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a <br /> IMO DANGEROUS GOODS DECLARATION <br /> 1 Shipper 2 Transportation Document Number <br /> A&S INTERNATIONAL CORPORATION CAOA492891 <br /> 1128 TREVINO TER.,SAN JOSE,CA 95120 <br /> 3 4 Shipper's Reference <br /> PAGE 1 of 1 <br /> 6 Consignee 5 Freight Forwarder's Reference <br /> DANSUK GUNSAN INDUSTRIAL CO.,LTD. PEC209265BUS <br /> 10,SEOHAE-RO,GUNSAN-SI, 7 Carrier Ito be declared by the Carrier) <br /> JEOLLABUK-DO, KOREA 54006 <br /> HYUNDAI MERCHANT MARINE <br /> 8 SHIPPER'S DECLARATION <br /> I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name(s),and are classified,packaged,marked and <br /> labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations. <br /> 10 Vessel/Flight and Date 11 Port/Place of Loading 9 Additional Handling Information <br /> EMERGENCY PHONE 9 <br /> HYUNDAI LONG BEACH 088W OAKLAND, CA 1-703-527-3887 (CHEMTREC) <br /> 12 Port/Place of Discharge 13 Destination <br /> BUSAN,KOREA <br /> 14 Shipping Marks Number and Kind of Packages,Description of Goods GW(kg) NethlissW Cube(m3) <br /> UN#2794 16 PALLETS 18,955 18,650 4D CBM <br /> BATTERIES WET FILLED WITH ACID <br /> CLASS 8 PLASTIC WRAPPED PACKING <br /> USED BATTERIES <br /> I <br /> 15 CTU ID No. 16 Seat Numbers 17 CTU Size and Type 18 Tare Mass(kg) 19 Total Gross Mass(kg) <br /> GAIU6193418 ©'5 d 2D' <br /> CONTAINERlVEHICLE PACKING CERTIFICATE 21 Receiving Organization Receipt <br /> I hereby declare that the goods described above have Received the above number of paekagesfeontainersHrailers in apparent good order and condition,unless <br /> been packedlloaded into the conlainergvehicleidentified stated hereon;RECEIVING ORGANIZATION REMARKS: <br /> above in accordance with the applicable provisions of <br /> IMDG code 5.42.MUST BE COMPLETED AND SIGNED <br /> FOR ALL CONTAINERNEHICLE LOADS BY PERSON <br /> RESPONSIBLE FOR PACKINGILOADING. <br /> 20 Name of Company Hauler's Name 22 Name of Company Preparing Note <br /> ALCO IRON&METAL CO ILA"ID3 -Frack:,,m4, ALCO IRON&METAL CO <br /> Name/Status of Declarant Vehicle R46tration No. Name/Status of Declarant <br /> EMILIO ZAMORA KP 22 -457 EMILIO ZAMORA <br /> Place and Date Driver Name and Date �7 / Place and Date <br /> SAN LEANDRO,CA 07108/2019 [ /-U '! ! $ 1151 SAN LEANDRO,CA 07/08/2019 <br /> Driver's Signature Signature o <br /> s <br />