Scribd
Upload
87 views2 pages

Imdg - Doc - PDF TP 242612

multimodal dangerous goods form

Uploaded by

Dil Vasconcelos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
87 views2 pages

Imdg - Doc - PDF TP 242612

multimodal dangerous goods form

Uploaded by

Dil Vasconcelos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

MULTIMODAL DANGEROUS GOODS FORM

1. Shipper/Consignor/Sender 2. Transport document number


VIKING Life-Saving Equipment
A/S Sædding Ringvej 13
6710 Esbjerg V 3. 4. Shipper's reference
DENMARK Page 1 of 2 Pages TP 242612
5. Freight Forwarder's reference

6. Consignee 7. Carrier (to be completed by the carrier)


Viking Norsafe Life-Saving Equipment Brasil LTDA
Rua José Cardoso da Silva
Nº 300, MODULO FGHI CNPJ: 05.371.566/0001-43
28800-000 CENTRO, RIO BONITO,
BRAZIL

SHIPPER'S DECLARATION

I hereby declare that the contents of this consignment are fully and
accurately described below by the proper shipping name, and are
classified, packaged, marked and labeled/placarded and are in all
respect in proper condition for transport according to the applicable
international and national governmental regulations.
8. This shipment is within the limitations prescribed for: 9. Additional handling information
(Delete non-applicable) 24 HOUR EMERGENCY CONTACT TELEPHONE NUMBER (for
transport incidents only):
PASSENGER AND CARGO AIRCRAFT + 45 25428253
CARGO AIRCRAFT ONLY + 45 25428252
10. Vessel/flight no. and date 11. Port/place of loading + 45 25428251

12. Port/place of discharge 13. Destination

14. Shipping marks Number and kind of packages; description of goods Gross mass (kg) Net Qty. (kg/L) Cube (m³)

UN 1133, ADHESIVES, 4.5 kg 3.995 kg


CLASS 3, PG II,
(-6°C c.c.),
EmS: F-E, S-D
Limited Quantity
17 x Metal Cylinders x 0.235 kg

UN 1173, ETHYL ACETATE, 2 kg 0.238 kg


CLASS 3, PG II,
(-4°C c.c.),
EmS: F-E, S-D
Limited Quantity
17 x Metal Cylinders x 0.014 kg

Total Gross mass: 6.5 kg.


All packed in 1 Fibreboard box
--------------------------------------------------------------------

15. Container identification No./ 16. Seal number(s) 17. Container/vehicle size & type 18. Tare (kg) 19. Total gross
vehicle registration No. (including tare) (kg)
Viking002730 1x20'DC

CONTAINER/VEHICLE PACKING CERTIFICATE 21 RECEIVING ORGANISATION RECEIPT


I hereby declare that the goods described above have
Received the above number of packages/containers/trailers in apparent good order and
been packed/loaded into the container/vehicle
condition unless stated hereon: RECEIVING ORGANISATION REMARKS:
identified above in accordance with the applicable
provisions.
MUST BE COMPLETED AND SIGNED FOR ALL
CONTAINER/VEHICLE LOADS BY PERSON
RESPONSIBLE FOR PACKING/LOADING
20. Name of company Haulier's name 22. Name of company (OF SHIPPER PREPARING THIS NOTE)
Viking Life- Saving Equipment A/S VIKING Life-Saving Equipment A/S
Name/status of declarant Vehicle reg. no. Name/status of declarant
John Franch Jeanette Holst Ehrhorn/Shipping Coordinator
Place and date Signature and date Place and date
Esbjerg , 22. November 2024 Esbjerg V, 22. November 2024
Signature of declarant DRIVER'S SIGNATURE Signature of declarant

Copyright © 1995 - 2024 DGOffice B.V., Made with CHESS in


MULTIMODAL DANGEROUS GOODS FORM Continuation Sheet
1. Shipper/Consignor/Sender 2. Transport document number
VIKING Life-Saving Equipment A/S
Sædding Ringvej 13 3. 4. Shipper's reference
6710 Esbjerg V Page 2 of 2 Pages TP 242612
DENMARK
5. Freight Forwarder's reference

14. Shipping marks Number and kind of packages; description of goods Gross mass (kg) Net Qty. (kg/L) Cube (m³)

UN 1133, ADHESIVES, 4.5 kg 3.995 kg


CLASS 3, PG II,
(-6°C c.c.),
EmS: F-E, S-D
Limited Quantity
17 x Metal Cylinders x 0.235 kg

UN 1173, ETHYL ACETATE, 2 kg 0.238 kg


CLASS 3, PG II,
(-4°C c.c.),
EmS: F-E, S-D
Limited Quantity
17 x Metal Cylinders x 0.014 kg

Total Gross mass: 6.5 kg.


All packed in 1 Fibreboard box
--------------------------------------------------------------------

UN 1133, ADHESIVES, 4.5 kg 3.76 kg


CLASS 3, PG II,
(-6°C c.c.),
EmS: F-E, S-D
Limited Quantity
16 x Metal Cylinders x 0.235 kg

UN 1173, ETHYL ACETATE, 1.3 kg 0.224 kg


CLASS 3, PG II,
(-4°C c.c.),
EmS: F-E, S-D
Limited Quantity
16 x Metal Cylinders x 0.014 kg

Total Gross mass: 5.8 kg.


All packed in 1 Fibreboard box
--------------------------------------------------------------------

UN 3072, LIFE-SAVING APPLIANCES, NOT SELF- 155 kg 9.8 kg


INFLATING,
CLASS 9,
EmS: F-A, S-V
innerpacking: 70 plastic casings
1 x pallet

Copyright © 1995 - 2024 DGOffice B.V., Made with CHESS in

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy