PennDOT - Hazardous Materials Endorsement Renewal Manual

Shipping name, hazard class, and ID number must not be abbreviated
unless specifically authorized in the hazardous materials regulations. The
description must also show:
• The total quantity and unit of measure, and
• The letters RQ, if a reportable quantity.
• If the letters RQ appear, the name of the hazardous substance.
• For "n.o.s." and generic descriptions, the technical name of the
hazardous material.
"RQ" means that
this is a
reportable
quantity
Hazard Class from
Column 3 of the
Table
Proper shipping name from
Column 2 of the Hazardous
Materials Table
ID Number from Column
4 of the Hazardous
Materials Table
SHIPPING PAPER Page 1 of 1
TO: Wafers R US
FROM: Essex Corporation
88 Valley Street 5775 Dawson avenue
Silicon Junction, Ca Coleta, Ca 93117
QTY HM DESCRIPTION WEIGHT
1 cyl RQ Phosgene, 2.3, UN1076, 25 lbs.
Poison, Inhalation
Hazard, zone a
This is to certify that the above named materials are properly classified, described,
packaged, marked, labeled and placarded and are in proper condition for
transportation according to the applicable regulations of the Department of
Transportation.
Shipper: Essex Corp.
Carrier: Knuckle Bros.
Per: Shultz Per:
Date: 6/17/88 Date:
SPECIAL INSTRUCTIONS:
24 hour Emergency Contact, Ed Shultz, 1-800-555-5555
Figure 6 - Example of Shipping Paper
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