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FORM FOR CARGO INFORMATION
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for Solid Bulk Cargoes
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| BCSN
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| Shipper
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Transport document
number
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| Consignee
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Carrier
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| Name/means of
transport
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Instructions or other
matters
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| Port/place of
departure
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| Port/place of
destination
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| General description of
the cargo (Type of material/particle size)
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Gross mass
(kg/tonnes)
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| Specifications of bulk
cargo, if applicable:
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| Stowage factor:
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| Angle of repose, if
applicable:
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| Trimming
procedures:
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| Chemical properties if
potential hazard*:
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| * e.g., Class & UN
No. or “MHB”
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| Group of the
cargo
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Transportable moisture
limit
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 Group A and B*
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 Group A*
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 Group B
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Moisture content at
shipment
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 Group C
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| * For cargoes which may
liquefy (Group A and Group A and B cargoes)
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| Relevant special
properties of the cargo
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Additional
certificate(s)*
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| (e.g., highly soluble in
water)
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 Certificate of moisture content and transportable
moisture limit
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 Weathering certificate
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 Exemption certificate
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 Other (specify)
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* If required
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| DECLARATION
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Name/status,
company/organization of signatory
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| I hereby declare that the
consignment is fully and accurately described and that the given test
results and other specifications are correct to the best of my knowledge and
belief and can be considered as representative for the cargo to be
loaded.
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Place and date
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| Signature on behalf of
shipper
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