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i.
Air waybill number: Enter the number of the air waybill to which the declaration form will be attached. (This
may be amended by the carrier.)
ii.
Aircraft limitations: Specify that the shipment is within the limitations for “
Cargo aircraft only
” within the
USA. A notation can be added in the handling information box of the Shipper's Declaration which states;
‘This shipment may be carried on passenger aircraft outside U.S. jurisdiction’
.
iii.
Airport of departure: Enter the full name of the airport of city of departure, which may be amended by the
carrier.
iv.
Airport of destination: Enter the full name of the airport or city of destination, which may be amended by the
carrier.
v.
Shipment type: Specify the shipment type as ‘
Radioactive
’.
vi.
Under nature and quantity of dangerous goods, specify the number of packages (of same type and content),
their type of package and activity in Becquerels or multiples thereof (units used must be clearly indicated) in
each package, including packages in overpacks.
(If relevant) Indication of use of overpack and dimensions of the overpack (including dimensional units).
When an overpack is used, the wording ‘
Overpack Used
’ must be inserted on the declaration form
immediately after all the relevant entries relating to the packages within the overpack. In such cases, packages
within overpacks must be listed first. Dimension units must be in multiples of meters.
vii.
The 24-hour emergency number required by Step 13(xi) of this part, must appear in the ‘Additional Handling
Information’ section of the Declaration for Dangerous Goods.
viii.
For shipment of special form radioactive material, the Special Form Certificate of Competent Authority for
the radioactive source must be included. (e.g. USA/0502
/
S-96).
ix.
For air shipments, the following shipper's certification may be used:
"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/placarded, and are in all
respects in proper condition for transport according to applicable international and national
governmental regulations. I declare that all of the applicable transport requirements have been met."
For air shipments within the USA, the following statement:
"THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR CARGO AIRCRAFT
ONLY."
The information on the Declaration for Dangerous Goods must be entered strictly in accordance with the
order specified in the latest edition of the International Air Transport Association, Dangerous Goods
Regulations. Questions regarding completion of a Shipper's Declaration for Dangerous Goods should be
directed to the Radiation Safety Officer.
E.
Shipment of an empty Model 989 exposure device
1)
Assure the exposure device does not contain a radioactive source by removing the key-locked protective cover to
visually confirm that no source assembly is contained in the device. Place the empty Model 989 into the reusable
storage and shipping case. Survey the package at the surface and at 1 meter from the surface to determine the proper
shipping labels to be applied to the package.
Note:
An empty Model 989 exposure device should not measure any radiation level above the measured
background radiation. If the surface radiation level is above background, Contact QSA Global, Inc. or one
of its’ authorized service centers. Do not ship the package as empty.
2)
If the shipping package is to be placed inside a crate or other outer packaging, the outer packaging must be strong
enough to withstand the normal conditions of transport, and must not reduce the safety of the package. The shipping
package must be placed within the outer package with sufficient blocking to prevent shifting during transportation
.
Summary of Contents for 989
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