NOT MARINE POLLUTANT
8 PLASTIC JERRICANS (3H1) 212.80 200.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG II, FP 12 °C, EMS F-E,S-D NOT MARINE POLLUTANT
CLASS 3, PG III, FP 43 °C, EMS F-E,S-D NOT MARINE POLLUTANT
2 PLASTIC JERRICANS (3H1) 53.20 50.00
16 PLASTIC JERRICANS (3H1) 425.60 400.00
UN1197 EXTRACTS, FLAVOURING, LIQUID

SIGNATURE OF DECLARANT DRIVER ?S SIGNATURE SIGNATURE OF DECLARANT
NAME / STATUS OF DECLARANT
JULIO FERNANDO MARTINEZ ALAMILLA
SIGNATURE AND DATE EXPORT EXECUTIVE FLAVORS

PLACE AND DATE PLACE AND DATE

TLALNEPANTLA, EDO. DE MÉXICO
MAY 20TH, 2021

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 ?R 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.

120.00 1,995.00

CONTAINER IDENTIFICATION NO. / SEAL
NUMBER(S)
CONTAINER/VEHICLE
SIZE & TYPE TARE MASS (KG) TOTAL GROSS MASS (INCLUDING TARE KG)

CLASS 3, PG II, FP 13 °C, EMS F-E,S-D NOT MARINE POLLUTANT
2 PLASTIC JERRICANS (3H1) 53.20 50.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 29 °C, EMS F-E,S-D NOT MARINE POLLUTANT
4 PLASTIC JERRICANS (3H1) 106.40 100.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 9, PG III, FP 101 °C, EMS F-A, S-F MARINE POLLUTANT
CLASS 3 (8), PG II, FP -3 °C, EMS F-E, S-C NOT MARINE POLLUTANT
40 PLASTIC JERRICANS (3H1) 1064.00 1000.00
UN3082 ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S. (DIPENTENE)
1 PLASTIC JERRICAN (3H1) 26.60 25.00
UN2924 FLAMMABLE LIQUID, CORROSIVE, N.O.S. (ETHYL ACETATE,ACETIC ACID)
UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 29 °C, EMS F-E,S-D NOT MARINE POLLUTANT
2 PLASTIC
0.29 X 0.26 X 0.50 