Dangerous Goods Transport Document & Container Packing Certificate

OOCL Booking Number : 2715731320 Exporters Reference : 4230397097

(1st Vessel / Voyage: SAN PEDRO 069E
Forwarders Reference : Page of Pages
2nd Vessel / Voyage: -
3rd Vessel / Voyage: - PT. CORTEVA AGRISCIENCE
Shipper’s Name & Address :
4th Vessel / Voyage: - MANUFACTURING INDONESIA
Place of Receipt : BELAWAN, INDONESIA CIBIS NINE, LT.10 CILANDAK COMMERCIAL ESTATE
JL. TB SIMATUPANG NO.2 PASAR MINGGU JAKARTA
Port of Loading: BELAWAN, INDONESIA
SELATAN 12560 INDONESIA
TEL : 021-50829455 / 56 FAX : 021-50829452 / 53 TAX ID :
Transshipment Port 1:
01.001.714.3-052.000
Transshipment Port 2: -
Transshipment Port 3: - Consignee’s Name & Address : CORTEVA AGRISCIENCE (M) SDN BHD
Port of Discharge: PORT KLANG, MALAYSIA B-3-3,THE ASCENT PARADIGM,NO.1
Final Destination : PORT KLANG, MALAYSIA JALAN SS7/26A, KELANA JAYA
Container Number & Type : CBHU-9133984 / 1X40’ 47301 PETALING JAYA SELANGOR DARUL EHSAN
OOCL Seal Number : OOLHTN7812 MALAYSIA

Dangerous Goods Details :-

Proper Shipping Name (1) : ENVIRONMENTALLY HAZARDOUS SUBSTANCE,
Item : 1 UN number : 3082
LIQUID, N.O.S. ( Florpyrauxifen-benzyl )
Base Chemical or Fumigant
(If applicable) : -
IMO Classification (2) : 9 Outer Packaging (Number & Type) : 1700 CASES (4G)
Packaging Group : III Inner Packaging (Number & 34000 PLASTIC BOTTLES
Type) :
(If applicable) (LQ)
Flashpoint (If 60 Deg C 100 Deg
or below) : C.
Marine Pollutant Yes Gross Weight (Kgs ) : 19516 KGS
Net Weight (Kgs) :
Limited Quantity : Yes Residue : No (If applicable) 15725 KGS
For containers under fumigation :
Date of fumigation : Amount & Type of fumigant :
(Instructions for disposal to be attached)

EMS Number : Local Category (e.g. MPA Class) : Net Explosive Content :
(For explosive substances only)
RIZKY
Emergency Contact Party :
AYU
And 24 hour Emergency Phone No. : 061-7867060
For USA Only :
Weight (Kgs) : DOT-E numbers:
Reportable Quantity
If Yes, Please indicate Poison
Poison Inhalation Hazard : No Inhalation Hazard Zone* :
(1) Trade names not acceptable. (2) Secondary classification also required, If applicable.

For temperature controlled Containers / Tanks :- Controlled / Set Temperature : Deg C

Emergency Temperature : Deg C

OOCL Dangerous Goods Approval Authority :
Shippers Declaration Container Packing Declaration
I hereby declare that the contents of this consignment are fully
I hereby declare that the goods described by this and any attached
and accurately described above by the Proper Shipping Name,
dangerous goods note & container packing certificate have been
and are classified, packaged, marked and labeled/placarded and
packed/loaded into the container identified above in accordance
are in all respects in proper condition for transport according to
with the provisions of the IMDG Code paragraphs 5.4.2.1 or
the applicable international and national government
7.5.2.7.
regulations.
This declaration must be completed, signed and dated by the Must be completed and signed for all container loads by person
consignor. Responsible for packing/loading the container.
Name of Company :
PT. CORTEVA AGRISCIENCE
PT. CORTEVA AGRISCIENCE : Name of Company :
MANUFACTURING INDONESIA
MANUFACTURING INDONESIA
Name / Status of Declarant : : Name / Status of Declarant :
RIZKY AYU / EXPORT IMPORT SPECIALIST
RIZKY AYU / EXPORT IMPORT SPECIALIST
Place and Date : MEDAN, 04 APRIL 2023 : Place and Date : MEDAN, 04 APRIL 2023
: Signature of Declarant :
Missing information may lead to container being rejected for shipment.