??>?? NQ????M??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????[? ?R?^/bjbj????4<??| 0???????^^????????????8?,T?k%?ss"????$?$?$?$?$?$?$$O'??)6?$Q?$??^$$?$????(%%?#?#?#$??????$?#$?$?#?#?#?????0E?`z??!??#?$;%0k%?#'*?!?'*?#'*??#h?J?#?< ?$?$?"?k%$$$$????????????????????????????????????????????????????????????????????'*^ m: qSi?/al?gqS?['`'?ir?[hQ??3u?bUS Declaration on Safety and Fitness of Dangerous Goods / Hazardous Goods ?S¨¾'?ir ? ?Packaged ? ?/nArrival?%/?Q/nDeparture( ?S'??N?###lQ?S Shipper?6e'??N?###lQ?S Consignee:b??N?###*??lQ?S Carrier:9? T?T*?!k ?###n? ###*?!k Ship s name & Voyage NO. :¨¾'?/n?R??\ Port of Loading:xS'?/n??q\ Port of Discharging :'?irh???T?S ??Y?(u ??~?N?v?+R&{?Sb{v???S? Marks & Nos, of the Goods, if applicable, identification or registration number(s) Of the unit ?ecknx??? T?y*0qSi?{|+R0qS??S?S¨¾{|**0S?N?v?y{|?Tpe?0?p!??og ?**0?c6R?S?^%`)n?^**0'?ir:Nwm mal?gir**0?^%`?c?e?S*** Proper shipping name*,IMO hazard class/ division, UN number, packaging group**, number and kind of packages, flash point (!c.c.),control and emergency temperature**, identification of the goods as MARINE POLLUTANT**, Ems No.*** "l'lS?? ??VSO?v?Sodium Hydroxide, Solid ??8?1823?a!?QX?e?~??400*N;`??kg ? ?Q?/?Q? Total weight (kg) Net weight (kg) ;`??10200CSKQ ?Q??10000CSKQ?N?N¨¾?'?ir?vb__? Goods delived as : ?% Bg'? Break bulk cargo ( b?~?N Unitized cargo box ?% ce'?S¨¾ Bulk packages ?%ce¨¾?VSO Solid in bulk ?~?N{|?W? Type of unit : (?¨¾?{ Container ?%f??? Vehicle ?%P?g Portable tank ?%_^e_ Open (\?_ Close ?Y?T ?(W?eFh?QR ? Inset ? in appropriate box*?NO(uN)RFUh/FU?T T?y/f NY?v ??Y?T??1 ??^(W?T TMR?R ?^_ir ??2 ? zz?v*g?~nm+T g?kYOir ? NN!k?v¨¾ir ??3 ? P?? **?Y??? ??? 0?VE?qS? 0,{2wS,{3.4.6 >k ***????e *Proprietary/trade names alone are not sufficient. If applicable : (1)the world  WASTE should proceed name;(2) EMPTY/UNCLEANED or  RESIDUE-LAST CONTAINED ;(3) LIMITED QUANTITY the should be added.**When required in item 3.4.6,volume 2 of the IMDG Code;***When requiredD???N NUS??0D??e??QeQ?X'?irS¨¾'`???h???~?gUS0?Q?XqSi?'?ir???S¨¾O(ut??[?~?gUS0?¨¾?{¨¾?qSi?'?ir¨¾?{"$????????????     ( * , 4 > T V ^ l | ~ ? ? ? ? ? ? ? ? ? ? ?    L P ? @ B D P ??????????????????????????????????????????????????? h?GPCJo( h\LmCJo( h?Q?CJ hG-`CJ hH?CJo( hG-`CJo(hG-` jR?hno( hno( hG-`o( hG-`CJ hG-`CJo( hG-`5?hG-`5?CJo( hG-`5?CJ hG-`5?aJhG-`5?aJo(4$???  , @ V n ? ??????????? $Ifgdp9JgdG-`$a$gd?!$a$gdG-` $1$a$gdG-` ? ? ? ? ?  " N offffff $Ifgdp9J?kd$$IfT?l??w?F?????$C? ?0????????? ???? ???? ???? ???4?4? la?yt?!?TN P ? @ D ? ? ".Rofffff]fff $Ifgd?SN $Ifgdp9J?kd?$$IfT?l????F?????$C? ?0????????? ???? ???? ???? ???4?4? la?yt?!?T P R X n r ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?  "&(,rvz|????????????? ???????????????????????????????????????????????h1?h?^?CJOJQJaJo(h1?CJOJQJaJo(hG-`h?SNCJOJQJaJo(hG-`CJOJQJaJo(hdQ?h?mGCJo(h5V.CJOJQJaJo( hG-`CJ hG-`CJo(hG-`CJOJQJo(hG-`CJOJQJ4Rr?????>Ljv???????(4@??????????????????????????$IfWDd`??gdp9J?_$IfWD2`?_gdp9J $Ifgd?SN $Ifgdp9J  >@BJjt????????&68>Nf?????????(,DFJTVXbhj???????????&"&????????????????????????????????????????????????????™E????U h?CCCJo( hnCJo( h?>TCJo(h?hG-`CJhG-`CJOJhG-`CJOJQJhG-` jS?h?~?OJQJo(hG-`CJOJQJo( hG-`CJo( hG-`CJ jS?h?!OJQJo(<@Nh??j?????R????kdP$$IfT?l4????\??P??$?????????\ ????????????T????????`? ?0?????????????????????????????????????????????????4?4? la?yt?!?T $Ifgdp9J??(&?&?&?'?xxxo $Ifgdw? $Ifgdp9J~kdN$$IfT?l4????0???$l???? ? ?0???????????????????????4?4? la?yt?!?T??ffN0Sf[?T?[hQ?b/g?ffN0?YXb??f The following documents(s) and information are submitted: (W?g?y?`?Q N ???c?Oyr?kD??e??fN ???? 0?VE?qS? 0,{1wS,{5.4.4??0 In certain circumstances special information certificates are required, see paragraph 5.4.4,volume 1 of IMDG Code.yQ?Xf? N???b?N?N9?6?¨¾??vqSi?'?ir/al?gqS?['`'?ir?] c??[hQ?v^?Qnx0WkX?Q?Ncknx??? T?y0qS??S0R{|0qSi?'`?T?^%`?c?e ??D?US??P?hQ0S¨¾qSi?'?ir ?S¨¾cknx0(???[}Y?h??0h?_/hLrcknx0?EN0?N N3u?b?Qnx?e?0 Declaration: I hereby declare that the contents of this declaration are fully and accurately described above by the proper shipping name, UN No., Class and EmS No. The goods are properly packaged, marked, labeled/ placarded and are in all respects in good condition for transport by sea. 3u?b?NXT?Y T? _ N 3u?bUSMO~{?z Declarer(signature): Seal of Declaration Unit 3u?b?NXT?W??YHh?S?###01 2011t^ 7g 1?e No.: Year Month Date;N?{:gsQ~{?lh? Remarks by the Administration:'}%`T??|?N?Y T05u?0 Ow05uP[???{? _ N ?5u?137######## Emergency Contact Person s Name, Tel, Fax and E-mail :dk3u?bUSN_ N?N ?vQ-N$N?N3u?b?NYuc?TR?b?9?6? ?N?NYu;N?{:gsQX[?g0 This declaration should be made in tripartite, one is kept by the Administration for file, and two for the declarer and the ship respectively.       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