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Dangerous Cargo Approval Form _EP003_

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Dangerous Cargo Approval Form _EP003_ Powered By Docstoc
					                                                    BANGKOK MODERN TERMINAL LTD.
                                            DANGEROUS CARGO APPROVAL FORM
TO : EDP DIVISION FAX : 0-2425-8786                              DATE : _______/_______/_______                                        PAGE : _______OF _____

 INTEND VESSEL                :                                  INTEND VOYAGE :                                       B/L No.         :
 CONTAINER NO.                :                                                                                        SIZE/TYPE :
 COMMODITY                    :
 CHEMICAL NAME (SPECIFY) :
 IMO. DETAIL                  : CLASS :               UN NO. :                  PAGE :                       PACKING GROUP :
                              : FLASH POINT :                                                                LABEL :
                              : MFGA NO. :                                                                   EMS. NO. :
 TYPE OF PACKING              :
 QUANTITY                     :                                                 GROSS :                      NET :
 CONSIGNEE                    :
 ADDRESS                      :
 TEL / FAX                    :

 SUPPORT DOCUMENT :                                   MATERIAL SAFETY DATA SHEET                                       PRODUCT SPECIFICATION

                                                      OTHERS _____________________________________________________________________


              We hereby certify that the declarations above are true and correct. We, further, undertake to comply with the terminal
 regulations and rules, and all the ROYAL THAI GOVERNMENT'S LAWS for the transportation, Importation, exportation, and
 handling of the dangerous cargoes.
 REQUEST NO. :                :
 CARRIER/APPLICANTS :


                    COMMENT /                         NOT ALLOW TO LOAD / DISCHARGE
                    APPROVAL                          ALLOW TO LOAD / DISCHARGE EX HOOKS
                                                      ALLOW TO LOAD / DISCHARGE BUT TO BE STORED IN CONTAINER

 CONDITIONS / SPECIAL PRECAUTIONS :




 APPROVAL NO.                 :                                    DATE :                                      BY :

 REMARK : Please refer Approval No. in the " DANGEROUS CARGOES LIST " when the cargo is acctually shipped.

Upd30/09/04                                                                                                                                       BMT/EP003/04W

				
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posted:11/28/2011
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