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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  
 
WARNING:  LITHIUM  BATTERIES  IDENTIFIED  BY  THE  MANUFACTURER  AS  BEING  DEFECTIVE  FOR    
SAFETY  REASONS,  OR  THAT  HAVE  BEEN  DAMAGED,  MUST  NOT  BE  SHIPPED  BY  AIR.  
 
 

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  
damaged.    
 
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:    

 
 

 

Remarks:  
MSDS  attached,  MSDS  #6666    

 

 

                                                                                                   

Updated:  16  January  2015  

 

 

+86  20  12345678  

 

 

(Country  Code)  +  Area  Code  +  Phone  Number  
 

 

 

 

 

 

 

 

 

 

               

 
 
Name:                CHAN  TAI  MAN    
 
 
(CAPITAL  LETTERS)  
     
Date:    _____10  JANUARY  2015_________  
 
 
 


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