarded and are in all
    respects in proper condition for transport according to the applicable international and national
    HZR/3228 SG
    government regulations.

    Name/signature declarant :STEPHEN LAZER/Associate Operations Lead Vessel & voyage : Port of loading :
    MSC RITA V- IE252A HAZIRA
    Port of discharge : Destination :
    TEKIRDAG (ASYAPORT) (TEK) TRIZM - IZMIR,TURKEY

    Shipping marks * Number and kind of Description of goods Gross mass(kg) Net mass(kg) Cube(m3)
    packages;
    UN NO: 3082 , 850 CORR BOXES P.S.N.: ENVIRONMENTALLY 22833.000 19941.000 1X40'HC
    IMCO CLASS: 9 HAZARDOUS FCL/FCL
    EMS NO.: F-A, S-F SUBSTANCES, LIQUID,
    PKG GRP:III, NET QTY(LTRS):
    N.O.S. (PENDIMETHALIN)
    MARINE POLLUTANT: YES 17000.000
    TECHNICAL NAME:
    FLASH POINT: 90 DEG C
    PACKING: 850 CORRUGATED FIBERBOARD BOXES
    PENDIMETHALIN
    OF 20 LTRS EACH CARGO DESCRIPTION:
    INNER PACKING: 4 CARBOYS OF 5 LTRS EACH Pendimethalin 456 g/L CS
    TOTAL INNER: 3400 CARBOYS (PLASTIC) (FIST GOLD)

    UN PACKING CODE: 4G/Z 30/S/22 IND/04703093


    For a chemical emergency (spill, leak, fire or accident) contact the Shippe - day or night -by calling:Emergency phone : CTC: ASYA GONUL7 TEL NO.: +90 533 705
    65 93 / +90232 446 57
    Container N° /stowage position Seal number(s) Container Type/Size Tare mass (Kg.) Total gross mass (including tare)kg
    1X40'HC
    FFAU2386512 FX22389716 FCL/FCL
    CONTAINER/VEHICLE PACKING CERTIFICATE RECEIVING ORGANIZATION RECEIPT

    I hereby declare that the goods described above have been Received the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon :
    packed /loaded into the container/vehicle identified above in RECEIVING ORGANIZATION REMARKS :
    accordance with the applicable provisions.
    MUST BE COMPLETED AND SIGNED FOR ALL CONTAINER/
    VEHICLE LOADS BY PERSON RESPONSIBLE FOR PACKING
    LOADING.

    Name/address Declarant Stuffing Contractor : Haulier's name : Name of company( of


    UPL LIMITED SHIPPER PREPARING THE
    UNIT - 3 PLOT NO-3101/3102/3103 G.I.D.C, NOTE)
    ANKLESHWAR - 393002 BHARUCH GUJARAT INDIA UPL LIMITED
    GST No:24AABCS1698G3Z9
    MOB: +91 9819436597 CTC : STEPHEN LAZER
    Tel: Fax: Vehicle reg. no : Name/status of declarant
    STEPHEN LAZER
    Associate Operations Lead
    Place and date Signature and date : Place and date
    MUMBAI DT. 03.01.2023 MUMBAI DT. 03.01.2023

    Signature of Declarant Stuffing Contractor : Driver's Signature Signature of declarant

    * Dangerous Goods:
    You must specify: UN No,Proper Shipping Name,hazard class,packing group,(where assigned)marine pollutant and observe the mandatory requirements

    under applicable national and international governmental regulations. Applicable code: IMDG CODE

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