SHIPPER S LOAD AND COUNT1X20ST CONTAINER(S)LOADED INTO1 20 CONTAINER(S)D-300 CONCENTRATED-300 CONCENTRATE815000-PT275UN3265 , CORROSIVE LIQUID,ACIDIC,ORGANIC, N.O.S. (4-SULFO-1,2-BENZENEDICARBOXYLIC ACID) ,8, IIHTS 381590SURFACTANTSNET WEIGHT :19051.0800 KGSHS-NO 3815905000219142AC/240372ET10420299979CHB 4660SHIPPER WOULD LIKE TO DECLARE:I HEREBY DECLARE THAT THECONTENTS OF THIS CONSIGNMENTARE FULLY AND ACCURATELYDESCRIBED ABOVE BY THE PROPERSHIPPING NAME(S)AND ARECLASSIFIED, PACKAGED, MARKEDAND LABELLED AND PLACARDED,AND ARE IN ALL RESPECTS INPROPER CONDITION FOR TRANSPORTACCORDING TO APPLICABLEINTERNATIONAL AND NATIONALGOVERNMENTAL REGULATIONS.IT IS DECLARED THAT THEPACKING OF THE GOODS INTOTHE CONTAINER/VEHICLEHAS BEEN CARRIED OUT INACCORDANCE WITH THE APPLICABLEPROVISIONS.SIGNED: JENNIFER COBLEDATED: APRIL 10 2024EMERGENCY CONTACT CHEMTREC7035273887/CONTRACT#17330EIN NUMBER 208141384LICENSE NUMBER LIC# 026644NF