DANGEROUS GOODS - SHIPPING DOCUMENT

TRANSPORT COMPANY:

NB:

This information is required under law. Unless otherwise noted, ALL sections MUST be completed in detail.

CONSIGNOR:

CONSIGNEE:

Emergency Contact Name (24 hours)

Contact Name

Mike Finke

Telephone No (24 hours) 0407 553 856

Telephone

Record the information below for each Class of Dangerous Goods (maximum of 3 different classes

per Shipping Document)

Freight (Con) Note No.

Shipping Name

Paint / Thinner

Paint

Paint

Trade / Common Name

Chlor. Rubber / Xylene

Epoxy part A

Epoxy part B

DG Class

3.2

3.2

3.2

DG Sub Risk

None

None

8

UN No.

1263 / 1307

1866

2733

Packaging Group

3

Net Weight

Number of Items

Outer Packaging Type

This is to certify that the above Dangerous Goods are properly classified, described, packaged,

marked and labelled, and are in proper condition for transport according to the provisions of the

"Australian Code for Transport of Dangerous Goods by Road & Rail".

Date:

Signed: