DANGEROUS GOODS SHIPPING DOCUMENT BL CONSIGNOR (SHIPPER) NAME

1[FORM NO 17 [SEE RULE 130] NOTICE OF DANGEROUS
20050706 CONSOLIDATED TRANSPORTATION OF DANGEROUS GOODS REGULATIONS – RÈGLEMENT
35 REV 1983] DANGEROUS DRUGS CAP 245 (REPEALED BY

726 – DANGEROUS DRIVING CAUSING DEATH OR SERIOUS INJURY1
A POTENTIALLY DANGEROUS REQUESTQUERYSTRING VALUE WAS DETECTED FROM THE
ADVISORY COMMITTEE ON DANGEROUS PATHOGENS (ACDP) 5 EXPERT MEMBERS

DANGEROUS GOODS SHIPPING DOCUMENT

DANGEROUS GOODS SHIPPING DOCUMENT #B/L _______________



CONSIGNOR (SHIPPER):


NAME:


ADDRESS:


CONSIGNEE:


NAME:


ADDRESS:


INITIAL CARRIER:


NAME:


VEHICLE UNIT#:


DANGEROUS GOODS

NUMBER

OF

PACKAGES

PROPER

SHIPPING

NAME

UN

PIN

CLASS


PACKING

GROUP

TOTAL WEIGHT/

VOLUME

SPECIAL PROVISIONS










Placards Required Placards Not Required


Quantity ________________________ Type __________________________________


Name ____________________________________


Title _____________________________________


Place ____________________________________


Date _____________________________________


Signature _________________________________

For help in chemical emergencies involving spill, leak or damaged packaging.


Contact Consignor:


Full Name: _________________________________

or


CANUTEC 24 Hour Emergency Number

(Note) Consignor must be registered with Canutec and have provided Canutec with current materials safety sheets on all hazardous chemicals before the Canutec telephone can be used. 613-996-6666





APPLICATION FOR A LICENCE TO KEEP DANGEROUS WILD
APPLICATION FOR A LICENCE TO KEEP DANGEROUS WILD ANIMAL(S)
APPLICATION FOR A LICENCE TO KEEP DANGEROUS WILD ANIMALS


Tags: goods, shipping, dangerous, document, consignor, (shipper)