TO THE RECEIVING AUTHORITY Please receive for shipment the goods described below subject to your published regulations and conditions (including those as to liability)
SPECIFY : PROPER SHIPPING NAME,IMO HAZARD CLASS, UN NO. Additional information (if applicable see next sheet)
CONTAINER/ VEHICLEPACKING CERTIFICATE
I hereby declare
that the goods
into the container/
MUST BE COMPLETED AND
SIGNED FOR ALL
THIS IS TO CERTIFY AND CONFIRM THAT WE HAVE AFFIXED PROPERLY THE APPROPRIATE GOOD QUALITY IMCO CLASS STICKERS ON ALL FOUR SIDES OF THE CONTAINER
SIGNATURE OF DECLARANT
PROPER SHIPPING NAME - TRADE NAMES ALONE ARE UNACCEPTABLE
DANGEROUS GOODS DECLARATION
"I hereby declare that the contents of this consignment are fully and accurately decribed above by the correct technical name(s) (proper shipping name(s)), that the shipment is packaged in such a manner as to withstand the ordinary risks of handling and transport by sea, having regard to the properties of the goods to be carried, and that the goods are classified, packaged, marked and labelled in accordance with the requirements of the Merchant Shipping (Dangerous Goods and Marine Pollutant) Regulations 1990 as currently amended. I further declare that, if appropriate, the goods are classified, packaged and marked to comply with the requirements of the European Agreement concerning the International Carriage of Dangerous Goods by Road (ADR) and of Approx 1 (RID) to the Uniform Rules concerning the Contract for International Carriage of Goods by Rail (CIM) or special arrangements made between the contracting parties to these Agreements.
The shipper must complete and sign box 17."
DOCK/TERMINAL RECEIPT Received the above number of packages/containers/trailers in apparent good order and condition unless stated hereon.
RECEIVING AUTHORITY REMARKS
890 Non-completion of any boxes is a subject for resolution by the contracting parties