EMPTY UNCLEANED ISO LAST CONTAINED UN1030 1,1-DIFLUOROETHANE CLASS 2.1 UN1030 , 1,1-D IFLUOROETHANE (REFRIGERANT GAS R 152A) 1 ,1 -DIFLUOROETHANE , CLASS 2.1 , PLACARD/LABEL 2.1 , EMS F-D, S-U HS CODE 290343 NO AES /EEI RECORD IS REQUIRED FOR THIS TRANSACTION NO EEI 30 .37 (A) LOW VALUE RECORD FOR THIS TRANSACTION EMPTY UNCLEANE D ISOTANK NET WEI GHT 1 KGS INSTRUMENT OF INTERNATIONAL TRADE EXEMPT FROM EEI FILING REQUIREMENT- - FOR CUSTOMS PURPOSES ONLY. I HEREBY DECLARE THAT THE CONTE NTS OF THIS CONSIGNMENT ARE FULLY AND ACCURATELY DESCRIBED A BOVE BY THE PROPE R SHIPPING NAME, AND ARE CLASSIFIED, PACKAG ED, MARKED AND LABELED/PLACARDED, AND ARE IN ALL RESPECTS IN PROPER CONDITION FOR TRANSPO RT ACCORDING TO APPLICABLE INTER NATIONAL AN D NATIONAL GOVERNMENT REGULATIONS. SIGNED DAV ID S EKULA, DATED 03.12.2024 NO SED REQ D SE CT. 30.39 FTSR S.A.S. DOT-SP 14578 THIS SHIP MENT IS AUTHORIZED FOR TRANSPORTATION IN THE US BY A DOT SPECIAL PERMIT A COPY OF THIS SP ECIAL PER MIT IS IN THE PORTABLE TANKS DOCUM ENT TUBE. ALL DESTINATION CHARGES SHOULD APP EAR ON THE BL AS COLLECT EXCEPT THE THC TO E UROPE, VENEZUELA, AND BANGLADESH. FREIGHT PR EPAID EURU5344523 20240309BDP EURU5344 523 NO EEI SEC. 30.37(A) / ETUS13220298841 DESTINATION CONTROL STATEMENTS FCL CARGO P ORT TO PORT SERVICE CONTRACT NO. 299092704 CHB 4660 FOR ALL DISTRIBUTION INCIDENTS (SPI LL, LEAK, EXPOSURE, FIRE OR ACCIDENT) INVOLV ING ANY CHEMOURS SHIPMENT CONTACT CHEMTREC A T (800) 424-9300 OR CALL LOCAL OPERATOR AND A SK FOR A COLLECT CALL TO +(01) (701) 527-388 7. CHEMOURS REGISTRATION NUMBER WITH CHEMTRE C IS CCN721095 ALL DESTINATION CHARGES SHOUL D APPEAR ON THE BL AS COLLECT EXCEPT THE THC TO EUROPE, VENEZUELA, AND BANGLADESH. 11.1. 23 IT IS DECLARED THAT THE PACKING OF THE GO ODS INTO THE CONTAINER/VEHICLE HAS BEEN CARR IED OUT WITH THE APPLICABLE PROVISIONS KRIST A INCOLLINGO 10.1.23 I HEREBY DECLARE THAT T HE CONTENTS OF THIS CONSIGNMENT ARE FULLY AN D ACCURATELY DESCRIBED ABOVE BY THE PROPER SH IPPING NAME(S)AND ARE CLASSIFIED, PACKAGED, MARKED AND LABELLED AND PLACARDED,AND ARE IN ALL RESPECTS IN PROPER CONDITION FOR TRANSPO RT ACCORDING TO APPLICABLE INTERNATIONAL AND NATIONAL GOVERNMENTAL REGULATIONS. IT IS DE CLARED THAT THE PACKING OF THE GOODS INTO THE CONTAINER/VEHICLE HAS BEEN CARRIED OUT IN A CCORDANCE WITH THE APPLICABLE PROVISIONS. SI GNED KAITLYN FORRY DATED MARCH 11 2024 EMER GENCY CONTACT CHEMTREC, CCN721095 1800424930 0 17035273887 CONSIGNEE CONTINUED ATTN AL EN CAI EMAIL CAIHL@XGFREIGHT.COM DCF-CN-ISO @CHEMOURS.COM PHONE +86 18667839391 NOTIFY PARTY CONTINUED ATTN ALEN CAI EMAIL CAIHL@X GFREIGHT.COM DCF-CN-ISO@CHEMOURS.COM PHONE +86 18667839391
