(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 101°C EMS F-A, S-F MARINE POLLUTANT P
2 PLASTIC JERRICANS (3H1) NET QUANTITY PER PACKING 50 KG 105.40 100.00
UN 3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 106°C EMS F-A, S-F MARINE POLLUTANT P
1 PLASTIC DRUM (1H1) NET QUANTITY PER PACKING 200 KG 209.25 200.00
UN 3082,(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 87°C EMS F-A, S-F MARINE POLLUTANT P
1 PLASTIC JERRICAN (3H1) NET QUANTITY PER PACKING 50 KG 52.70 50.0

NAME / STATUS OF DECLARANT VEHICLE REG NO. S. DE R.L. DE C.V.
NAME / STATUS OF DECLARANT
EDUARDO ALVAREZ

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

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)
40.95 750.95
CONTAINER / VEHICLE PACKING CERTIFICATE RECEIVING ORGANIZATION RECEIPT
CONTAINER IDENTIFICATION NO. / SEAL NUMBER(S) CONTAINER/VEHICLE
SIZE & TYPE

TARE MASS
(KG)
TOTAL GROSS MASS (INCLUDING TARE KG)

VEHICLE REGISTRATION NO.
(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 87°C EMS F-A, S-F MARINE POLLUTANT P
1 PLASTIC JERRICAN (3H1) NET QUANTITY PER PACKING 50 KG 52.70 50.00
UN 3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 87°C EMS F-A, S-F MARINE POLLUTANT P
1 PLASTIC JERRICAN (3H1) NET QUANTITY PER PACKING 50 KG 52.70 50.00
UN 3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 87°C EMS F-A, S-F MARINE POLLUTANT P
1 PLASTIC JERRICAN (3H1) NET QUANTITY PER PACKING 50 KG 52.70 50.00
UN 3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
(HEXAMETHYLINDANOPYRAN)
CLASS 9, PG III, FP 87°C EMS F-A, S-F MARINE POLLUTANT P
HS 3302909900