EMPTY UNCLEANED ISO LAST CONTAINED UN3161 LIQUEFIED GAS, FLAMMABLE, N.O.S. (DIFLUOROME THANE, 2,3,3,3- TETRAFLUOROPROPENE) CLASS 2 .1 UN3161 , LIQUEFIED GAS, FLAMMABLE, N.O.S . (LIQUEFIED GAS, FLAMMABLE, N.O.S.) , CLASS 2.1 , PLACARD/LABEL 2.1 , EMS F-D, S-U HS CODE 290919 NO AES/EEI RECORD IS REQUIRED FOR THIS TRANSACTION NO EEI 30 .37 (A) LOW VALUE RECORD FOR THIS TRANSACTION EMPTY UNCLE ANE D ISOTANK NET WEIGHT 1 KGS INSTRUMENT OF INTERNATIONAL TRADE EXEMPT FROM EEI FILING REQUIREMENT- VALUE OF TANK 2.84 USD - FOR CU STOMS PURPOSES ONLY. I HEREBY DECLARE THAT TH E CONTENT S OF THIS CONSIGNMENT ARE FULLY AN D ACCURATELY DESCRIBED ABO VE BY THE PROPER SHIPPING NAME, AND ARE CLASSIFIED, PACKAGED , MARKED AND LABELED/PLACARDED, AND ARE IN AL L RESPECTS IN P ROPER CONDITION FOR TRANSPOR T ACCORDING TO APPLICABLE INTERN ATIONAL AND NATIONAL GOVERNMENT REGULATIONS. SIGNED DAVI D SE KULA, DATED 04.09.2024 NO SED REQ D SEC T. 30.39 FTSR S.A.S. DOT-SP 14578 THIS SHIPM ENT IS AUTHORIZED FOR TRANSPORTATION IN THE US BY A DOT SPECIAL PERMIT A COPY OF THIS SPE CIAL PER MIT IS IN THE PORTABLE TANKS DOCUME NT TUBE. ALL DESTINATION CHARGES SHOULD APPE AR ON THE BL AS COLLECT EXCEPT THE THC TO EU ROPE, VENEZUELA, AND BANGLADESH. FREIGHT PRE PAID CHRU5005409 20240406BDP CHRU50054 09 NO EEI SEC. 30.37(A) / ETUS13220328608 DESTINATION CONTROL STATEMENTS FCL CARGO PO RT TO PORT SERVICE CONTRACT NO. 299092704 C HB 4660 FOR ALL DISTRIBUTION INCIDENTS (SPIL L, LEAK, EXPOSURE, FIRE OR ACCIDENT) INVOLVI NG ANY CHEMOURS SHIPMENT CONTACT CHEMTREC AT (800) 424-9300 OR CALL LOCAL OPERATOR AND AS K FOR A COLLECT CALL TO +(01) (701) 527-3887 . CHEMOURS REGISTRATION NUMBER WITH CHEMTREC IS CCN721095 ALL DESTINATION CHARGES SHOULD APPEAR ON THE BL AS COLLECT EXCEPT THE THC TO EUROPE, VENEZUELA, AND BANGLADESH. 3.1.24 IT IS DECLARED THAT THE PACKING OF THE GOOD S INTO THE CONTAINER/VEHICLE HAS BEEN CARRIE D OUT WITH THE APPLICABLE PROVISIONS KRISTA INCOLLINGO 3.1.24 I HEREBY DECLARE THAT THE CONTENTS OF THIS CONSIGNMENT ARE FULLY AND A CCURATELY DESCRIBED ABOVE BY THE PROPER SHIPP ING NAME(S)AND ARE CLASSIFIED, PACKAGED, MAR KED AND LABELLED AND PLACARDED,AND ARE IN AL L RESPECTS IN PROPER CONDITION FOR TRANSPORT ACCORDING TO APPLICABLE INTERNATIONAL AND NA TIONAL GOVERNMENTAL REGULATIONS. IT IS DECLA RED THAT THE PACKING OF THE GOODS INTO THE CO NTAINER/VEHICLE HAS BEEN CARRIED OUT IN ACCO RDANCE WITH THE APPLICABLE PROVISIONS. SIGNE D KAITLYN FORRY DATED APRIL 09 2024 EMERGEN CY CONTACT CHEMTREC, CCN721095 18004249300 17035273887 CONSIGNEE CONTINUED ATTN ALEN CAI PHONE +86 18667839391 EMAIL CAIHL@XGFRE IGHT.COM DCF-CN-ISO@CHEMOURS.COM NOTIFY PAR TY CONTINUED ATTN ALEN CAI PHONE +86 186678 39391 EMAIL CAIHL@XGFREIGHT.COM DCF-CN-ISO@ CHEMOURS.COM
