ALLIED PLATING SUPPLIES, INC. Number : 121492 - Special Order Account: ANOINT Bill To: ANODIZADOS INTERNACIONALES ESQUINA SUROESTE DE PLAZA GONZALEZ VIQUEZ 75 MTS AL SUR SAN JOSE, COSTA RICA “PACKING LaST*#* Date: 04/15/2019 Page: 1 Ship To: CARGA TICA 1710 NW 96TH AVE. DORAL, FL 33196 Description [Order Date | CustPO# | Sales Order _| Shipping Instuctions Invoice |.04/03/2019 | 143, | 121492 | Qty Ordered Remaining Qty Shipped UM _ Description 55.00 55.00 55 GAL_ ENOVA EF-587 AMR (S5GAL DR ) 0 ENOVAEF-587AMR-55 55.00 55.00 passaeet GAL ENOVA EF-587 AMR NICKEL SURCHARGE 0 ENOVAEF587-AMR-SUR 55.00 55.00 Se GAL ENOVA EF-587-CKPR (55 GAL DR) 0 ENOVAEF587CKPR-55 1,00 1.00 \ EA $SF-10 SUCTION FILTER 1/20HP, 1 0.552-B11H1 ALLIED PLATING SUPPLIES, INC. 5000 EAST 10 COURT DEA# 006298A1Y HIALEAH, FL 33013 USA Packed By: EXPORT CHARGES & PLUS FRT IN Total # of Pkgs. Qses> Total Weight: _ J2yx 2g —IMO DANGEROUS GOODS DECLARATION 1 Shipper 2 rensperation Document Nuriber ALLIED PLATING SUPPLIES, ING. ‘5000 EAST 10TH COURT HIALEAH, FL, 33013 USA 3 [t stiopers Reference PAGE 1 oft 2168587 6 Consignee 5 Freight Fonrrder’s Referanco ‘ANODIZADOS INTERNACIONALES. ESQUINA SUROESTE DE PLAZA GONZALEZ VISQUEZ 75 MTS AL ‘sur 7 Carer (obo declared by the Carer ‘SAN JOSE, COSTARICA Cantor fo Pi A Thee dare tah contrts of ths congrment ae ay and accra desed above bye pops sping name(s), and re lassie, packaged, marked ond \sbuedplocrdd nd aren al rapect prepa conden Wr Warsproccorcing appcblereratona ar ntonal gover equator 10 Vessaliight and Date 11 PortPlace Handling (9 Adstional Handing ntrmation Pot Poceo Dacrge tea Chemie -Emergency Gontact le ae tien * Domestic 1-800-255-3924 Intl, + +1-813-248-0585 [DGD] eenirecisoooes7e 14 Shipping Marks ‘Number and Kind of Packages, Description of Goods: ‘GW tha) "Neat KG) 2082, vcrmrtaly hazardous substance Saul. (CONTAINS NICKEL, za 200 SULFATE) Clas 8 PO It MANE POLLUTANT, PLASTIC DRUM (1H")X 200 (GvERPAGK USED) ems PAS TS CTUID Wo Te Seai Ne 17 TU Siz ana Tee aTare mass ma) [9 Total Grose Mase a) contac acing Ce a enna npn pot Scmascsetarecamams [temas eae =e 720 Name of Company Waiers Name 72 Name of Company Preparing Note HAZMAT HUB, ‘Namelsiate of Decrant Vehicle Registration No Tamelstata of Delrant Ls Puigpalat- Specialist Poe and Date ‘iver ame ana Date Pisce and Date iar, FL~a/t512019 ‘Slane of Dedarat avers Sianature LD LD 42 4 42 42 42 42 42 42 42 4 a a aT aT ‘Signature of Declarant Tye a a LP a ML LE LE a a a a a aeIMO DANGEROUS GOODS DECLARATION a 4 Shipper 7 Transpriaion Decurnt Nuribar ALLIED PLATING SUPPLIES, INC. 5000 EAST 40TH COURT. HIALEAH, FL, 33013 USA 3 2 Shippers Reference PAGE 4 oft Era 5 Consigree '5 Freight Fonwrde’s Reference 'ANODIZADOS INTERNACIONALES. ESQUINA SUROESTE DE PLAZA GONZALEZ VISQUEZ 75 MTS AL. sur fer (tobe declared by te Gare SAN JOSE, COSTA RICA oe eee eee ‘HIPPER' DECLARATION Thy decors tt te contr of he conigrent ar fly ane acura dscrbed abe byte proper siping name(s) an are classe. packaged. maka linlocordet nd se nl espactin prepa cao or ranspor according applet mamstona se nena povemeral elas, 10 VesselFight nd Date 11 PortPlae Handing {8 Adsiionl Handing Information 4 Chant! -emargency rte Ste $asoae a 32a ass [DGB] conser emscoousrs 12 Perce of Dacha | 13 Desinaton 1 72 Shipping Mars ‘Namber and Wind of Packages, Desoipion of Gocds Gwitey Wek wea) on Envcrmentay hazardous substance, au, ns (CONTAINS NICKEL, zo 200 | SULFATE), Guss:a: Po Waren POLLUTANT, PLASTIC DAM INE) 2001, | OVERPASS) SE RAST TeCTUD We Te Seaine 7 CTU Sam ana Tyee [Tare mass ma) [5 Total Gross Mase a) Contsinervehicia Packing Centiiate | 21 Reseving OxorieationReaspt Received tne sbove moe" of pckagesleontsinartrales in apparent good errand eoniion, ‘oreby declare thatthe goods described | none sated oreo Shove have boon packed nto the | RECEIVING ORGANIZATION REMARK: {eeordance wih the appeals provisions 20 Name of Company ouler= None 22 Name of Company Preparing Nate HAZMAT HUB ‘NomelSttus of Declarant Vehicle Registration Ne ‘Namelstatv of Delrant Ls Pulgpalat - Specialist Pace and Bate ‘river Name and Bate Poe and Bate Marni FL~411572019 ‘naar of Docent Divera Sige Sonate of Decrant LE LD LP LD 4 4 4 4 4 4 4 a a a a yf LD 42 42 4 4 42 4 4 4 4 4 4 4 4 4 4 a a a