Quantcast HAZARDOUS MATERIAL SHIPPING PAPER - cont - TM-10-6640-238-13_533

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TM 10-6640-238-13 HAZARDOUS MATERIAL SHIPPING PAPER page    5      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 1 500 grams Sodium Chloride 500 grams 2 500 grams X Sodium Hydroxide, solid, 8, UN1823, II 1000 grams Corrosive 1 500 grams Sodium Thiosulfate, pentahydrate 500 grams 2 500 grams Starch, Soluble 1000 grams 5 2.5 L X Sulphuric acid, 8, UN1830, II 12.5 L Corrosive 2 4 L X Toluene, 3, UN1294, II 8 liters Flammable Liquid 2 500 ml X Xylenes, 3, UN1307, III 1000 mls Flammable Liquid 1 500 grams Zinc Oxide 500 grams 1 500 grams Sodium Carbonate, anhydrous 500 grams 10 500 grams Sodium Bicarbonate, ACS 5000 grams 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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