TM 10-6640-238-13 HAZARDOUS MATERIAL SHIPPING PAPER page    2      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 1.8 kg General Purpose Detergent 1.8 kg 2 500 ml Glycerol 1000 ml 7 150 grams Grease, Ground Glass Joint 1050 grams 1 5 gals X Heptanes, 3, UN1206, II 5 gallon Flammable Liquid 12 2.5 L X Hydrochloric Acid, 8, UN1789, II 30 liters Corrosive 2 5 gals X Isopropanol, 3, UN1219, II 10 gallons Flammable Liquid 2 500 grams X Lead Acetate, 6.1, UN1616, III, Poison, Marine Pollutant 1000 gms Toxic Marine Pollutant 1 500 grams X Lead Nitrate, 5.1, UN1469, II, Poison, Marine Pollutant 500 gm Oxidizer, Toxic, Marine Pollutant 4 1 liter Lubricating Oil, Vacuum Pump 4 liters 1 8 lbs Merc Sorb Powder 8 lb. 1 RQ Mercury contained in Manufactured Articles, 8, UN2809, III 1 Manometer Corrosive 1 X Mercury contained in Manufactured Articles, 8, UN2809, III 1 Mercury Kit Corrosive 1 X Mercury contained in Manufactured Articles, 8, UN2809, III 1 Mercury Kit Corrosive 71 X Mercury contained in Manufactured Articles, 8, UN2809, III 71 Thermometers Corrosive 1 100 grams X Mercury Iodide, solid, 6.1, UN1638, II, Poison, Marine Pollutant 100 gm Toxic Marine Pollutant 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:  _________________________________________________