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WAN HAI LINES LTD.

Shipper

DECLARATION OF DANGEROUS GOODS

DANGEROUS PACKING CERTIFICATE

Consignee's name & address

Ship's stowage location

BOOKING NO:
Ocean vessel

voy

s/o no.

contr no. :
place of receipt

place of delivery

ship's operator

port of loading

port of discharge

marks & nos.

kind of packages : description of goods

container operators

CLASS:

no of packages:

total weight
total gross wt:

Proper shipping name

total net wt:

Technical name:

UN.NO

UN IIP code:

Flash point:
Marine Pollutant:

properties

Inner packing:

label

sub-class (if any):

gross wt per container:

toxicity

packing group

net wt per container:

appearance
odour

ld/tlv

emergency

prevention

procedures

measures
protection

specific

ignition

gravity

point

reactivity/other haz

equipments
medical
first aid
emergency communication : PIC NAME & NO
I hereby declare that the contents of this consignment
I Hereby Certify that

are fully and accurately described above by proper

1.The container was clean, dry and apparently fit to receive goods.

shipping name and are classified, packed, marked

2.No incompatible substances have been packed into the container.

and labelled ,and are in all respects in proper

3.All packages have been inspected for damage, leakage or sifting,

condition for transportation by sea ,land, according

and only sound packages have been loaded.

to applicable in international & national

4.All packages have been properly packed in the container and secured

governmental regulations

5.The container and packages are properly marked and labelled.

This is to certify that the above named materials

6. When solid carbon dioxide(dry ice) is used for cooling purposes, the

are properly classified ,described , packaged, marked

container is externally marked or labelled in a conspicious place at the

door end reading . " DANGEROUS CO2 - GAS DRY I C INSIDE." ventilate
thoroughly before entering.

and labelled , and are in proper condition for

Transportation according to the applicable
regulation of the department of Transportation.

7. The dangerous goods declaration required in sub section 9.4 of the general
introduction to the International Maritime dangerous goods(IMDG)code has

Signature of Shipper

been received for each dangerous goods consignment packed in the

container.
8.If the consignment include goods of class 1.except division 1.4.
the vehicle container is structurally serviceable in confromity with
section 12 of the introduction to class 1 of the IMDG Code.
9. when dangerous goods are transported in bulk packagings, the
cargo has been evenly distributed.

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