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Sample Shipping Document

Source: Transport Canada Web site

This sample shipping document can be used for most Canadian shipments of dangerous goods.
This advisory notice provides a general outline of the documentation requirements. For specific information, the Act and Regulations must be consulted.

SHIPPING DOCUMENT

Destination (City-Town)
Name :
Address :

Consignor
Name :
Address :

Name of carrier
Prepaid ___
Collect ___

Transport unit no

Point of origin

Shipping date

Shipper's no

REGULATED DANGEROUS GOODS
24 HOUR NUMBER :
ERP reference & telephone number (if required):

Shipping name
(technical name) if applicable

class primary

class subsidiary

UN number

packing group /
risk group

quantity

packages
requiring
labels

                                         
                                         
                                         
     

THIS IS TO CERTIFY THAT THE ABOVE NAMED ARTICLES ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED AND LABELLED AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE TRANSPORTATION OF DANGEROUS GOODS REGULATIONS

SPECIAL INSTRUCTIONS

     

NON REGULATED GOODS

Packages

Description of articles

Weight

     
     

 

Received in apparent good order

__________________________
Consignee's signature


__________________________
Shipper's signature

 

Received above in apparent good order

 

__________________________
Driver's signature

Drivers' no.


Please note that this sample shipping document contains some information that is not required in the TDG Regulations. The additional information, however, reflects current industry practices.

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Last Modified: March 07, 2004