Quantcast HAZARDOUS MATERIAL SHIPPING PAPER - cont - TM-10-6640-238-13_531

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TM 10-6640-238-13 HAZARDOUS MATERIAL SHIPPING PAPER page    3      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 2 5 lbs RQ Mercury, 8, UN2809, II, Marine Pollutant 10 lbs Corrosive Marine Pollutant 2 4 L X Methyl Ethyl Ketone, 3, UN1193, II 8 liters Flammable Liquid 3 2.5 L X Nitric Acid, 8, UN2031, I 7.5 liters Corrosive Oxidizer 1 231 cu. ft. X Nitrogen, compressed, 2.2, UN1066 231 cu ft Cyl. Non-flammable gas 1 100 grams X Nitrophenols, 6.1, UN1663, III 100 grams Keep away from food stuff 1 5 gals X Octanes, 3, UN1262, II 5 gallon Flammable Liquid 10 1 gal. Oil, Bath, Viscosimeter 10 gallons 1 3 kg. Ottawa Sand 3 kg. 2 500 mg X Oxidizing Solid, n.o.s. (Sodium Dichromate), 5.1, UN1479, II 1000 mg Oxidizer 6 100 grams X Oxidizing Solid, Toxic, n.o.s. (Potassium Dichromate), 5.1, UN3087, III 600 grams Oxidizer, Toxic 1 230 cu. ft. X Oxygen, compressed, 2.2, UN1072 230 cu ft. cyl. Non-flammable gas, Oxidizer 3 1 gal. X Paint Related Materials, 3, UN1263, II {Naphtha} 3 gallons Flammable Liquid 4 2.25 oz. Paste, Gasoline Finding 9 oz. 4 3 oz. Paste, Water Finding 12 oz. 3 1 gal. X Petroleum Distillates n.o.s., 3, UN1268, III {Dry Cleaning Solvent} 3 gallons Flammable Liquid 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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