??>?? ac????`??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????[? ?R?$bjbj????;8??j????????KK+/+/+/?????/?/?/8w/?/d?/?J??/?/?/?/?/O1O1O1JJJJJJJ$?M?dPZAJE+/O1G1K1O1O1AJKK?/?/P?JC4C4C4O1?K? ?/+/?/JC4O1JC4C4??E??)@?H?/????@?Ez??/'3?_HFJ?J0?J?HF?P?3v?P??H?P+/?HO1O1C4O1O1O1O1O1AJAJC4O1O1O1?JO1O1O1O1?????????????????????????????????????????????????????????????????????PO1O1O1O1O1O1O1O1O1 : 9?6?}??qSi?/al?gqS?['`'?ir3u?bUS Declaration Form Dangerous Goods/Hazardous Goods Carried By Ship ?S¨¾'?ir ? ?Packaged ? 9? T? *? !k? ?% ?/n ?Y?S/n: ?b/n?e??? Ship s name? Voyage No: Arrival Port of Departure: Time of Arrival: ?V M|? ?~%??N? ?% ?Q/n \ON?lMO: ¨¾'??e??? Nationality: Manager: Departure Berth: Time of Loading: '?ircknx??? T?y Proper Shipping Name of the Goods{|+R/'`(? Class/PropertyqS??S UN No.¨¾?b__ Means of Transport?N pe Number of Packages;`???CSKQ ? Weight in Total(Kg)xS'?/n Port of Discharging¨¾}?MOn Location of StowageY?l RemarksyQ?Xf9hnc9?6?¨¾}?al?gqS?['`'?ir?[hQ?T2?al?g??[ ?,gn?wQY¨¾}? N??'?ir?v?¨¾ag?N ?'?irM?¨¾&{T??Bl ?'?irD??eP?hQ03u?b?Q?[cknx?e?0 I hereby declare that , in accordance with the provisions of the safe transportation of dangerous goods by ships and pollution prevention , the ship has met the requirements of fitness for carrying the above declared goods ; Cargo stowage is properly planned according to the requirements ; The documentation of the cargo is complete and the contents of the declaration are true and correct. D???N NUS??0D??e? The following documents and information are subm$Ff????????????????? " $ & * 8 : @ f h r ? ? V X Z \ ` d z ? ? ? ? ? ? ? ? ? ? ? ? ??????????????????????????????????¦²?????????¦¢??? h?qCCJo( h? pCJh'(>CJOJQJo( h? 9CJ h? pCJo( h'(>CJh? 9CJOJQJo( h? 9CJo( h?r?CJ h?U?CJ h?U?CJo( h?U?o(h?U? h?)?o(h%>]h??OJPJo(h?U?OJPJo(6$???t Z ? ? : F d n | ? ? ? ? ?   D N ??????????????????????? d?$Ifgd}? d?$If ?8d?gd? 9d?$d??a$$a$? ? ? L ? ? ? ? ? : > @ D d l | ? ? ? ? ? ? ? ?    D L v z ? ? ? ? ? ? ? v???(,.8T?????R^`v???????????????????????????????????????????????????????? h>?CJo( h?XoCJU h>?CJ h}?CJh? Wh?U?aJh1)?h?U?aJh}?h?U?aJh}?h}?aJo(h}?h?U?aJo( h? pCJo( h? pCJ h?U?CJ h?U?CJo( h? 9CJ;N v | ? ? ? ? ? ? ? ? ? ? ? ? ? ???????????????Ff1 d?$Ifgd}? d?$Ifgd0%$d?$Ifa$gd? W$d?$Ifa$gd=?$d?$Ifa$gd?!4$d?$Ifa$gd}?$d?$Ifa$gd?SBFf d?$If? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ???????????????????????????Ffe FfK d?$If? ? ? ? ? ? ? ? ? ? ? ? ? x??&(?R?v x ? ? ????????????????????????Ff?Ff d?$Ifitted in addition. 9??/3u?b?NXT? 9?6?/?Nt?N??v?z ? Master/declarer: Ship / Agent (Seal): 9????fN?S/3u?b?NXT?W??YHh?S? ?eg? Certificate No: Date:  ;N?{:gsQ~{??h Remarks by the Administration'}%`T??|?N?Y T05u?0 Ow05uP[???{? Emergency Contact Person s Name, Tel, Fax and E-mail :dk3u?bUSN_ N?N ?vQ-N$N?N3u?b?NYuc?TR?/n?S\ON?? ?N?NYu;N?{:gsQX[?g0 This declaration should be made in tripartite, one is kept by the Administration for file, and two for the declarer and port operator respectively.     ???x ? ? ? ^!?!?"?"?"?"?"?"?"?"?"?"?"?"?"?"?"?"?"?"####$???????????????????????????????hk?h%8?h?Vxjh?VxUh?U? h?U?CJ h?U?CJo( h>?CJo(? ? ? \!?yy d?$If}kd?$$IfT?? ?0??d/?#@#B#D#F#H#J#L#N#P#R#T#V#X#Z#\#^#`#b#d#f#?????????????????????????????f#h#j#l#n#p#r#t#v#x#z#|#~#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#??????????????????????????????#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#??????????????????????????????#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#?#$$$$$ $ $$$$????????????????????????????$$?d?gd?z?91?:2P0:p?m???A ??.!??"??#??$??%??S?? ??$$If???!v h5?? 5??5??5?5?a5?G5?5?5? 8#v? #v?#v#va#vG#v#v 8:V ?C?0???????,=?,? 5?? 5??5?5?a5?G5?5? 8yt}??Tkd$$IfT??C?? ??? (??1$x*?1?8?*) ?? u?x4U?!4 ?????cB*`Jph>*7?S*?.?/??1. page number('?A( yb?l_(uCJaJ(K( ?y|TCJaJ>?> Salutation1 CJaJ_Ht?rt xl286?dXD[$?dYD\$a$$9D1$'dQ??CJ OJPJQJo(aJ KHL??L lczhWD???`?? ??CJOJPJQJaJ4?4 DateVD? ?d^?daJ$$ ?vU_ 1:P?: ck?e?e,g 2d??xYDaJ8 @?8 u??a$$G$ ?9r CJ<C?< ck?e?e,g)??xYDVD???^??>??> Ng?N?vck?e ?0^?0CJOJPJ5?8??8 Char Char CharF?QF  Char Char Char2 Char p?p Normal (Web)!!?dXD[$?dYD\$a$$1$CJOJPJQJ^JaJKH0L0 ?eg"VD? ?d^?daJ2?22 ?~_g?#VD4?d^?daJ.B. yb?l?eW[$a$$aJ8YR8 ?ech?~?g?V%-D M? ??D?bD Closing1&VD4?d^?d CJaJ_H8?/??r8 p0'_HaJmH nHsH tHT??T Plain Text( & F ??CJOJPJQJaJ6??6 7h_1)CJOJPJQJ58B?8 ck?e?e,g *?xYD CJ PJaJH"H ???l+??XD??YDCJOJPJQJ^JaJ6?6 ??l?e,g ,a$$G$CJaJd?/???d Default-1$7$8$H$-B*CJOJPJ_HaJmH nHphsH tHx??x Normal (Web)1!.?dXD[$?dYD\$a$$1$!B*`JphCJOJQJ^JKH?@?? u? wc/d?a$$G$@& $dN??%dO??&dP??'dQ?? ?9r  CJOJQJj^j nf?(Q?z)!0?dXD[$?dYD\$a$$1$!B*`JphCJOJQJ^JKHPK!????[Content_Types].xml???j?0E????§Ø?r?(???Iw},??-j??4 ??w?P?-t#b¦©{U?????T?U^h?d}????)??*1P?'?? ?^??W??0)??T?9<?l?#??$yi}??;?~@??(???H????u?* D?z??/0?????? $?? X??3aZ????,?D0j~?3??b??~i>???3?\`???/?[???G??\?!?-?Rk.?s???..???ažG???PK!????6 _rels/.rels???j?0 ????}Q??%v/??C/?}?(h"???O? ??????=?????? ????C??h?v=?????%[xp??{?_?P????3?x?N??>???U?WL0?????z??}rx???{???h9T?8?T/???¦Ö??????xY????'?~???3S????~????O_|w??)???Ht??=?a?+??d NG?1-Rl??1?RJ?wTÐKM1K????"?o he????PL-?|%????E??hY7?'qP.\L??=???d?q??3I?ofi?????.????B?Rb?-J??P_p?G ???i?K?t?d?h?F?i??o?7;7Q??2????????D?>a?/??Q?>?X??W? ??M?_?u??H?q?)?h? ???+:Vi?w?4r?B?q???"r???!??2l??a??C?b??U|????!8^¦n8?>?????,A???§Ò?V?t?????~ls???14??_=,???o?TV ?G??"????bH?????'?.?4??x??w-????E?|?F;??v??`?b3"G '?e????\?fH??O ???????'?$??i_wp??? ?>?*?8???i&?LY%\???,???x?=???????????? r6f? ??3???T???)??:?Z?K??L?s??&C ?M???0? [??p@??`?j??7 ???Y?H?xH?i??cT5A?r??@??H??ZAZC?}i' RQ\m??,zo?,?gQ?u{?Y\,N????/?=????L _??.??Y7C?6?-fS?h62??"??5?????NH?T[X?65?4X?%Y?????2?f?kh????i~tCKF#?b? +?w?1m?|????4`??!?:U??!?p5a:?~?{4?m??m?i?o? ?c??8m??D?J?pS¨¿™D?V??1??????#S?i??3E?'pS?2???W`???q?B]( ??08???w??? n??A??[s??)k8?= Aa?R? d??c?U??d)#?Queb??}??????C!???&i0????>?4??S?7???{???z?? F?}? 4??sKvUKo???h?~1?jYU???V?H??5U8?Vk;????L9????D ?? ???*|FL? ?????"??A3????>g??]??dm2iV??ÒE?m?g   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~?????? ???????????????????????????????????????? ???? ???? ???? ???? ???? ???????????????????????????????????????????????????????????????????????? ???? !????!"????"#????#$????$%????%&????&'????'(????()????)*????*+????+,????,-????-.????./????/0????01????12????23????34????45????56????67????78????89????9:????:;????;<????<=????=>????>??????@????@A????AB????BC????CD????DE????EF????FG????GH????HI????IJ????JK????KL????LM????MN????NO????OP????PQ????QR????RS????ST????TU????UV????VW????WX????XY????YZ????Z[????[\????\]????]^????^_????_`????`a????ab????bc????cd????de????ef????fg????gh????hi????ij????jk????kl????lm????mn????no????op????pq????qr????rs????st????tu????uv????vw????wx????xy????yz????z{????{|????|}????}~????~???????????????????????????????????????  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~???????  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~??????? 8???? ? ?$ N ? ? ? \!?",#f#?#?#$$ ?t?  PL?,b?$ ?8oc?m?R???/?=????@?????????z ?K?0?( ? ??* ? ????H??0?( ? ? TVefhj|~??????-.AEZ\z{?? "26>BVWnq????????MT????<Ccv??jjllmmoprsuv?? ??34!MS???jjllmmoprsuv?? ss3333???cjjllmmoprsuv??  ?????? ? ? ? ? ????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?????????!!?????????""?????????##?????????%%?????????&&?????????''?????????((?????????))?????????...%0 . ?? ????? ^?? `???OJQJo(??.()()%? ?%0? ???^? `???o(???\?^??`?\?)???\?^??`?\?.?4?\?^?4`?\?.?? ?\?^?? `?\?)?| ?\?^?| `?\?.? ?\?^? `?\?.???\?^??`?\?)?h?\?^?h`?\?...?h????h^?h`???o(.%? ? ..%0?h????h^?h`???o(.? ?..?u?>??u^?u`?>?OJPJ QJo(^J?? ???\???^??`?\?OJ QJ o(n? ???\???^??`?\?OJ QJ o(u? ?C?\??C^?C`?\?OJ QJ o(l? ?? ?\??? ^?? `?\?OJ QJ o(n? ?? ?\??? ^?? `?\?OJ QJ o(u? ?/ ?\??/ ^?/ `?\?OJ QJ o(l? ???\???^??`?\?OJ QJ o(n? ?w?\??w^?w`?\?OJ QJ o(u?%? ?.%0???\???^??`?\?.?H?\??H^?H`?\?)???\???^??`?\?.???\???^??`?\?.?4?\??4^?4`?\?)?? ?\??? ^?? `?\?.?| ?\??| ^?| `?\?.? ?\?? ^? `?\?)???\???^??`?\?..???\???^??`?\?.?H?\??H^?H`?\?)???\???^??`?\?.???\???^??`?\?.?4?\??4^?4`?\?)?? ?\??? ^?? `?\?.?| ?\??| ^?| `?\?.? ?\?? ^? `?\?)???\???^??`?\?.%? ??h???^?h`???B*`Jph?OJPJQJ^J.?H?\?^?H`?\?)???\?^??`?\?.???\?^??`?\?.?4?\?^?4`?\?)?? ?\?^?? `?\?.?| ?\?^?| `?\?.? ?\?^? `?\?)???\?^??`?\?. &#)  ! "('% ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?? A?@?Z?!?E?"?&?(?."0%07&?!4?8? 9 9?:3<?g<'(>ZQ??SB?qC?"E?H)L?ZO? W%>]3b?Xo? p?~u?Vx?t}%8?Y??)??6??r????U?3??X??&??z? ??F??G??o?U???P?1)???=?]M?}???hb?>?S$?M??o????l??m?k?jl?@???@ pp p pp??Unknown???????????? G??*?Ax? ?Times New Roman5??Symbol3.? ?*?Cx? ?Arial;=?? ???|?8?SOSimHei;???(?[SOSimSunY???eck\h?[?{SOArial Unicode MS;5?? ?N?[_GB2312?=? ?*?Cx? ?Courier New74??..?.?SO;???eck?N?[?{SO?[SO;??WingdingsA???? B?Cambria Math ???Qh?4???\?;?O O !Z&!),.:;?]}????    & 6"0000 0 0 00000??? ? ?????=?@?\?]?^???([{?  0 0 00000??;?[???????i??gg2?Q??)?????????????????????????'*2! xx???Normal wm?Ngb?lN?RAm z?vU_UserUser?                           ???????Oh??+'??0|???????   , 8 D P\dlt?????????????????UserNormalUser59Microsoft Office Word@?|r@? ??5O@??m?@v?@z?O?????.??+,??D???.??+,??D??????? ? ??? ????? g ` ?GKSOProductBuildVer?2052-6.6.0.2671 ???? !"#$%&????()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNO????QRSTUVW????YZ[\]^_????????b????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????Root Entry???????? ?F,?Ez?d?Data ?????????????1Table????'JQWordDocument????;8SummaryInformation(????????????PDocumentSummaryInformation8????????XCompObj????????????u?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ???? ?F#Microsoft Office Word 97-2003 ??? MSWordDocWord.Document.8?9?q