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Section+IB+Declaration+Form+2015+(sample) .pdf

Original filename: Section+IB+Declaration+Form+2015+(sample).pdf
Title: Microsoft Word - Section IB Declaration Form 2015 (sample).docx

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Shipper’s  Declaration  for  Section  IB  Lithium  Cells  /  Batteries  

Shipment  Details:  


Master  Air  Waybill  Number  (For  Direct  Shipment):_____________________  
 House  Air  Waybill  Number  (If  applicable):____LB11111________________            
Origin  (Optional):____Hong  Kong________________  
Destination  (Optional):___Korea_________________  


þ      Lithium  ION  batteries  in  compliance  with  Section  IB  of  PI__965_____.  
¨ Lithium  METAL  batteries  in  compliance  with  Section  IB  of  PI__________.  

This   package   must   be   handled   with   care   and   that   a   flammability   hazard   exists   if   the   package   is  
Special   procedures   must   be   followed   in   the   event   the   package   is   damaged,   to   include  
inspection  and  repacking  if  necessary.    
Special  Procedures:    
Leave  the  area.  Allow  vapours  to  dissipate.  Avoid  skin  and  eye  contact…    

• Telephone  Number  for  Additional  Information:    



MSDS  attached,  MSDS  #6666    




Updated:  16  January  2015  



+86  20  12345678  



(Country  Code)  +  Area  Code  +  Phone  Number  











Name:                CHAN  TAI  MAN    
Date:    _____10  JANUARY  2015_________  

Document preview Section+IB+Declaration+Form+2015+(sample).pdf - page 1/1

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