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ShipperL . 5.0. M. C ./t>OfioPr
Surqery 1542 Tulane Ave. New Orleans, LA 70112
Consignee Dr. Hanan Oh an tons Stein Laboratory (DuPont) bldg. 1, Elkton Rd. Newark, DE 19714
Air Waybill No. 3735535313
Page 1 of 1 Pages Shipper's Reference Number
(optional)
two completed and signedCopies of this Declaration must be handedto the operator
TRANSPORT DETAILS
This shipment is within the limitations prescribed for
(delete non-applicable)
PASSENGER AND CARGO AIRCRAFT
fax
Airport of Departure
/Jeti
Airport of Destination
WARNING
Failure to comply in all respects with the applica ble Dangerous Goods Regulations may be in breach of the applicable law, subject to legal penalties. This Declaration must nob in any cir cumstances, be completed and/or signed by q consolidator, a forwarder or an IATA cargo agent.
Shipment type (deletenon-applicable) NON-RADIOACTIVE IMtM&M'&X
NATURE AND QUANTITY OF DANGEROUS GOODS
Dangerous Goods Identification
Proper Shipping Name
Class
1
l
UN
1 1
Subsi-|
or 1 or 1 diary j
Divi- j (0 j Risk j sion -1-- No. --4I -
Lead Compounds, Soluble, N.0.5, (Lead Contaminated So 11)
POISON
6.1 UN 2291
Quantity and type of packing
plastlc drums lQKg each
Packing Inst.
Authorization
Y619 !Limi ted Quantity
III
Additional Handling Information
24Hr Emergency phone #
(504)361-5284
I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labelled, and are in all respects in the proper condition for transport by air according to the applicable International
and National Government Regulations.
Name/Title of Signatory
As S'
iDuane M Smith dr.Ph.0./Pro
Place and Date
LSUMP;,' 1542 Tulane Avi
Signafure
(see'warning i