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4QUICK VIEW SHIPPING DETERMINATION FORM Revision 13c <br /> For Use by Field Staff <br /> Date: TBD <br /> Project Name: Forward LF #N/A <br /> Project Number: 30158195 <br /> This Determination applies to <br /> The material you will be shipping includes the following: <br /> Air sample containing concentrations of flammable gases above the LEL: CH4 <br /> If this is not what you are shipping or if you need help, contact Heather Tegley <br /> at 619-832-3098 for assistance and guidance. <br /> The material in your shipment has been classified as a: Hazardous Material <br /> This material has been identified as: <br /> PROPER SHIPPING NAME (including applicable modifiers and technical names): <br /> ID NUMBER: 0 Hazard Class #N/A Packing Group 0 <br /> The above information in RED is required on the outer package of your shipment as illustrated in the picture <br /> Follow Shipping Guide US-001 to prepare this shipment =Follow Shipping Guide US-015 for dry ice <br /> Refer to the referenced HSSP to right for more information: NA <br /> Package preparation configuration per package shipped (not to exceed): <br /> Inner container sizes and quantity: #of containers Size Type Net Qty Each <br /> 4 1 L Metal 1 L <br /> 0 None None 0 L <br /> 0 None None 0 L <br /> 0 None None 0 None <br /> 0 None None 0 None <br /> 0 None None 0 None <br /> Intermediate packaging:I Metal receptacle (hermetically sealed) <br /> Outer packaging: ISAMPLE COOLER (Non-specification box- plastic ) <br /> Gross package weight must not exceed 66 pounds. For FedEx Ground, the net mass of HazMat in metal <br /> containers is limited to 50 pounds. The container limit is to hermetically sealed can which is acting as the <br /> inner containers. A 5 L summa canister or non specification sample cylinder are not authorized. <br /> #N/A <br /> To: <br /> From: <br /> 24 Hour Emergency Contact <br /> 1-800-2$W924 <br /> CHEMTEL#MISCM7883 <br /> If you do not have all of the marks or labels shown above. DO NOT GIVE THE PACKAGE TO FEDEX or <br /> UPS. Orientation arrows may be red colored. If required, contact the individual listed above for assistance. <br /> Your supervisor(PM, TM, or Field supervisor) must register this shipment with ChemTel (the Arcadis 24 <br /> hour emergency phone number provider). <br /> You must offer this shipment to: FedEx Ground <br />