(DIPENTENE)
4/4 0.1508

8/8 0.3016
(DIPENTENE)
4/4 0.1508

1/1 0.0377

1/1 0.0377

SIGNATURE OF DECLARANT DRIVER ÌS SIGNATURE SIGNATURE OF DECLARANT
NAME / STATUS OF DECLARANT
JULIO MARTINEZ
SIGNATURE AND DATE EXPORT EXECUTIVE FLAVORS

PLACE AND DATE PLACE AND DATE

TLALNEPANTLA, EDO DE MEXICO
APIL 21TH, 2020

MUST BE COMPLETED AND SIGNED FOR ALL CONTAINER /
VEHICLE LOADS BY PERSON RESPONSIBLE FOR
PACKING/LOADING
NAME OF COMPANY NAME OF THE COMPANY(OF SHIPPER PREPARING

THIS NOTE) HAULIER ÌR NAME

INTERNATIONAL FLAVORS AND FRAGRANCES MEXICO,
S. DE R.L. DE C.V.

NAME / STATUS OF DECLARANT VEHICLE REG NO.
CONTAINER / VEHICLE PACKING CERTIFICATE RECEIVING ORGANIZATION RECEIPT

RECEIVED THE ABOVE NUMBER OF PACKAGES/CONTAINERS/TRAILERS IN APPARENT GOOD
ORDER AND CONDITION, UNLESS STATED HEREON:

I HEREBY DECLARE THAT THE GOODS DESCRIBED ABOVE HAVE BEEN
PACKED/LOADED INTO THE CONTAINER/VEHICLE IDENTIFIED ABOVE IN ACCORDANCE
WITH THE APPLICABLE PROVISIONS. †

RECEVING ORGANIZATION REMARKS

VEHICLE REGISTRATION NO.

35.20 585.20

CONTAINER IDENTIFICATION NO. / SEAL
NUMBER(S)
CONTAINER/VEHICLE
SIZE & TYPE

TARE MASS (KG) TOTAL GROSS MASS (INCLUDING TARE KG)
1 PLASTIC JERRICAN (3H1) 26.60 25.00
CLASS 3, PG III, FP 58°C, EMS F-E,S-D NOT MARINE POLLUTANT
UN1197 EXTRACTS, FLAVOURING, LIQUID
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 52°C, EMS F-E,S-D NOT MARINE POLLUTANT
4 PLASTIC JERRICANS (3H1) 106.40 100.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG II, FP 21°C, EMS F-E,S-D NOT MARINE POLLUTANT
1 PLASTIC JERRICAN (3H1) 26.60 25.00
200.00

UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 55°C, EMS F-E,S-D MARINE POLLUTANT
4 PLASTIC JERRICANS (3H1) 106.40 100.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 60°C, EMS F-E,S-D NOT MARINE POLLUTANT
8 PLASTIC JERRICANS (3H1) 212.80
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG II, FP 17°C, EMS F-E,S-D MARINE
0.50*0.26*0.29**22
0.50*0.26*0.29*63