Quantcast HAZARDOUS MATERIAL SHIPPING PAPER - TM-10-6640-238-13_529

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TM 10-6640-238-13 HAZARDOUS MATERIAL SHIPPING PAPER page    1      of        5       To: consignee From: shipper Street: Street: City: Zip: City: Zip: Phone #: Phone #: Delivering Carrier: Vehicle#: U.S. DOT HazMat Reg. #: Qty UNIT SIZE HM Shipping Description (Shipping name, Hazard Class, ID #, Packing Group) Total Amount Labels 3 500 ml X Acetic Acid, glacial, 8, UN2789, II 1500 ml Corrosive Flammable Liq. 10 4L X Acetone, 3, UN1090, II 40 liters Flammable Liq. 3 4L X Alcohols, flammable, toxic, n.o.s. (Ethanol, Methanol), 3, UN1986, II {Denatured Alcohol} 12 liters Flammable Liq., Toxic 3 500 ml X Ammonia Solution, 8, UN6272, III 1500 ml Corrosive 10 500 grams Calcium Chloride 5000 gms 1 500 grams Calcium Sulfate 500 gm 2 50 lb. cyl. X Carbon Dioxide, 2.2, UN1013 100 lbs Non-flammable gas 4 1 lb. Charcoal, activated 4 lbs 1 500 grams X Corrosive solid, toxic, n.o.s. (Barium Hydroxide), 8, UN2923, II 500 gm Corrosive Toxic 2 2 kg Desiccant 4 kg 1 100 grams X Dye, solid, toxic, n.o.s . (Methyl Orange), 6.1, UN3143, III 100 grams Toxic 2 500 ml X Ethylene Glycol Monomethyl Ether, 3, UN1188, III 1000 ml Flammable Liquid 1 16 oz. X Flammable Liquid, nos (Stoddard Solvent), 3, UN1993, III {Brasso} 16 oz. Flammable Liquid 2 500 grams X Flammable Liquid, toxic, n.o.s., (Diethylene Monomethyl Ether), 3, UN1992, III 1000 grams Flammable Liq. Toxic This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. Signed:______________________________________________ Date:  _________ EMERGENCY CONTACT:  _________________________________________________


 


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