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  • Shippers-Declaration-Column-Format-Fillable - Envio RGDE A BHI

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    This document declares the shipment of one radioactive source of Iridium 192. The source is classified as Class 7 dangerous goods, with an activity of 2230 GBq. It will be transported from Bahia Blanca, Argentina to Aeroparque Jorge Newbery, Buenos Aires in a Type B(U) package, under special transport arrangements in accordance with ICAO regulations. The 24-hour emergency contact is Ruben Calderon at phone number 291-5766037. The shipper declares that the consignment is properly classified, packaged, marked, labeled and in condition for transport according to applicable regulations.

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    shippers-declaration-column-format-fillable - envio RGDE a BHI (2)

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    This document declares the shipment of one radioactive source of Iridium 192. The source is classified as Class 7 dangerous goods, with an activity of 2230 GBq. It will be transported from Bahia Blanca, Argentina to Aeroparque Jorge Newbery, Buenos Aires in a Type B(U) package, under special transport arrangements in accordance with ICAO regulations. The 24-hour emergency contact is Ruben Calderon at phone number 291-5766037. The shipper declares that the consignment is properly classified, packaged, marked, labeled and in condition for transport according to applicable regulations.

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    © All Rights Reserved
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    99 views2 pages

    Shippers-Declaration-Column-Format-Fillable - Envio RGDE A BHI

    Uploaded by

    juan
    This document declares the shipment of one radioactive source of Iridium 192. The source is classified as Class 7 dangerous goods, with an activity of 2230 GBq. It will be transported from Bahia Blanca, Argentina to Aeroparque Jorge Newbery, Buenos Aires in a Type B(U) package, under special transport arrangements in accordance with ICAO regulations. The 24-hour emergency contact is Ruben Calderon at phone number 291-5766037. The shipper declares that the consignment is properly classified, packaged, marked, labeled and in condition for transport according to applicable regulations.

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    © All Rights Reserved
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    of 2

    SHIPPER’S DECLARATION FOR DANGEROUS GOODS

    Shipper
    Air Waybill No.
    GIE SA – Neuquén – Capital.
    Calle: Alcorta 672 – piso N°1.
    Page 1 of 1 Pages
    CP (8300)
    Tel: 0299-4209899. Shipper’s Reference No. (optional)

    Consignee
    Material Testing S.A
    Calle: Luis Sáenz Peña 1020, C1110AAV CABA
    Buenos Aires.
    Tel: 011-4306 6810.

    Two completed and signed copies of this Declaration must be handed to the operator.
    WARNING

    Failure to comply in all respects with the applicable


    TRANSPORT DETAILS
    Dangerous Goods Regulations may be in breach of the
    applicable law, subject to legal penalties.
    This shipment is within the limitations Airport of Departure (optional):
    prescribed for:

    (delete non-applicable) BAHIA BLANCA


    PASSENGER AND
    X XX AIRC
    AF T
    R

    CARGO AIRCRAFT ONLY


    Shipment type: (delete non-applicable)
    Airport of Destination (optional):
    XNXONX- RADIOACTIVE
    AEROPARQUE JORGE XRXADXIXOXACX
    NEWBERY TXIVE
    NATURE AND QUANTITY OF DANGEROUS GOODS. UNA FUENTE RADIOACTIVA DE IRIDIO 192.

    Dangerous Goods Identification

    UN or Proper Shipping Name Class or Division Packing


    ID No. (subsidiary hazard) Group Packing
    Quantity and Type of Packing Inst. Authorization

    UN 2916 MATERIAL 7 Ir 192 Special Yellow Special


    RADIOACTIVO Form 1 x 2230 II Form Cert.
    GBq USA/0335/
    TRANSPORTADO
    DIMENSI S-96
    EN VIRTUD DE
    ARREGLOS 1 Type Type B(U) Package
    ONES Package
    ESPECIALES Cert.
    20 x 50 x 37 USA/9296/
    No fisionable o cm alto S-96
    fisionable exceptuados

    IT:0,1

    Additional Handling Information


    24hr Emergency Contact Tel. No. 291-5766037 (Ruben Calderon) Permiso Individual N° 22619/0/4 /05-24

    this shipment is made under the provisions of ICAO

    Name of Signatory
    I hereby declare that the contents of this consignment are fully and accurately
    described above by the proper shipping name, and are classified, package Juan Moreno marked and
    labelled/placarded, and are in all respects in proper condition for
    transport according to applicable international and national governmental Date 02/05/22
    regulations. I declare that all of the applicable air transport requirements have been met.
    Signature
    (See warning above)

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