carmel 20480228) | | | il il | | i | _ 11/15/96 6754 08 Ne Pn sre Rasa Ra PF TT john Doe 359, 999-5999> atronso DESTMONSE 975( See~683-5213| \}: eu eamaiterie. [eaneuny Cette Aoxsown, Testing Labs, Inc, pede le coe eetmsr anne! iS 01 Main Street 35 FLAGSHIP DR 10° se Fame mr sue iFrame NORTH ANDOVER MA-_|0 1°8°4'°S aA STR FTO MGIC VS TE ST Rs RR RS oe CTR R Ee] Seal Cola gia & SERVICES. DELIVERY AND SPECIAL MANOLING PayOO® ear Toa aate SERVICE CONDITIONS, DECLARED VALUE ae oer _{C0ck onty ere box) (Cech services equve) re “AND LIMIT OF LUBILITY Oe Cages Fission] messes | | Caoureteaierwean | 1 115 nvd See a= an ree Sesreee Geeta | ccwwii bons Bree |e] tay son sc 1» Cieaouroctesnp ssa 2D green eee CD ara, pe pa «(Rlanenees ert atone Ve aectaeeess TE] wou. se ‘o| oO Beco Blea SIGNATURE RELEASE UNAVAILABLE| rec “Ripe pare ANYTOW I Two completed and signed coples of this Declaration must be Pages handed to ine operator. WARNING Feallure to comply In all respects with the appl Regulations may be In breach of the applica ponaltles. This Declaration must not, In any elreumstances, be completed ‘andlor-signed by a consolidator, a forwarder or an IATA cergo agent. Shi le Dangerous Goods Type en nanepoiena) Sonpesocoaenx] RADIOACTIVE, NATURE AND QUANT OF DANGEROUS GOODS ang oar eneston — a Prope Shipping Name Se [see] sypret pacing teat? | AUtherzation adioactive Material 7 |un297 Iridium 192 Ir | Type B(U) Special Form n.o.s. \Metal Solid Yellow | Cert. JUSA/9033/ 1370 GBq TI [B(U) (10.0 Ci) 0.2 FOR CARGO AIRCRAFT ONLY| In 1 Type B(U) Package |Dim.: 44x37x |Overpack Used 37 cn. by eclre tale contents of Satie, ‘tare and 8 eric fr wanapot ya see oa ea i oll ry wd sea Serr" 600-424-9300 sy escibed above by the proper] SEPT an ain a eepecs ite BS aon Doe, ipper and National Governmental Regulations | stm oe a Byam, XX 11/15/96 SiSsanerd aie rarsrunae SSE RRERAPY, WS SHOPTENT CONTAINS RADIOACTIVE MATERIAL NTENGED FOR USE Wi OR NGTDERT FO, POOL O ODO OO LLL LD LOE a FEDEX COPY SEAR WEOCAT