Wright Air Service Hazmat Shipping Form
Form 49-CFR DOT-SP MSDS

Hazmat Shipping Form -- Complies with 49 CFR -- 24hr Emergency Contact 1-800-478-0502

Name of Shipper:

Shipper Address:

I hereby certify that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packaged, marked and labeled, and in proper condition for carriage by air according to applicable national governmental regulations. I declare that all the applicable air transport requirements have been met.

Signature:

Date and Time:

Airport of Departure:

Airport of Destination:

Units of Hazmat Proper Shipping Name Hazard Class UN Number Packing Group Net Qty. per Unit ERG Number Special Permit (if required)
Select Battery, Wet, Filled with Acid 8 UN 2794 PG III 154 DOT-SP_____
Select Consumer Commodity ORM-D-AIR none none 171 DOT-SP_____
Select Consumer Commodity Cartridges, Small Arms ORM-D-AIR none none 171 DOT-SP_____
Select Engine, Internal Combustion 9 UN 3166 none 128 DOT-SP_____
Select Fire Extinguishers 2.2 UN 1044 none none DOT-SP_____
Select Gasoline 3 UN 1203 PG II 128 DOT-SP_____
Select Receptacles, Small containing liquified compressed gases 2.1 UN 2037 none 115 DOT-SP_____
Select Paint 3 UN 1263 PG III 128 DOT-SP_____
Select Paint 8 UN 3066 PG III 153 DOT-SP_____
Select Paint Related Materials 8 UN 3066 PG II 153 DOT-SP_____
Select Petroleum Distillate, N.O.S. 3 UN 1258 PG II 128 DOT-SP_____
Select Petroleum Gases, Liquified 2.1 UN 1075 none 115 DOT-SP_____
Select Vehicle, Flammable Liquid, Powered 9 UN 3166 none none DOT-SP_____
Select Aerosols, Non-Flammable (bear spray) 2.2 UN 1950 none 126 DOT-SP_____
Select DOT-SP_____
Select DOT-SP_____
Select DOT-SP_____
Select DOT-SP_____

Transportation Detail

This shipment is within the limits prescribed for:

Shipment Type

This shipment is:

Cargo Handler Responsibilities

Signature of person certifying that the shipment is not damaged or leaking during loading

____________________________________________________

Location aboard airplane:

-- Belly Pod -- Wing Locker -- Nose Compartment -- Cabin --

Pilot Responsibilities

Signature of Pilot in Command

____________________________________________________

Flight#: _________________________

Date: ____________________________

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