COMMERCIAL INVOICE (With Packing list) - marine...
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Shipper:
After Sales Service Department
ULSAN,KOREA CNF
Tel : +82 52 203 5760
CONSIGNEE:
NOTIFY PARTY
FROM TO
AMSTERDAM,NETEHRLNAD
Q'TY U/PRICE AMOUNT
1 $12.00 $12.00
4 $8.00 $32.00
3 $3.00 $9.00
8 $5.00 $40.00
1 $1.00 $1.00
1 $8.00 $8.00
US$102.00
Signed by
* NATURE OF ORIGIN - KOREA
* NO COMMERCIAL VALUE, VALUE FOR CUSTOMS ONLY
TOTAL 1 PACKAGE, 7KG TOTAL AMOUNT
GC123 OIL SEAL
GC126 METER
GC096 FIMM
GC115PISTON SHOCK ABSORBER,WEARING
RING, SEALING RING
GC117 STRAINER HOLDER,CONNECTION
CLAIM NO DESCRIPTION
H2449BOX 1(40*40*30CM)
GC057F.W COOLER S.W OUTLET PRESSURE
GAUGE
TO THE MASTER OF STI Powai
"SHIP SPARES IN TRANSIT"
Marinetrans Benelux BV
singaporestraat 1-3
1175 ra Lijnden (Amsterdam airport)
The Netherlands
Tel: 31 20410 8870
FEDEX NO : 7777 1166 8135
*SHIP SPARES IN TRANSIT
HS CODE: 8409.99.9090Same as the above
INCHON,KOREA
CARRIER SAILING ON & ABOUT
FEDEX 2016.11.16
COMMERCIAL INVOICE(With Packing list)
Invoice No. & Date:
Hyundai Mipo Dockyard Co.,Ltd. 2016.11.15
Terms of Payment:
REMARKS
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Avenue, Memphis, TN 38132, USA FEDERAL EXPRESS CORPORATION . www.fedex.com .
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INVOICE / PACKING LIST
EXPORTER INVOICE NO: Date
SCORPIO MARINE MANAGEMENT (I) LTD 006 / 16‐17 30/11/16
SCORPIO HOUSE CENTRAL AVENUE
HIRANANDANI BUSINESS PARK, POWAI, MUMBAI TERMS OF DELIVERY & PAYMENT
4000076
C&F
CONSIGNEE NOTIFY PARTY
M/V STI BLACK HAWK Best Global Logistics B.V.
SHIP SPARES IN TRANSIT Bunschotenweg 58
C/O MARINETRANS BENELUX BV 3089 KC Rotterdam
SINGAPORESTRAAT 1‐3 The Netherlands
1175 RA LIJNDEN (AMSTERDAM AIRPORT) [email protected]
THE NETHERLANDS TEL: + 31 10 2836857
TEL:+ 31 20410 8870 FAX:+ 31 20410 8850
PIC: Hassan Mejdoubi / Michael Vermeer
Email: [email protected]
PORT OF LOADING PORT OF DISCHARGE
NHAVA SHEVA ROTTERDAM, NETHERLAND
MARKS & NOS NO.OF DESCRIPTION OF GOODS QUANTITY RATE AMOUNT
PKGS. PCS USD USD
Garbage Compactor Bags
M/V STI BLACK HAWK 1 PACKAGE 1 X 150 PCS 150 0.10 15.00
SHIP SPARES IN TRANSIT
C/O MARINETRANS BENELUX BV EACH BOX CONTAINING 150PCS
SINGAPORESTRAAT 1‐3 L W H
1175 RA LIJNDEN (AMSTERDAM AIRPORT) 87 44 41 CMS
THE NETHERLANDS
TEL:+ 31 20410 8870 FAX:+ 31 20410 8850
PIC: Hassan Mejdoubi / Michael Vermeer
Email: [email protected]
Email + [email protected]
No Foreign Exchange Involved
Value Decleare For Custom Purpose only
TOTAL 15.00
GROSS WT. : 85 KGS
SCORPIO MARINE MANAGEMENT (I) LTD
AUTHORIZED SIGNATORY
DECLARATION: We declare that this Invoice shows the actual price of the goods described and that all particulars are true &
correct
AGENT REF AMS3-2305010 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER / OFFICE LING / SINGAPORE
SUPPLIER SCAND1A BUYERS PO NO. 4649864 WGT Position
3 NLVT-AMS3
CONTENTS Shipspares
pcs 1
WEIGHT
3
CUSTOMS VALUE EUR 160
ENTERED IN SYSTEM
20.12.16 11:03 TEE
RECEIVED WAREHOUSE
20.12.16 20.12.16_ 11:06 _TEE
II II
AMS3 Cargo Receiving Report AMS3
- 2305010 -
111111113 Ill j 1 III ,1111
State in subject "PO: 2305010" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
Ti
Layout: Print. CRR PRINTED :20.12.16 / 11:06:36 Tee
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Scandia® Maritime Outfitters since 1974
ROTTERDAM - SIPIGAPORE - 410557011
COMMERCIAL INVOICE 1113111111,1111211111111111111111111111111111111
Ordered by ST1 Black Hawk (m/t) Invoice Address Delivery Address:
your Ref. 05152SFTY 4649864 Bev 0 STI Black Hawk (rnit)
Sales order no,: 23634882 MarineTrans Benelux BV
Delivery Method DON (Ex works Spiikenisse) c/o Scorpio Ship Management s.a,m- Singaporestraat 1-3
Payment Terms Payment within 30 days 9, Rue du Gabian
cider Date 15-1-2016 1175 RA Widen
Your Contact Danny Graves Win MC 98000 The Netherlands
Purchaser A. Pancley Monaco
Your VAT No, FR42400006121 Delivery Date:
Invoice not for payment - Customs purposes only 19,12-2016
Item Description •MMus Ceci Cede Unit prlEn Net amiunt 1)511
1 ScanRaln HO OEN Flue orange 5 Ti EN 2 pc5 99252000 27,35 54,70 Breathable rain jacket heavy duty w/hood Including company logo
2 5canRialn HO 001 Flue orange Ni Ti EN 2 pcs 39262440 27,35 54,70
Breathable rain jacket heavy duty w/hood Including company logo
3 SranRain H0 001 Flee orange L Ti EN 2 pcs 39262000 27,35 54,70 Breathable rain jacket heavy duty w/hood including company logo
4 Scan Raln HO 003 Flue orange 5 Ti cN 2 pair 39262000 18,55 37,30 Breathable bib- and brace rain trousers heavy duty
C ScanRaln HD 003 Flue orange M Ti EN 2 pair 39262000 18,55 37,30 Breathable bib- and brace rain trousers heavy duty
6 5canRain HO 003 Flue orange L Ti CN 2 pair 39262000 18,65 37,30
Breathable bib- and brace rain trousers heavy duty 7 5canOot (12) size 10 Ti CM 2 dui 61169200 8,95 17,90
Fast grip double dotted working gioveS, for dry and warm handling environments 5a1e5 quantity; dozen/poiybag
8 ScanPaitin (12) size 10 11 PK 2 clan 42032910 29,10 58,20
Leather rigger working gloves w/heain,ergeight cotton drill back for enhanced comfort and protection Sales quantity! doren/polybag
I 5cariStrap C CN 6 pcs 65070000 2,94 17,40 Chinstrap elasticated for safety helmet
10 ScarlFreae (12) size io T1 CM 1 cizn 51161080 46,as 46,35 Winter gloves w/thermal protection up to -20*C. Sales quantity; dozen/polybag
11 ScanV Ratchet White C 1] S pcs 65061010 15,95 95,70 Slotted v-gard safety helmet VDE approved to 1000 Vac including company logo
"Please note that the 5canV ships in combination with the
ScanStrap. These items should be worn together for maximum safety and comfort."
12 scaoRally Reflect Orange NI T1 CM 6 pcs 62113210 32,35 194,10
Rally Suit 100% cotton we/3M reflective Offshore tape/kneepad pockets B UV-protection including company logo
Page 1
DelNered by
scandie Gear Eutecie 5.1/,
Lorontzwog 31
3208 U Spifkeniese
The 1'Jetherlan65
Chamber at Commerce 55622369
VAT number NO53115217601
Payment fur EURAJSID/SGD Currencien
T 1.31 (0)161 600 955 ScandiA Gear Eurropo 13 V
F +31 (0)181 600 965 ING Bank, Worr 501
inrogscarktagearcom .3013 AL Rotterdam. Tnoltrothotiddds
www.tcandrageer com !BAN. NL02ING00593911018
Telma and Corditione. www.scandraneer mom/ Corraer & Support arCrSr.ydr. rode INGBNL2A
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Scandia® Maritime Outfitters since 1974
FIOTYgPLIAM - $INGitPURE - HOUSTON
COMMERCIAL INVOICE 11311,J1111111111111111111111111111111111111111
Ordered by STI Black Hawk (mit) invoice Add es BeliVely Address!
Your Re. 0S152SFTY 4649064 Rev a 5T1 Black Hawk (mit)
sales order ,in. 23830882 MarineTrans Benelux I31.i
Delivery Method
Payment Terms
EXW (Ex works Spiikenisse)
payment within 30 days
cJo Scorpio Ship Mana9emant s.a,m,
9. Flue du Gabian
SIngaporestraat 1-3
Order Elate 15-12-2016 1175 RA Liinden
Your Contact Danny Gravestein MC 913000 The Netherlands
Purchaser A. Pandey Monaco
Your VAT No. FR42000006121 Delivery Date:
Invoice not for payment - Customs purposes only 19-12-2016
item Description Status Co0 Qty Unit 1-15 Code Unit pdsr Net amount usn
13 ScanRally Reflect Gringo XL TI CN 5 62113210 32,35 194,10 Rally Suit 100% cotton vd3M reflective Offshore tape/kneepad pockets 6 UV-protection including company logo
14 ScanRelly Reflect Orange L Ti CN 6 pc5 62113210 32,35 194,10 Rally Suit 100% cotton w/364 reflective Offshore tape/kneepad pockets & UV-protection
15 Including company logo SranRally Reflect Orange M T1 CN pcs 62113 210 32,35 194,10 Rally Suit 100% cotton w/3M reflective Offshore tape/kneepad pockets & UV-protection Including company logo
16 ScanPalar Flue orange M 11 CN 2 pc5 62033911 69,35 138,70 Winter parka high visibility wirefiective tape 0 hood Including company logo
17 ScenPular Flue oranges CN 2 pm 62033911 69,35 138,70 Winter parka high visibility w/reflective tape 0 hood including company logo
re ScanPolar Flue orange Ti CN 2 pE5 B2033911 69,35 138,70 Winter parka high visibility VidrefleCtiVe tape & hood Including company logo
19 ScanSonIX Damn (6) (9) Ti TYV 2 box 90049090 59,85 119,70 Lightweight safety goggles with pnlyearbonate lens, ultra anti-fog, super anti-scratch and UV 400 protection 5ales quantity 5 pair/box including 2 spare grey lenses
20 Transfer Scorpio - rear C NL 313 pcs 49089000 0,98 29,40 Transfer.Scorpio - rear
21 Transfer Scorpio - chest C NL 36 pcs 49089000 0,49 17,64 Transfer.5corplo - chest
T Status Colih 6 Pc.
Weight: 70.12 Kg.
Maths Calli: 1 Prs.
Weight: 3 Kgs.
Page 2
TOTAL T1 1710,65
TOTAL C 1E0,14
VAT '0 rate - table 11a-2
Delivered by. Stendle Gear Europe BM. Lorentzweg 31 3208 U Splikenise 'Ira Netherlands Charober of Commerce' 5E522969 VAT number. NL563113211901
T +31 (Opal 601:1955
P (0)1131 600 966 ipro@scendiegearrom WYNN SCBlididgcMr crn
Terms and Conditions www.seandiagear aim conthct & Support
Payment for EDR/US0,6150 mUrrefloime
caricha Gear Europe 9 V ING Bank, Weeno 501
3013 AL Rotterdam. The NdthsrWels IBAN NL02ING155593911015
BICa.wilt code iNGBNL2A
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1(1)
Customs invoice
Customer address Delivery address Page:
Date
Delivery method Delivery terms
Cust no
Delivery note no
Shipping date
ALFA LAVAL AALBORG A/S
MARINE & DIESEL SYSTEMS
PARTS & SERVICE , GASVAERKSVEJ 21
9100 AALBORG
DENMARK
Your reference Our reference
DCTumba.Orders@ alfalaval.comCamilla Højer Brandhøj
13325153
2016-12-19
2016-12-19
Your VAT number
Tracking no
41743
Marinetrans Benelux BV
singaporestraat 1-3
1175 RA Lijnden (Amsterdam Airport)
Netherlands
COURIER AIR DAP INCO 2010
DK 31011337
132672734
Lijnden (Amsterdam Airport)
No of boxes Net. Weight Gr. Weight Volume
1 5,500 kg 0,039 m34,770 kg
Item no Lne Inv qty U/M Sales price Line net
Description
Pr qty
Customs code Country of origin
Warehouse
M/V STI BLACK HAWK - SHIP SPARES IN TRANSIT
Ref: OS152ENG 4649866 Rev 0 /
1 AG8615000074 2 PCE
FLEXIBLE HOSE INCL. EL-TRACING 84169000 SE
TUM 744,49 1.488,98
2 AG8615000074 1 PCE
FLEXIBLE HOSE INCL. EL-TRACING 84169000 SE
TUM 744,49 744,49
3 AG8630000005 2 PCE
PHOTO CELL 84029000 DK
TUM 76,17 152,34
Total POA127723
Order number
7872200 2.385,81
Cust. order no
EUR
Item value EUR 2.385,81
*** For Customs Purposes Only ***
Alfa Laval Tumba AB
Hans Stahles väg, SE-147 80 Tumba Sweden
Telephone + 46-8 530 650 00
Telefax +46 8 530 308 75 Customer Service
+46 8 530 604 75 Material Management
+46 8 530 653 61 Finance
VAT No. SE 556021389301
EORI No. SE 5560213893
Bank: Skandinaviska Enskilda Banken
Bank account No. 689-4414
5357-10 032 41 SEK Iban SE2650000000053571003241
5947-82 018 08 EUR SE1950000000059478201808
5501-82 449 92 USD SE8550000000055018244992
5501-82 450 42 DKK SE9350000000055018245042
Swift: ESSESESS
Please always mention our Invoice No. upon payment
ALfa Laval Tumba AB
Singapore Branch
15 Gul Way, Level 2
Singapore 629193
Phone: +65 6559-2828
GST Reg No: M2-0129818-X
CR No: 20048610000R
UEN no: S94FC4861E
Marinetrans Benelux BV
singaporestraat 1-3
1175 RA Lijnden (Amsterdam Airport)
Netherlands 3728312
11,004
COURIER EXPRESS
13325153
1
TNT 2013005
Packing list
Supplier
Consignee
Dimensions (l*h*w m)
Box id
Page
1(1)
Volume (m3)
Gross weight (kg)
Box no
* *
Date
Delivery termsDelivery method
Delivery note
ALFA LAVAL TUMBA AB
GUSTAV DE LAVALS VÄG 16
SE-14741 TUMBA
DISTRIBUTION CENTER
SWEDEN
2016-12-19
Fwd agree noFwd name
DAP INCO 2010
Lijnden (Amsterdam Airport)
Your reference Our referenceSales Person/Phone no
Camilla Højer Brandhøj
POA127723
31 20410 8870 + 45 9930 4358
Cust. O/N 1
Cust. O/N 2
Our reference Supplier Order No.
OS152ENG 4649866 Rev 0 [email protected] 0007872200
Qty Unit
Item No Customs code Ctry of origin Customer p/nDescription Net weight (kg)
L/NSerial no
Reference 1 Reference 2Lot qty MTR serial IDCtry of originLot no
Safety data sheet is available at: www.alfalaval.com
M/V STI BLACK HAWK - SHIP SPARES IN TRANSITRef: OS152ENG 4649866 Rev 0 /
6,000 2 PCE
84169000 Sweden1 AG8615000074
FLEXIBLE HOSE INCL. EL-TRACING
3,000 1 PCE
84169000 Sweden2 AG8615000074
FLEXIBLE HOSE INCL. EL-TRACING
0,170 2 PCE
84029000 Denmark3 AG8630000005
PHOTO CELL
Alfa Laval Tumba AB
Hans Stahles väg, S E-147 80 Tumba Sweden
Telephone + 46-8 530 650 00
Telefax +46 8 530 308 75 Customer Service
+46 8 530 604 75 Material Management
+46 8 530 653 61 Finance
VAT No. S E 556021389301
E O RI No. S E 5560213893
Bank: Skandinaviska Enskilda Banken
Bank account No. 689-4414
5357-10 032 41 S E K Iban S E2650000000053571003241
5947-82 018 08 E UR S E1950000000059478201808
5501-82 449 92 USD S E8550000000055018244992
5501-82 450 42 DKK S E9350000000055018245042
Swift: E SS E S E SS
Please always mention our Invoice No. upon payment
ALfa Laval Tumba AB
Singapore Branch
15 Gul Way, Level 2
Singapore 629193
Phone: +65 6559-2828
G ST Reg No: M2-0129818-X
C R No: 20048610000R
U E N no: S94F C4861E
Survitec Service & Distribution Ltd. t/a Crewsaver
Survitec House, Lederle Lane, Gosport, Hampshire, PO13 OFZ
Tel: +44 (0)1329 820 000 Fax: +44(0)1329 236 218 Email: [email protected] www.crewsaver.co.uk
A part of the Survitec Group
Registered Office: 1-5 Beaufort Road, Birkenhead, Merseyside, CH41 1HQ. Registered in England No. 553893
INVOICE
DATE: 22.12.2016
INVOICE NUMBER: 188
DELIVERY ADDRESS: Prestige GLOBAL LOGISTICS
1st Flr, HCH HOUSE,
HORTON ROAD, COLNBROOK,
Slough,
BERKSHIRE
SL3 0AT
UNITED KINGDOM
VESSEL: STI Black Hawk (OS152)
DESCRIPTION OF GOODS: FLT/LB500GSURV x 6
500G THROWING LINE BAG SURVITEC TYPE
VALUE OF THE GOODS: Total £99.18
DECLARE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
*THIS IS FOR CUSTOMS PURPOSES ONLY*
Carrie-Ann Parsons
Sales Office Supervisor
FOR AND ON BEHALF OF CREWSAVER
Sender Reference Delivery Address Payer Address
Wilhelmsen Ships Service ASC/O WILHELMSEN SHIPS SERVICEB.VMARCO POLOSTRAAT 35-39HAVENNR.27793165 AK - ROTTERDAMALBRANDSWAARDNL - NETHERLANDS
STI BLACK HAWKAMSTERDAM-PC11NL - NETHERLANDS
SCORPIO SHIP MANAGEMENT SAMC/O SCORPIO SHIP MANAGEMENTSAM9, RUE DU GABIAN MC 98000-MC - MONACO
Ship Via Place Of Destination Terms Of Delivery
ROA FAS FREE ALONGSIDESHIP
Forward Agent Consignee Reference
WINDER
Currency Code Dispatch Date Terms Of PaymentEUR 23/12/2016
Shipping MarksDZ 2
Order No Internal Po No
M10003898Customer Po No4647990
Line NoRel No Part Number Quantity On Pallet / Unit Price Price TotalDescription EURCountry Of Origin Customs Stat No Customs Stat No DescPallet Id Pallet Desc
1 1 607800 1 PCS 195.00 195.00PH METERGB 90278099 TEST EQUIPMENT
2 1 729632 1 PCS 62.34 62.34PH BUFFER 7 & 10 REPLACEMENT PACKGB 90278099 TEST EQUIPMENT
3 1 766412 1 PCS 12.48 12.48pH ELECTRODE STORAGE SOLN. 100MLGB 90278099 TEST EQUIPMENT
4 1 766414 1 PCS 22.95 22.95DE-IONISED WATER 1 LTRGB 90278099 TEST EQUIPMENT
Sub Total 292.77
Invoice
Shipment Id Our Reference Tax Identity529752 SARINA KALLOE 917019215
Date Printed Customer Number Your Reference28/12/2016 8100010067
Page 2 (3)
Total Order 292.77
Total Shipment 292.77
Total Handling Units 0 Sum Gross Weight
Comments
Invoice
Shipment Id Our Reference Tax Identity529752 SARINA KALLOE 917019215
Date Printed Customer Number Your Reference28/12/2016 8100010067
Page 3 (3)
AGENT REF AMS3-2311441 VESSEL 511 BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER OFFICE LING / SINGAPORE
SUPPLIER FRANK MOHN BUYERS PO NO. 4650361 WGT Position
72 NLVT-AMS3
CONTENTS Shipspares
PCS
WEIGHT
CUSTOMS VALUE
USD 1.162
72
ENTERED IN SYSTEM
28.12.16 13:46 TEE
RECEIVED WAREHOUSE
28,12.16 28.12.16 13:48 TEE
T1
II II
AMS3 Cargo Receiving Report AMS3
- 2311441 -
In 1111L1113 11111111111 III
State in subject "PO: 2311441" to document©marinetrans.com First page not necessary using subject.
Use as first page if sendt directly to [email protected]
Layout Print. CRR PRINTED : 28.12.16 / 13:48;47 Tee
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FUZt,60 ‘1 3'1 FRAMO
Page 1 of 1
PROFORMA INVOICE
Special information customer:
Customer no: 190442 STI BLACK HAWK SHIPP.COMPITD. C/0 SCORPIO SHIP MOT.S.A.M. 9, RUE DU GABIAN 98000 MONACO MONACO
Delivery address: "STI SLACK HAWK" - IN TRANSIT C/O MARINETRANS BENELUX By SINGAPORESTRAAT 1-3 1175 RA LIJNDEN
Marking:
Our order Issue Date Our ref Our mail/ph Installation Installation no Your P.O. Your ref Your date Delivery date Payment terms Delivery term Dispatch
266130 27. Dec 2016 Arne Andersen AA tramo.no / +31181650350 STI BLACK HAWK A808 / 617186/1 0S152ENG 4650361 ANKIT PANDEY
27, Dec 2016 CASH WITHIN 30 DAYS EXW SPIJKENISSE / INCOTERMS 2010 TNT
Quantity Unit Orig. Drawitem ID. no. Description linitprice Total USD
MT ''STI BLACK HAWK"
FOR FRAM° POWER PACK, CUMMINS DIESEL ENGINE, TYPE KTA 19
4 PCS TA A20776 FILTER AIR 196.00 764.00
8 PCS MX A20771 FILTER FUEL 44.00 352.00
4 PDS MX A20777 FILTER WATER 79.00 316.00
Total amount 1,452.00 Total amount spares 1,452.00 Discount spares 20.00% 290.40 Costs 0.00 Net amount 1,161.60 Total lisp 1161.60
VAT zero rated
General conditions: Orgalime MIS 2000 / According to contract All claims to be made within 8 days. Late payment charges apply to all overdue Invoices.
Please note that Framo Nederland B.V. has changed bank accounts, see below
Framo Nederland B.V. Edisooweg 18- 3208 Ka SpijkeniSee P,O.Elox 305- 3200 AH Spilkeniese THE NETHERLANDS V.A.T. No.: NL008335186 801 BOIT Code; NI-003335138
Tel; +31.181.650300 Fax; +3t151.611193 Chamber of comm.: 24221503 E-mall: [email protected] Internet: www.framo.no
Bankers; Skandinaviska Enskilda senken (Se) Stockholm - SWEDEN BIC/SWIFT code: ESSESESS
Account nr.: 5746 82 684 87 (EURO) lbah 5E1450000000057468268487 AbcOurit hr.; 5746 82 663 87 (USD) lbah $E0650000000057468266387
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AMS3 Cargo Receiving Report AMS3
- 2312549 -
1111 1.1110 1111MT2 ,11112111 1411,111
State in subject "PO: 2312549" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
AGENT REF AMS3-2312649 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER I OFFICE LING / SINGAPORE
SUPPLIER BUYERS PO NO. WGT Position
126 NLVT-AMS3
126 NLVT
HARDING MARINE SERVICE
4660364
CONTENTS Shipspares
PCS 2
WEIGHT 252
CUSTOMS VALUE EUR 1.048
ENTERED IN SYSTEM
29.12.16 16:34 TEE
RECEIVED WAREHOUSE
29.12.16 29.12.16 16:36 TEE
T1
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Forms
PO# DELIVERY SHEET
........_........----...
..---'------ Fl cirine Servicf2s ..-- rterthim) 13.V. -
,-- ,f....e1:1111( 57/LInit 2, 2t7,192 513
rerldrecht, -Me Nt,t heri a nd s V,: i :11- (0) I St)-643loo
iiiMAr.i 1 0 rcl i ii n m a r inH CI{
Harding Marine Services (Rotterdam) B.V.
MarineTrans Lijnden
Process : FO-17
Version : 03
Date : 01-01-15
Page : 1 of 1
WE HEREBY CONFIRM DELIVERY OF FOLLOWING ORDERS
"WV STI BLACK HAWK" PO# 0S152DCK 4650364
2 ROLL CONTAINERS
256 KG
// .7 / 00 / 49 0
DELIVERY DATE: 29-12-2016
z.
II SHIPSERV (6) =h1VV5
DeliverySheet_STE BLACK HAWK .2016-12-28 14_37_18
MT
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The shipper declares all information on this document to be true.
Harding Marine Services (Rotterdam) B,V,
Achtvr2oedijk 57/Unit 2992 SB Bawndrecht, The Netherlands
Tel,: i (c))1 So-643100 wwwJiardi Tigm a ririe,nil
Shipper Harding Marine Services B.V. (sign & slampplease)
Harding Marine Services (Rotterdam) RN. Phone No. 4.;11 180 CM) 100 Achterzeedijk 57, I 7nit 3 Pax No. +31 180 043 101 2992 SS Barondreoht Zmail wileKghordingemerine.ril The Netherlanilk Situ www.hardingmarine.n1
VAT Beg. No. N1,003849193B01 Date: 15-12-2016 Rogistr. No, 24217800
Client: Scorpio Ship Management SAM Bank ABN Amro Vessel: 511 BLACK HAWK MAN No. NL98A.SNA0610009774
MC Code ABNA1I.42A
Dear sirs,
This pro-forma invoice is a shipping invoice and only for STI BLACK HAWK shipping and custom purposes.
Yours sincerely, Harding Marine Services BV
Our ref, Your ref. Department R16-010146 KM 053.520CK 4650364 STORES
PRO-FORMA INVOICE
Amount
1.04,1,91
Total amount NET EUR 1,047,90
Our general conditions of sale apply to all offers/ortiom end deliveries, unless otherwise stated. A copy is available on request. Goode remain property of Harding Marine Services (Rotterdam) B.V. until paid In full.
Genuine spares from original maker offered.
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Harding Marine Services Rotterdam Achterteedlik 57 / unit 2
2992 SB Bare ndrecht
DELIVERY NOTE
Netherlands
www,hardinemarIng.n1
Phone No. +31 180 643 100
vessel ST1 BLACK HAWK
Printing Date
28-12-16
Fax No. 4-31 180 643 109
Port
Delivery Note
D16-10802
Email [email protected] Our PO-no, R16-010146
VAT Reg. No. NL003849193B01
Your Ref-No. PO*I 051520CK 4650364
Registr. No. 24217800
Bank ABN Arnro
Bank acct # 610659774
IBAN No. NL98ABNA0610659774 Department
STORES
BIC Code ABNANL2A
Item IM PA/ ISSA HMS Code Description Unit Qty. Check
1 D19 Garbage Containers (With Wheels) PCE 2
Material : Metallic Type ; Closing
_ _ type (With hinged lid) Capacity I 1000
Ltrs The bins should be of approved
type for storing garbage.
#4 CAP. 1100 LTR WPLAT LID ##
2 ..--
D19 Garbage Containers 200L (With Wheels) PCE 2
Material : Metallic Type : Closing
type Capacity : 200 Ltrs The bins
should be of approved type for storing
garbage.
MASTER
"Please sign and stamp°
CHIEF ENGINEER
"Please sign and stamp"
CHIEF OFFICER
"Please sign.and.stam
Goods remain the property of Harding Marine Services Rotterdam By, until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam By, is member of the International Ship Supplier Association.
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3 1.
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1
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/RIO
Cargo Receiving Report AMS3 AMS3
- 2317381 -
liii 11111*M TPO 12111,11 J111111,111
State in subject "PO: 2317381" to docurnent©marinetrans.com First page not necessary using subject.
Use as first page it sendt directly to mtdocr©marinetrans.corn
AGENT REF AMS3-2317381
VESSEL STI BLACK HAWK Scorpio Ship Management Sam
MT MANAGER / OFFICE LING / SINGAPORE
SUPPLIER HTS
BUYERS PO NO. 4650363 WGT Position
248 NLVT-AMS3
CONTENTS Shipspares
WEIGHT 248
CUSTOMS VALUE EUR 983
ENTERED IN SYSTEM 06.01.17 14:25 TEE
RECEIVED WAREHOUSE 06.01.17 06.01.17 14:27 TEE
T1
Layout: Print. CRR PRINTED: 06.01.17! 1427:34 Tee
2317381 -
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ti.NV
fEli= Hamburger lechnik Service GmbH
S Hamixinaor TaRchnik $orvice GmbH " Au esclempliidelgh2 20631)Flatribiut Shipment-Invoice Master of MN "STI BLACK HAWK" c/o Marinetrans Benelux BV Singapore Street 1-3 1175 RB Lijnden THe Netherlands
No: 1503518
Voucher date: 03,01,2017 Customer-no.: 14930 Voucher Ref.: 7016817 Ka
Vessel name: "STI BLACK HAWK" Your Order: 0S152ENG 4650363
Item Description Qty. Unit Your Price Total
For Jowa Oily Water Separator Type JOWA 3SEP 5m3/h, s/no. JWSC-15-020
1 FILTER MEDIA 1 set = 210 KG (14 bags = 15KG) HS code 38021000
set 1.092,00 1,092,00
total before discount Discount total amount
1.092,00 -10,00%
1.092,00 - 109,20
982,80
Total: 120 x 80 x 92 cm, 248,-kg Origin: Germany
Grand Total EUR 982,80
Amount to remit; EUR 982,80
Order marked as follows; Order Number: 0S152ENG 4650363 "sTI BLACK HAWK"
Top Urgent Ship's Spares in Transit.
KIM is 11111mM
Vei la! irju F61.10111*".s
SIC.] 22/792/11119,1
I IN, DE I .1:15.118(113.1
isuncliINui 13111Lleicki, 32 1-aiw31 OflIces 1o: Hai li It•krOgklilt:
21)539 i1:.10111)1trg PQ1:1110, Hillubill ..., FIRR ,I*:-1:i Tvie,kil 1; (n.101 31 78 30-11 ,loisait (1<t)bii) p,i(fiiiiiiimsol mid 'reIviior 111,10)3i 68 SI RII*Nla ( M1.101WiliNk) Gt.iii.111.sh1and igi H.ItTillitt.!,!. ell !ail: 111.4.(KPI lis-ban dm 0{,fie KOrea WIZ:NO
C4inil (511:W014i I
MT
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Qty. Unit
Empfongsbeatiligung und Erklarung des Bezugsberechtigten eceipt and declaration of consignee
ch bestattge. die in den Anlagen aufgefuhrlen Waren afs Mund- und Schiffsvorrat n Bard erhalten zu hahen.
herewith confirm to have received an board the ships's stores listed in She ocuments
in. alum Fp ace, ale ot.tiffsstempel
ships stamp
,tntersc-hrift des Schiffsfuhrers VgrIrotar place, date, sipnatur of the captain I representative
Verantworthoh for die Lieferung / responsible for delivery:
Luzie Karnicki
ch erklare, ass •ec y das Schiff unmittelbar (Innerhalb von 5 Tagen nach Bezug)elnen auslandlschen Heron
L'Llanlauft, the ship calls at a foreign port directly (within 5 days aftersupply),
das Schiff unmittelbar (innerhalb von 5 Tagen nath Bezug) einen Hafen aurierhatb des Zollgebjets der Gemeinschaft oder des Steuergebiets der Gerneinschaft anlauft,
the ship calls at a port outside the custerns territory or the fax territorY Of the community directly (withhin 5 days after supply).
—Ides Schiff Ober des Kustengebtet (Anlage 1 zur ZolIV) hinausfahrt, the ship goes beyond the coastal area (customs Minister's Order, annex 1).
-7 Des Schiff den leUten angelaufenen deutschen Hafen spatestens 18 Tage nachBezug des Schlrfsbedarrsvet, um einem mindestens 100 Seemeiten vum deutschen Hoheitsgebie entfernten austandischen Hafen anzula uteri the ship 'eaves She last Getman portal call 18 clays after having been supplied with ship's stores at the latest in order to call et a foreign port with a minimum distance of 100 nautica miles to the German territory
are at
= Hamburger Teri-mitt SeArvice GmbH
.r • chnilt rvica GmbH AusschlE erSilide 05,191-lamburn
Master of MN "STI BLACK HAWK" c/o Marinetrans Benelux BV Singapore Street 1-3 1175 RB Lijnden The Netherlands
Vessel name:
"STI BLACK HAWK" Your Order:
05152ENG 4650363
Lieferschein No: 7016817 Ka Lleferzettel fUr Schiffebederf gemall § 27 Abs. S ZolIV Aktenzeichen und Datum der Ertaubnis sum Handel mit Schlitsbedarl Z 2320 B- B 1201 f 03,01.20D7 Voucher date:
03.01.2017 Customer-no.:
14930 Voucher Ref:
5003696 Ka Contact:
Luzie Karnicki Contact E-Mail;
7terri Description
For Jowa Oily Water Separator Type JOVVA 3SEP 5m3/h, s/nO, JWSC-15-020 ************* *********
1 FILTER MEDIA 1 set = 210 KG (14 bags = 15KG) HS code 38021000
set
Clev:1 i;i liii Au5schlagur Billdcich 32 Branch Offices in: Hath1eliqefllslet: Klaus I I I I d' I I I I Ii 21539 Ilumburg Poland Hamburg FMB (1133A Vell;lil('ll 10111,4111 Tclufon: (1),101 317830-0 ,Japan (Kobe) Erifillungsoti
-1'41. 22, 792, Ell 19 1.0.111„) 31 G851 Russia illsinnansk) Gettc:htsgtrinri ii Fidinkum. 1.1S.1.-11.1Nr. 1)F. I .17+.1i1S61.1 1,2 ,niOlk hLAI.its, ha mburg.de Korea (Pusalt)
China (Shanghai)
MT
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11 11 1 111 P 0 2 3
II II II II * MT
AURA LIGHT INTERNAIONAL
GCR052/ 5312091 SUPPLIER BUYERS PO NO. WGT Position 1 NLVT-AMS3
CUSTOMS VALUE
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
10.01.17 15:04 WAREHOUS
10.01.17 10.01.17 15:49 WAREHOUSE
EUR 645
AGENT REF AMS3-2319271 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER! OFFICE LING / SINGAPORE
CONTENTS Shipspares
PCS 1
WEIGHT
T1
41414.
1.4.11.1
1. ITI I 111 I11.0
L 1.110U
0 0
11U
..LI IU
I....GEW
G
SIN
AD
V kl
d 0
AMS3 Cargo Receiving Report AMS3
- 2319271 -
State in subject "PO: 2319271" to docurnent©marinetrans.com First page not necessary using subject.
Use as first page if sendt directly to [email protected]
1.8yOUt; Print, DRR PRINTED : 10.01.17 115:50:02 Tee
- 2319271 -
MT
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6
645,00 0,00
645,00 ARI
Total excluding vat EUR Vat% , 0
Total Including vat
AURA MARINE
PROFORMA 5328368 1/1
25.02.2016
Our reference C1075/12775 Customer reference
HMD2473, STI BLACK HAWK Our contact Konsta Leinonen
Delivery Address Master of MT STI BLACK HAWK Ship's spares in transit c/o Marinetrans Benelux BV Singaporestraat 1-3 1175 RA Lijnden The Netherlands
Orderers Address Hyundai Mipo Dockyard Co., Ltd 1381, Bangeo-Dong, Dong-Gu Ulsan 682-712 South Korea
Invoice Address Hyundai Mlpo Dockyard Co., Ltd 1381, Bangeo-Dong, Dong-Gu Ulsan 682-712 South Korea
Term of Delivery Transport mode Terms of Payment Customers VatRegNum
DAP (Incbterms 2010) Lijnden TNT Express Guarantee KR
Row Item
Delivered Unit
Unit Price Discount-% Net Price
for MT S71 BLACK HAWK SHIP'S SPARES IN TRANSIT! VALUE FOR CUSTOMS PURPOSES ONLY!
Order number GCR052 /5312091
2 AM09084 Mechanical shaft seal, Pump 1 pcs 520,00 520,00 Tariff Code: 84849000 / Ctry of Orig: CH / Net weight, kg: ,147
3 AM09082 Seal, Lip 1 pcs 125,00 125,00 Tariff Code: 40169300 / Ctry of OrIg: CN / Net weight, kg: ,011
Package
piece
Dimensions m (1..*W*H) Vol m3 NW kg GW kg Carton
0,21*0,16*0,15 0,005 0,158 0,4
AURAMARINE OY LTD Bank Wades Bank Finland Ltd, KeskilMtie 1 p,o.EICIX 849 Business ID: 0684696-3 Tel:+358 ppm 86 5030 Acc. 208118-04244 FIN-20660 Littoinen FIN-20101 Turku VAT reg: F106846965 Fax:4358 (0)204 665031 IBAN; Fin 2081 1800 0642 44 FINLAND FINLAND Reg office: Llete SWIFT (B IC): NDEAFIHH
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AURA =. MARINE
PACKING LIST 5328368
25.02.2016 111
Our reference C1075/12775 Customer reference
HMD2473, STI BLACK HAWK Our contact Konsta Lelnonen
Orderers Address Hyundai Mipo Dockyard Co., Ltd 1381, Bangeo-Dong, Dong-Gu Ulsan 682-712 South Korea
Delivery Address Master of MT STI BLACK HAWK Ship's spares in transit do Marinetrans Benelux BV Singaporestraat 1.3 1175 RA Lijnden The Netherlands
Invoice Address Hyundai Mipo Dockyard Co., Ltd 1381, Bangeo-Dong, Dong-Gu Ulsan 682-712 South Korea
Term of Delivery Transport mode Our order num
DAP (Incoterms 2010) Lijnden TNT Express 5312091
Row Item
Ordered Delivered
Undelivered Unit
Customer order number GCR052
2 AM09084 Mechanical shaft seal, Pump 1 Line completely delivered.
Ta riff code: 84849000/ Ctry of Orig: CH/Net weight, kg: ,147
3 AM09082 Seal, Lip 1 Line completely delivered.
Tariff code: 40169300 / Ctry of Orig: CA I 1 Net weight, kg: ,011
1
1
0 pcs
0 pcs
Package pcs
Dimensions m (L*W*H) Vol m3 NW kg CW kg Carton
1
0,21*0,16*0,15 0,005 0,158 0,4
ALIRAMARINE OY LTD
Bank Nord - Bank Finland Ltd. Keskil6ritie 1
P.O.Box 849
BUSIlieSS iD: 0584696.3
Tel:+358 (0)204 86 5030
Acc, 208118-64244 FIN-20660 LittOlnerl
FIN-20101 Turku
VAT reg: FI06846963
Fax:+358 (0)204 86 5031
!BAN: F173 2081 1800 0642 44 FINLAND
FINLAND
Reg office: Lie to
SWIFT WC): NDEAFIHH
MT
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first pag
e arid 2nd page
AMS3-2323541 STI BLACK HAWK Scorpio Ship Management Sam
AGENT REF VESSEL
MT MANAGER / OFFICE LING / SINGAPORE
HYUNDAI GLOBAL SERVICE
H2473 SUPPLIER BUYERS PO NO. WGT Position 39 NLFC1-AMS3
Shipspares
1
CONTENTS
PCS
WEIGHT 39
800.7.98078 T1
CUSTOMS VALUE USD 155
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
16.0t17 9:28 STAGIAIRA
16.01.17 16.01.17 9:34 STAGIAIRAMS
AMS3 Cargo Receiving Report AMS3
- - 2323541 - -
[MT ,1. 3 III 1 111111111111 III
State in subject "PO: 2323541" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
11
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- 2323541 -
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Shipper's Account Number Shipper's Name and Address
IfiLINDA
ceNfum JuNciAtio-HO HAELINDAE 61.6A1A 11' 4Wt.,1!)8
I EL r 82 :32 204 7816
Consignee's Account Number COnSignee'SNameandAddresS
I if F.H 01- I I t.-1,A1 , HA191. C/O MtJ1IliLU1NIS OLNLLUX SINCIAMOIRAAr 1 - 3 I 0.1 NA LI ALIN 1, Ak I LIIDAM A11 . 11'01'11) THL NETNCRLAWS,,,,
Agents EATA Code
I 1-j 1206/002 0 ACCouni NO.
Accounting Information
S/1141:- AS COW I Cie TEL 31 20 'I0 13870
FAX 31 O RI kit350 BAIL (TS'S INOMAR I tETRANS COM
icairdi I NIT I HANS _UN Referonco Number NOTIonarghlpping Information/ Airport of Departure(Addr, of First Carrier)and Requested Routing
INLI-1170N.KOHEA to to by Ito
Reques ad Right/Date/
By First Camel\ 9out9 and Deslinatn
Airport of Destination
WL7HUAM.NETHERLANDS I KE0fl2.5 JAN. 12,201 7
Declared Value tor Customs
N.C.V, Declared Value for Camage
N V .0.
\ Prepaid / \ Collect / eib" 11 Charge Other Charges
Total Nature and Quantity of Goods (incl. Dimensions or Volume)
,800
ICINS=itAittit211(
1. 124/J
ANULE VALVE EIL.,
-SHIP $1AH6 IN 111ANSII''
JOT RESTRICTED"
PRErAID'
Executed on(Date) at (Place) \Char gas el Destination/ \ Tow Collett Chews/
Nil 180- 1153 Wtil Not Negotiable
Air Waybill KOREAN AIR Issued by 4 1-3 SOSOM31110N0
CHLING- CP —ek1111.... KOREA
Copies 1,2 and 3 Of this Air Waybill are originals and have the same validity.
It is agreed that the goods described herein are accepted In apparent good order and condition (except as noted)tor carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE REVERSE HEREOF. ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD DR ANY OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HEPEON BY THE SHIPPER. AND SHIPPER Awas THAT THE SHIPMENT MAY BE CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS APPROPRIATE, THE SHIPPER'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARRIERS LIMITATION OF LIABILITY, Shipper may Increase such limitation of iiabilily by declarIng a hIgher value for carriage and paying a supptemeritei charge if required,
Currency JVVINAL
kRW eppcou.
!-
Amount Of Insurance
NIL INSURANCE-If Carrier oilers imurance, and such Insurance Is reCideGIOd n accoidance wrth the cOndiliOns 'Marini indicate amount to be insured in figures in box mari(ed "Amount of InsuranCe-,
Other IIRTrt
Rate Charge
8,840
Chargeable Weight
kg
lb
Rate Class Gross Weight
Ne.01 Pieces RCP °IiiSTAS I7Y
4-5
\ luta' Prepaid Total Collect „/- 2I)7 ,t3ff)
\ \7Urrenoy Conversion Hates //-`,\ CC Charges in Den Currency,/
Issuing Carriers Agent Name and City
UB GLS. INL.
Signature of Shipper Or his Agent
AS AGENT FOR ME WRIER KUHLAN AIH
.141 . 4 I , yhs en
\ Total Other Charges bue—Agent
Other Charge5 Due Carrier
CA
SS
- Ko
rea
Shipper certifie.s that Ihe parkulars on the face hereof are correct and that insofar as any part of the consignment contains dangerous goods, such part Is properly described by name and is in proper condition for carriage by air according to the applicable Dangerous cioolls Regulations.
ON OLS. 1NC.
FOr Carrier's Use only at Destination
Signature of Issuing Carrier or us Agent ITYLT-ic.11;11
ORIGINAL 2 (FOR CONSIGNEE)
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COMMERCIAL INVOICE
(With Packing list)
Hyt.“‘.oa Glooal Service Co.,Ltd
MaHre Se-vice Department
PUSANa,<OREA
Tel • 82 52 204 7816
r2 \(.= & Date
L'Ul /J1: IC
'7/2,15 of Dayii•erit
CN r
REmAR<S
AWB NO: 180 - 1153 3454
*SHIP SPARES IN TRANSIT
HS CODE: 8409.99.9090
coNsic, \iFF
TO THE MASTER OF STI BLACK HAWK
c/o MARINETRANS BENELUX By
5INGAPORESRAAT 1-3
1175 RA LLINDEN (AMSTERDAM AIRPORT)
THE NERHERLANDS
TEL 31 20410 8870
EMAIL [email protected]
OPSSINOMARINETRANS.COM
NOTIFY PARTY
Same d3 the above 1-kOM
INCHON,KOREA
TO
AMSTERDAM,NETHERLAND5
CARRIER
KE0925
SAILING ON & ABOuT
2017.01.12
CLAIM NO DESCRIPTION QTY U/PRICE AMOUNT
H2473
BOX 1(50*50*50CM)
097 CYLINDER HEAD TOP COVER HANDLE 2 $3.00 $6.00
099 GLO8E VALVE 30K 15A $30.00 $60.00 '
099 ANGLE VALVE I $80.00 $8000
104 GLASS OF AUTO DRAIN TRAP 1 $100 $3.00
114 SOLENOID VALVE WITH COIL 1 $2.00 $7 00
122 PRESSURE SENSOR 4 S1.00 ¶400
' NATURE OF ORIGIN - KOREA
* NO COMMERCIAL VALUE, VALUE FOR CUSTOMS ONLY
TOTAL 1 PACKAGE. 40KG TOTAL AMOUNT USS155.00
Signed by
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MARES SHIPPING GMBH
0S152ENG 4651157 REV 0 SUPPLIER BUYERS PO NO. WGT Position 1
PCS 1
WEIGHT 1
0
SIN
3O
V N1
:10
20.01.17 11:25 SVEA
20.01.17 20.01.17 11:27 SVEA
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
T1
MT MANAGER / OFFICE LING / SINGAPORE
CONTENTS Shipspares
CUSTOMS VALUE EUR 71
AGENT REF HAM-2328118 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
Cargo Receiving Report HAM
- 2328118 -
II II
II II
III
II
II II
II
*MTPO 328118*
State in subject "PO: 2328118" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
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-01
-20
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:49
:20
i 1, Order no.
I Data
1 a-lent no. I 'Your referende
\ Vessel I In charge 1 Telephone
1, FAx I1 arnall address : kifgroaras.da ,-- _
----
_PROFORMA4CUSTOMS INVOICE
: K/(0077 : 19. JanuaN 2017 : D05986 : OS152ENG 4651157 Rev 0
lack Hawk : Alexander Knitt
40 37478419
: +4940 37478440
Page
/1D2 Uot- cc /1-6
MARES SHIPPING SPARE PARTS SERVICE since 1975
MARES SHIPPING GMBH • Mattentwiete 8 • D-20457 Hamburg
ti; iEI a,C1
MVSTk Black Hawk Mrinehan% Gormgny GmbH
EOM: DF1728695
Obenhaurstresse 2 22:13e, Hamburg
OPrrnany
Phone. No.
Fax No. E- Mall
: 49 40 3708 7300
: -t49 40 3708 7470 : [email protected]
r" SHIP SPARE PARTS IN "I.RANSIT 1.R.4
SPARE PARTS SUITABLE FOR:
Packing details (cm)
21,00 21,00 10,00
1 •.) CARDBOARD BOX
ti Net Weight Gross Weight
th'g)
0,10 0,40
0.10 0,40
Alriount
MS-10042 SCAVENGING AIR FILTER
MS-10002 SINTERED BRONZE FILTER
KIS-10135 CLEANING NEEDLE
MS -10036 COTTONSTICK FOR CLEANING INFRARED HEAD
Linn price
4.95 29.70
on 9,50
1,20 1.20
ri 0,20
Total Weight:
Qty. tinif Doscriptiori of goods
OIL MIST DETECTOR PROPULf5ION MFG: .5"*CHALLER AUTOMATION
MODEL: VN-215/93
10
6 OFF
20
4 OFF
30
1 OFF
40
i OFF
00.1 S Hi, Mares Shipping GmbH Deutsche Bank AG, Hamburg
Tel. +4940 37 47 84-0 Bank Code 200 700 00 _
Commerzbank AG Bank Code 200 800 00
a -inn oii nn
Hamburger Sparkasse Bank Code 200 505 50 Arrnunt no. 1280 334 655
Place of Jurisdiction Hamburg e-e.c•ob
District Court Hamburg, HRB 17461
Managing Directors: . rThIV.G1
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( 41 Your r-.4. : 0S152ENG 4651157 R Order no. : Kt:11100757 \Arms SHIPPINerfogitic00,49),Niete 8 • D-21:140YrIti1ulAirg D,0586
MARES SHOPPING SPARE PARTS SERVICE since 1975
Date :19. January 2017 Page .
Total EUR 70,70
Value of goods for customs purposes only Not valid as a commercial invoice Customs-retevant data are confidential and not to be d on to third padies
= - Above matedals suppiied from MARES 6sHIPPIt',IG without any exception are Asbestos-Free in accordance with SOLAS ll-1, Reg. 3-5 and MSC.1/Circ.1379
MARES SHIPPING GMBH
Visit our new website: www.mares.de
old wk., Mares Shipping GmbH Deutsche Bank AG, Hamburg
# Tel +49 40 37 47 84-0 Bank Code 200700 GO A7 LIAAR Account no. 50 85 444 00
Commerzbank AG Hamburger Sparkasse Place of Jurisdiction Hamburg Bank Code 200 800 00 Bank Code 200 505 50 District Court Hamburg, HRB 17461 Account no. 6 100 211 00 _ Account no. 1280 334 655 Managing Directors:
ONV•GL
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ENTERED IN SYSTEM
RECEIVED WAREHOUSE
30.12.16 5:07 KH
30.12.16
30.12.16 5:28 KH
:EZ
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MT MANAGER / OFFICE LING / SINGAPORE
SUPPLIER
HI AIR KOREA LTD BUYERS PO NO. 0S152ENG 4649870 REV 0 WGT Position
1
CONTENTS Shipspares
PCS
1
WEIGHT
1
CUSTOMS VALUE USD 338
Ti
AGENT REF PUS1-2312687 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
PUS1 Cargo Receiving Report PUS1
- - 2312687
111 II
Ii II
State in subject "PO: 2312687" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
Layout: Print. CRR PRINTED : 30.12.16 / 05:29:17 Kh
- 2312687 -
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Shippingmarks
i2—Gcbr)
HI AIR Korea Co., Ltd. TEL.NO.: +8255
FAX.NO.: +82 55 346 3503
INVOICE
Shipper
HI AIR KOREA Co., Ltd.
204, Gomo-ro 324Beon-gil, Jillye-myeon
Girnhae-si, Gyeongsangnam-do, Korea
B. L SUNG / - A/S DEPT TEL: 4H82 55
FAX : +82 55 346 3503
Invoice No. and Date
ASP16110339 2016-12-29
HS Code:
Country of origin:
Consignee
C/O MARINE TRANS
Notify:
Buyer (if other than consignee)
STI BLACK HAWK SHIPPING COMPANY LIMITED ('/0 SCORPIO SHIP MANAGEMENT SAM 9 RUE DU GAB IAN MC 98000 MONACO
Other reference YOUR ORDER NO. 0S152ENG 4649870 REV 0 MN. STI BLACK HAWK YARD & HULL NO. HMD-2473
Terms of delivery and payment
30DAYS AFTER INVOICE DATE EXW under ineoterms 2000
No. & kind of pkgs:goods description Quantity Unit price Measurement
AA) Scope of supply :
NO. Description Type QTY U/price Amount
PCB AE-CC-0I 338.0 338.00 CONTROLLER
SUB. TOTAL
USD
USD
338.00
TOTAL-
338.00
F
TIARINETRANS KORE-1' CO LTD
ZOIS ,12. 3 0
RECEIVED
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** THE ABOVE AMOUNT TO BE PAID TO:
HIAIR KOREA CO., LTD Account No: 180 004 948892 BANK NAME: SHINHAN BANK BRANC11 : JINYEONG BANKING CENTER ADDRESS 1627 2 JINYEONG RI, J1NYEONG EUP, GIMHAE CITY, CiYEONGSANGNAM DO SWIFT CODE : SHBKKRSE
SINGED BY 6
AS-009
HI AIR KOREA CO.. LTD
MARFNETRANS KOREA CO„ LTD
2616 :12, 3 1)
RECEIVED
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FAX +82 55 346 3503
Shipper
HI AIR KOREA 204, Gomo-ro, 324beon-gil, Jillye-rnyeon,
Gyeongsanttnam-do, KOREA BIKING / - AlS DEPT TEL +82 55
Invoice No. and Date
ASP16110339 2016-12-30
2.0Kg y0Kg
Type O`TY
1 Al-CC-01
II II IF
SIGNED BY
E, SaN9
Country of origin:
HS CODE:
Buyer (if other than consignee)
STI BLACK HAWK SHIPPING COMPANY LIMITED C/0 SCORPIO SHIP MANAGEMENT SAM 9 RUE DU GABIAN MC 98000 MONACO
Consignee
CIO MARINE TRANS
Other reference YOUR ORDER NO.
YARD & HULL NO.
OS152ENG 4649870 REV 0
STI BLACK HAWK
HMD-2473
Notify
Terms of delivery and payment
30DAYS AFTER INVOICE DATE
EXW under incoterms 2000
Shippingrnarks No. & kind of pkgs:goods description
CASE NO.1 320(W)X250(L)X150(H) MM LL
Net weight Gross Weight Measurement
AA) Scope of supply :
NO. Description
PCB CONTROLLER
A.RINETRANS 'KOREA: CO., LTD
2016 12, 30
RECEIVED
-41 HI AIR Korea Co., Ltd. TEL.NO.: +8255
FAX.NO.: +82 55 346 3503
PACKING LIST
AS-009
HI AIR KOREA CO., LTD
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ENTERED IN SYSTEM
RECEIVED WAREHOUSE
10.01.17 2:57 KH
10.01.17
10.01.17 3:00 KH
T1
MT MANAGER / OFFICE LING I SINGAPORE
SUPPLIER
DINTEC CO LTD BUYERS PO NO. 0S152ENG 4650358 REV 0 WGT Position 2
CONTENTS Shipspares
PCS
1
WEIGHT
2
CUSTOMS VALUE USD 675
AGENT REF PUS1-2318592 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
PUS1 Cargo Receiving Report
- 2318592 -
fill 1,1 I 1113 1111811J 191 1 111
State in subject "PO: 2318592" to [email protected] First page not necessary using subject..
n Use as first page if sendt directly to [email protected]
Layout: Print. CRR PRINTED: 10.01.171 03:41:47 Jack
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DINTEC CO., LTD.
Seller
NTEC CO.. LTD.
3rd f I., DI NTEC B I dg. , Jungano-Daero 309.
Don-u, Susan. 601-836, KOREA
Cons i one°
MASTER OF M/V ST BLACK HAWK / HM02473
COMMEP.CT AL IPVO1 1/4.E :No, & Dateof Invoice
ON17010522 _ 2017-01-09 i No„& Date of 1.70
r Not . fy Par t y
L_ Other References * ORDER NO, : 0S152EN0 4650358 Rev 0
Tel (Fax) :
E-rtia i I
PIG:
Buyer
SCORPIO SH I P MANAGEMENT S.A,M, Le Millen i urn-9, Bou I ever d Char I es I I I MC 98000 Monaco
* SH I S SPARES IN TRANSIT
1 * HS CODE: 8409.99-9090
* COUNTRY OF ORIGIN : KOREA
• * CASE OTY : 1 (BOX)
* WE. DECLARE THAT OUR PRODUCTS ARE FREE OF ASBESTOS, _ Ter ms of De livery and Payment
EXWRUSAN.KOREA
T/T IN I TN IN 30 DAYS AFTER THE DATE OF SHIPMENT
From : BUSAN, KOREA
DUSAN. KOREA
To
Sailino on or about
Carrier : _ .
NO, DESCR I PT I ON PART NO. QTY UNIT U/PR ICE DC(%) AMOUNT
YOUR ORDER NO : 08152ENG 4850358 Rev 0/ OUR RFF :_F816126388
FOR POWER )1 GFNFRATORS
OFSC: Al TFRNATOR NO 1 MAR I NE DESIGN. SF1 F VENT I I ATM BRUSH I FSS - OUTPUT (KVA) :1000 -
VOL TAG F ( V) A C 450 V AMPERE ( A ) : 1283 0 - NO OF PHASF : THREE (3) - RFVOI ITT I n N : 790 -
ELLOSED : I P 23 - I NSULAT I ON: CI ASS "F" POWER FACTOR : 0.8 - NO OF POLE ; 10
MAN: H141-FFS
MOOR : HFC7508-14K
JYPE:SELF VENT II ATM, BRUSH I FRS
SFR I AI 2014'1289RM 49501
PT 100 TEMPERATURE PROBE 3 PCS 250.00 10 675.00
SUB TOTAL DISCOUNT TOTAL
USD 750.00 -75.00 675.00
I 1 tAinloori MOON MYUNG KUK
EXEC. MANAGING DIRECTOR DI NTEC CO., LTD.
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EC D:NTEC CO.,LTD. 9; Our,
114 AV Y 411.J,ST ills 1; to LTD
AULT:: 04.15i* A
IDNIV4TL
DI NETEC Mdg., Jungang-Daero 309, Dong-Ga Elusan, 601-836, Korea Tel +62-(0)51-664-1000/1100 Fax. +82-(0)51-462-7907-9 E-mail. [email protected] _
To SCOW 10 SH I P MANAGEMENT S.A.M. DATE ;2017-01-09
. I NVO I CE NO. 0N17010522
OUR REF. NO. : F816126368
PACKI NC U... PACKAGE NO. : 1
GROSS WE I GHT 2 KGS
NET WE I GHT : 1 KGS
MEASUREMENT 350 X 250 X 200 ( MM)
PACK I NO STYLE Car ton Box
MADE IN KOREA
° SH I PPING MARKS :
; SH I P ' S SPARES JNTRANS1T
1MASTER OF WV ST BLACK HAWK / HMD2473 YOUR ORDER NO. 0S152ENG 4650358 Rev 0
NO DESCRIPTION CODE
Q i TY
UNIT
?ORR ORDER NO : 0,S152FN0 485035E1 Rillf / 013 FIFE. : FR1B1?638B
FOR POWER & GENERATORS
()ESC: Al TERNAT%311.0-1_MaLNEDES ESLENIILATED.JIBLISL-Llia. .S_:_(11.11.a11.101)._11.0..0.0.2_-
101 TAR F(V):AC 490 V - AMPERE IA) : 1283 0 - NO OF PHASE : THREE( R) - REVD] UT I ON : 720 -
ENCLOSED I P 23 - I NSW ATM: CI ASS IT 1° -POWER FACTOR ELR ND OFP.0 F : 10
MAN: HH I -FFS
MODFI : HEC7508-14k
TYPE :SR FVFNTIF ATED, BRUSH LEM
SFR I AI : 70143269RAI 49501
1 PT 100 TEMPERATURE PROBE
3 PCS
* WE DECLARE THAT OUR PRODUCTS ARE FREE OF ASBESTOS.
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LING/SINGAPORE MT MANAGER / OFFICE
Ships pares
1
239
CONTENTS
PCS
WEIGHT
AGENT REF AMS3-2337575
VESSEL STI BLACK HAWK Scorpio Ship Management Sam
SUPPLIER TRITON SHIPPING
BUYERS PO NO. 4651735 WGT Position 239 NLVT-AMS3
CUSTOMS VALUE EUR
ENTERED IN SYSTEM 01.02.17 13:42 TEE
RECEIVED WAREHOUSE 01.02.17 01,02.17 13:43 TEE
TI
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AMS3 Cargo Receiving Report AMS3
- - 2337575 -
liii 1111111111 P0 2
311 1111 Jill II *M T
State in subject "PO: 2337575' to [email protected] First page not necessary using subject.
Use as first page If sendt directly to [email protected]
7.1
- 2337575 -
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Triton Shipping --\\ PittsburghStraat 3g-3047 BL Rotterdath •
23
Sign8lure of timbre do l'omedlteur / Handlekening en alempel MA de efzender / Utilerectinft und SlerripeI don Abnendern
Signature at timbre du frarqxsteur/ HandinkrAng 8temp.of van de Yonmorder Unterschrlft and Stempel dee Frathtfuhrers
24 MeithisidiseS reguee / Gnederen onivangen Gut empfangen
dZ .;)
/ Pianit
ignature e du destinataire 1 I landteken n stempel van de gra rm.:ermine I tinlAraaluitt ;nut Stamprif an Fmpfangers
Ate iipunar YEAH' 911.001111;.51nrc1117
ExCinplar für Ernpfunger V 1-11i1,1-1111111L1- - Vt1-1111Jt1-41J1JUUIVItn1 I
FRACHTBRIEF - TRANSPORTDOKLIMENT 4112:41 r:L'onZniar =Rei .7.47 I '7
IlldilrI de trtineentekomei pIaule vaii inonlvangstreminq en van alreveung van de oaken riln gelegen IIlirdee VCrschillencle landan Ch1R•Verdrag alannde In ruannaling 0/04. p.lippial. Vnivniireourallee 2002, iaalsto varsio, van Innitaaatig.
NL
Indian de overaengekomen plats van inentvangslnerning on tan annvering van de ,t(Anc, Z0 gaIngnii pr, Nederland .nin 010 Algi3MON V011.0 10001111i011 2002. 1341810 00F0e. wan loupessoig. 00 Ataeiliera3 Vervahranndities 2002, lierlete vereie, win door sVa I StiatitIng I/ampere:Vas gedepanuerd inr griffin van do anandissernantsrechtbank to Amsterdam on Rollivitint
f..Yp&litoor (non adiessa. pays)/ Arzender alitart Klll. land) Abitrider Friio. An5claiII, Land)
Triton Shipping BY Pittsburghstraat 33 3047 BL Rotterdam NEDERLAND
2 adr(vfiee, Ma)/ Geedresteerde fneam, edres, land) &Venue( (Name, Anarttift, Livid)
MIT "STI BLACK HAWK" C/O MARINE TRANS LIJNDEN SINGAPORESTRAAT 1-3 1175RA LIJNDEN /1\IL
IranwrIour inept, adrease, ryoye) 14/emend& (raern, adres, land) Fraolitfulver (Name, Ansthrift, Land)
B&B Rotterdam / NL
Lou yevu ry.our Ia Ivralaon de Ia marclierdlee pays) / Plate (bratemcf) your do afievering den goederen (plugs, land} / Auslieferungsart des Guile: Oil, Land)
LIJNDEN / NL
.17 Trum.paileUriii aisiesshfa (nom. adrEese, Nye) / Opvolgendo Vervoerders (ndium, adres; land) Nachfolgende Feachtfuhrer (flame, Anschrift, Lend)
KENTEKEN: •
Lieu et date do la prise en ehargn do Li rrinntrinndiso (linti, par, 03110) I Plaala en dal V. II lonlvangst-nonling dor grindentri (p13883. lond, datum)/ Oil Und TUst der ithernahrrie des GAGS (OM Land, Datum) l
Reserves et observations du tranaporleur T*14630100 opmetItIngen von de verwerder a Varbolireto Und aernodwngen doe FrachlItilloge
Rotterdam NEDERLAND
01-02-17
DOCUIllefita anliettea /01inevuegde docurneutert DelgefUgle Gokurnente
DELIVERY NOTE SHIPPING INVOICE
1V-L7,-,Pun.nui ti•rhumnrmien 7 htntreee cuitiliarCI rail 8 Unit rilnitaban/Wor eripekna a Iteviiia.i 6 Fral.hydmi L.s. gkor,r. hnuri.rREinkki Mdr V,r{.1,1r4 eere,niurit Wee o IlatdatetaLeMideted= 7
ra ,chtnt 4/ Enda itNiLii I i 9 m .1u
nee 14toaskrunon liiiiiallibunaigeied thrirr; rr-I
)67 ox A-. 96 1 PALLET 6 X T' STRONG TAILS - 11.MTRS
Tel
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MIT "STI BLACK HAWK" PO# 4651735
222 6
r— +1 tre;tn.ruflons io l'expediteur Ofter der Anwelsonyen des Aboenders
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14 PreiKettillalre d'affrehOlileeenteill I FnefiterInuevooroohrifl Fruclazahlungranweisungen
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1_1 NOr) frivICo Niel fraurcu / Unfrei
20 A ;Leder 10110{111Ni t180rl2U ndiruivrert
IhthotpLrl VnacitinTh FTNJII
I Ieduclvea Porlitate Irriateitaingen OUdo I Nelda iry1,010.711M1m4
EIVOCLIY tol.lul Zuschiattii:
nrumnirm liykarnm• 6.$o161.1.; -
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Opeol../FAtreriiiar Ahvvv$m
MOrinan I ficklano-li Ihrahrung
Dearnalara / Gboeres-,v•infe Errorana,-•
15 Remboursement / 21 EtiMPArgarrl lv
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Main dicers & Stccks: 56, Grarlas Slr. 1854.5 Piraeus Greece Rent— Factory Meccas 32200 Thivae,
Telepnone: +302104060600 Fax: +302104615211, 4-302104615248 E-mait karonakis@koronakisg ywmr,koronakiso BUREAU VEnrrns
L211111CaLluir
Head Office: 56, Gravlas Street 18 545 Piraeus Greece 18#30 210 4080880 .+30 210 4615211
: koronakisekoronakis.fir
kM571.11.. V.% A
4.0
D. KOPONAKIS S.A. Page 1 / 1
DELIVERY NOTE Order Order No: P0C1700613 Reference No: 4651735 Date:
To Captain & Owners:
Vessel Name: STI BLACK HAWK Delivery
AMSTERDAM -THE NETHERLANDS Place: Delivery time:
3 1/ 1/ 2 0 1 7
CfTY (COILS-PCS) DESCRIPTION
1) 6 MOORING STRONG-8 TAIL DIAM: 56mm (C PRO; 71 X 1IMTRS WITH PVC PROTECTED EYES AT BOTH ENDS MK: 80 TONS
Goods and certificates were received in good order and condition:
For D KORONAKIS SA
MMMMMMMMM
Date. Name in Capital Letters Signature of Captain/Chief Officer:
Authorized Signature
Ship's Stamp:
NOTES 1. We will send the original certificates direct to the main office of your company 2. Please return this document to our office address.
MANUFACTURERS OF VVIRE SYNTHETIC AND COIABINATION ROPES - STOCKISTS OF ANCHORS — ANCHOR CHAINS —CARGO GEAR ACCESSORIES
MT
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BUREAU 'ARMS Main dices & Stooks: 56, GraVos St. 18545 Piraak Greece Plank -Factory: Etamas 3220CI Thivae,
Telephone: +302104660660 Faxi-302104615211, +302104616246 E-rriall:[email protected] www,koronakis.gr MEM %Mins
Withcalom
D. KOPONAKIS S.A.
Head Office ; 56 Gravies Street 18 545 Piraeus Greece • +30 210 4060600 m+30 210 4615211
Page 1/ 1
DELIVERY NOTE Order Order No: POC1700613 Reference No: 4651735 Date:
To Captain & Owners:
Vessel Name: STI BLACK HAWK Delivery
AMSTERDAM -THE NETHERLANDS Place: Delivery time:
31/1/2017
QTY (COILS-PCS) DESCRIPTION
1) 6 MOORING STRONG-8 TAIL DAM: 56mm (CIRC: 7") X 11MTRS WITH PVC PROTECTED EYES AT
BOTH ENDS MBL: 80 TONS
Goods and certificates were received in good order and condition :
For 0 KORONAKIS SA
.......... 11.1.1...1,41.4.11•4
Date. Name In Capital Letters Er< I-1
Signature of Captain/Chief Officer: <
Authorized Signature
Ship's Stamp :
NOTES 1. We will send the original certificates direct to the main office of your company 2. Please return this document to our office address.
MANUFACTURERS OF WIRE - SYN1I-1ET1C MID COMBINATION ROPES - STOCKISTS OF ANCHORS ANCHOR CHAINS -CARGO GEAR ACCESSORIES
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AGENT REF AMS3-2338649 VESSEL UNKNOWN
Marinetrans Benelux By
MT MANAGER / OFFICE OPS /
SUPPLIER
UNIVERSAL MARINE MEDICAL UK BUYERS PO NO. 465174 WGT Position
4 NI_VTAMS3
CONTENTS Shipspares
PCS
WEIGHT 4
CUSTOMS VALUE FUR
ENTERED IN SYSTEM
02.02.17 13:29 TEE
RECEIVED WAREHOUSE
02.02.17 02.02.17 13:30 TEE
1-1 SIN
BOV
JO
Print. C
RR
NIT
O firs
t page
and 2nd page
. AMS3 Cargo Receiving Report AMS3
- - 2338649 -
II II 1MT ,1 I 10 1 1113 113 181 11 1,1 II II
State in subject "PO: 2338649" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
Layout: Print. CRR PRINTED: 02.02.17 / 13:36:06 Tee
:11
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Dx/ ?9? s 69.6 0$ /,7
7 3/ x 3?
II II
II
Pack Ticket
Ship To AddicE
MARINETRANS BENELUX BV
MARINETRANS BENELUX BV TOKYOSTRAAT 6-8 LENDEN, 1175 R8 NL
Document Number Order Date Page
3058 01/31/2017 1/2
PO Number Di.io Dati? Warehouse
05152DCK 4651741 02/03/2017 UK
Ship Via
FedEx International Priority
Description UoM Quantity Shipped
1
ARTEMETHER 20MG/LUMEFANTRINE 120MG TABLETS (24) Manual 1
BIOFREEZE PAIN RELIEF SPRAY 118ML Manual 6
CHARCOAL TABS BRAGGS (100) Manual 1
CLOVE OIL 10ML (1) Manual 3
CO-AMOXICLAV TAB 62.5MG (21) Manual 3
CYTOTEC TAB 200MCG (60) Manual 1
DIORALYTE NATURAL SACHETS (24) Manual 2
DOXYCYCLINE TAB 100MG (50) Manual 2
EPINEPHRINE IND 1:1000 (10) Manual 1
ERYTHROMYCIN TAB 250MG (28) Manual 8
FLEET READY TO USE ENEMA 133ML Manual 1
FUROSEMIDE IN 20MG/2ML (10) Manual 1
METOPROLOL TAB 100MG (28) Manual 4
MIDAZOLAM IN] 10MG IN 2ML (10) Manual 1
NASAL DROPS 0.05% XYLOMETHAZOLINE 30ML Manual 6
OMEPRAZOLE CAP 20MG (28) Manual 1
PARACETAMOL SUSP 250MG/5ML 100ML Manual 1
Item No.
Package;
ART000169XF
1310000342YU
CHA000646YU
CL0000728YU
COA000737YU
CYT000874YU
DI0003501YU
DOX000647XF
EPI000743XF
ERY001159YU
FLE001253YU
FUR003659YU
MET001953YLI
MID001975YU
NAS004162XF
OME003736YU
PAR002362YLI
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II II
II Document Number
Pack Ticket
Item No.
3958
Description UoM
2/2
Quantity Quantity Sliipped
REN006049YU RENNIE SUGAR FREE (48) Manual 2
UR1003247YU DIRUI URINE TEST STRIPS 10 DETECTION (100) Manual 1
VER003292YU VERMOX TAB 100MG (6) Manual 4
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AGENT REF AMS3-2338841 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER / OFFICE LING / SINGAPORE
SUPPLIER BUYERS PO NO. WGT Position
168 NLVT-AMS3
62 NLVT-AMS3
113 NLVT-AMS3
168 NLLG-AMS3
SEAWAY SUPPLY
4651758 4651738
CONTENTS
PCS
WEIGHT
Shipspares
4
491
CUSTOMS VALUE EUR 1.135
ENTERED IN SYSTEM
02.02.17 15:52 TEE
RECEIVED WAREHOUSE
02.02.17 02.02.17 15:55 TEE
TI
AMS3 Cargo Receiving Report AMS3
- 2338841 -
1111 „ .11111,11[113 1.11.11,11,11,1
State in subject "PO: 2338841" to documentamarinetrans.com First page not necessary using subject.
Use as first page it sendt directly to mtdocrigmarinetrans.corn
Layout: Print. CRR PRINTED : 02.02.17 / 15;56:47 Tee
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• s 0•• • • S • •
S •• • • •
1, lobnaarl 217 Pagin
DISPATCH NOTE VESSEL NAME _: ST1 BLACK HAWK DISPATCH NO. VM:1700887 DISPATCH DATE :01-02-17 CO-NT—Ib-iCiPtIONt :0031(0)102488800 CONTACT E-MAIL :[email protected]
Seaway Marine
DELIVERY C/O: MAR1NETRANS BENELUX A'DAM S1NGAPORESTRAAT 1-3 1175RA LUNDEN NL
RITE—VENCE: 0S152DCK 4651758 REV 0, 0S152DCK 4651738 REV 0
PACKED AS: 1 PALLET CONSUMABLES 2 BUNDLE STEEL IN LENGTH 2 PLATES STEEL
FA—CCOMPANYING DOCUMENTS: R PROFORMA INVOICE
TOTAL COLLI:5 TOTAL WEIGHT KGS:464 TOTAL VALUE FOR CUSTOM PURPOSE ONLY €: 1.134,91
FOR RECEIPT OF ABOVE ORDERS AND DOCUMENTS: SIGNATURE: MARINETRANS BENELUX ADAM
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Daellrizitaire nrfladrease, pays) / 2E4231ms-seer& ('neorn, adrm, lai Id)
EIVINNEIMMLANELUX ADAM SINGAPORESTRAAT 1-3 1175RA LUNDEN NL
Q ilJeu prelvu pour la ilvrvison doa rnarr,nandlaa (lieu, pays) / Rotnpestamd) vaor de ;ifirNering dm gorideren 431(sats. land)/ Auslinlarungoorl eel Gales On, LAnd)
LIJNDEN, Nederland
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rti.{,fair Ifind "dn)F8e.I_PaAfAfzender triaem, ildres,rebd) Abn er n , Anschnn, Land)
SEAWAY MARINE TRADING B.V. CMR17-0147 Hoekerstraat 19 3133 KR Vlaardlngen NL
NI" 202915 uveroantiekornerc plaetn inontvanyotnorning en von allovrring on do token zun ool 71 woo
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007 ArturdintlitialltitIeohlboott to knoioninni on fro.10vr 0,1.
16 Twoppneur { vereaerder (rum; atImg. land) FrocAlfdhror (r/ania, Layo J.C. VAN DEN BOS B.V. CHROOMSTRAAT 4 3067 GN ROTTERDAM
Lien et data de In prhe en chargo de Le marahandiee p- a, dolo) / Ploala en dal. v. Inorevanget- neming (kir gordsien (Nab, land, dalu(n) / Olt und Tag dor Libernalime Gwes pt. Land, Calm)
Vlaardingen, 02-02-17
5 RzrznrreTil:g.weion(roc.„nn
Zie Wage voor de zendingsdetails.
7 1 ci,L 6 CLL
M.10%othrTonalikt.imem.,mtr:
VM-17008132
VWI-1700887
8 9 tkltdir OUnttfotkolOo owoon
Vesselname: Songa Ruby
Vessulnamu: ST I Black
n toneugq,./ra.e=b4o, i*stnA.taio..urt Oslo ml nrikrtiv rim)
noftriSmanrorna ' 0.9,'FA0EINte71 n,11 ' IntNimml 2 KGS
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101 CfPfrionnons p- oVercenkonootnn ' klai,•onclate Vorainbanaven
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SEAWKY MARINE TRADING B.V. HoekerAtraat 19 3133 KR,VIaardingen NL
ElEaiiIMEESAM DEdamlwo I .coOis.mni1
all
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diRd new* nb. tinrirra du desturataira / H imo.in, ....A...—.
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Seaway Marine *
• • • •• a* • • • *
1 FEBRUARY 2017
PROFORMA INVOICE TO THE MASTER & OWNER OF
STI BLACK HAWK
SCORPIO SHIP MANAGEMENT SAM
9, RUE DU GABIAN
MC 98000 MONACO MONACO
INVOICE DATE ; 01-02-17
INVOICE NO, : 17003095
CUSTOMER NO. ; 1300209
OUR ORDER NO. : 17003095
VESSEL NAME : STI BLACK HAWK VESSEL P/O, NO. : 05152DCK 4551758 REV 0
CUSTOMER VAT :
DELIVERY ADDRESS: MARINE A
FOR CUSTOMS PURPOSES ONLY
ITEM CODE QTY UNIT DESCRIPTION UNIT PRICE PER TOTAL
J. 670789 6 PCE STEEL PLATE HOT ROLLED ST37,0 GALVANISED 31,74 1 100,44 2000X1000X1,5 MM
2 670881 2 PCE STEEL BLEACHING PLATE 2500X1250X51)1,23X3,2x8 58,01 1 116,01 3 670409 61,7 MTR FLAT IRON 30 X 4 1,07 1 65,09 4 670602 36 MTR STEEL EQUAL ANGLE HOT ROLLED ST37,0 1,13 1 40,57
25X25x3 rem s 710104 12,02 Aim PIPE GALVANISED WELDED UT (21.3X2,120) 1.24 1 14,93 6 710105 36,06 MIR PIPE GALVANISED WELDEID 3/4(26.0X23) 1,76 1 63,03 7 691181 50 PCE HEX HEAD BOLT/NUT STEEL UNGALV, Min X 40MM 11,49 100 5,74 a 600301 50 PCE HEX HEAD BOLT STEEL LINGALV, M12 X 45MM 12,57 100 6,20
TOTAL EUR 503,00
i 5naway Mrifillri Tradtfig BV. . Soitway Marine Trading 13.V. p ; *3) [0,10 24 ARNAMR0 BANK E18600 V.A.T. No.: NL0026349101901 Hoakerstraat 19 PO. Oak 77 F : t31 (0)10 2488640 AccoUnt not 63.67.43.853 LORI No.: NL002634910 9133 KR Vroardlrogan 3130 AD Vlaardingen E : Infolltseissesymarinfs,61 MAN 7 NL17ADNA0636743853 comm. Rag. Rotterdam The Netherlands The Netherlands W: SWOW.seawaymarine,n1 BIC : ABNANL2A NO,: 24220724
Payment within 30 days atter dol. invoice. Vat.. 0 base takh.11e Att ',deg, deliveries and services am according co )55A mndittons flatesr 'argue) as registered at the Disirint cuurt nt The Hague, 'rho Netherlands, unless othanuiail mutually agreed In writing,
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Seaway Marine
TO THE MASTER & OWNER OF
STI BLACK HAWK
SCORPIO SHIP MANAGEMENT SAM
9, RUE DU GABIAN
MC 98000 MONACO
MONACO
e e s • • • • • • • • • • • • • •
• • a
31 JANUARY 2017
PROFORMA INVOICE INVOICE DATE : 31-01-17 INVOICE NO. : 17004181
CUSTOMER NO. : 1300209 OUR ORDER NO. : 17000 81 VESSEL NAME : STI BLACK HAWK VESSEL PIO. NO. : 0S152DCK 4851738 REV 0
CUSTOMER VAT :
DELIVERY ADDRESS 1 MARINE A
r FOR CUSTOMS PURPOSES ONLY
ITEM CODE QTY UNIT DESCRIPTION UNIT PRICE PER TOTAL
3 470601 60 PCE BALL-POINT PEN LOCAL BRAND BLUE 0,10 1 13,21 2 470603 190 PCE BALL-POINT PEN LOCAL BRAND BLACK 0,10 1 18,83 3 470680 2 pa FLUORESCENT MARKING PEN, 10-COLORS 2,65 1 5,29 4 470882 24 PCE PENCIL ERASER PLASTIC MEDIUM FOR OFFICE USE 0,23 1 5,52 S 471116 a BOX PAPER CLIP NO.3(22MM) 100PCS 0,16 1 0,87 6 471267 49 PCE TAPE PAPER DOUBLE SIDE GUMMED 10MMXIOMTR 0,55 1 26,50 7 471322 50 PCE POST-IT MEMO 50X7511AM 0,79 1 39,10 8 6 PCE RULER 200MM (20 CM) PLASTIC 0,16 1 0,97 5 471645 24 PCE WHITE BOARD MARKER BLUE 0,30 1 7,19 10 471848 12 PCE WHITE BOARD MARKER RED 0,30 1 3,59 11 471652 24 POE MAGNET PAPER HOLDING 15MM DIAM RED 0,20 1 4,69 12 471854 24 PCE MAGNET PAPER HOLDING 15MM DAM YELLOW 0,20 1 4,69 13 472196 25 PKT COPY PAPER A4,500SHT (BOX=5pIcT) 2,71 1 67,85 14 47111I 0 PCE PAPER PIN 27MM 50GRIIII 3,58 1 21,46 L5 6 PCE (REM) TRACING PAPER FOR CHART CORRECTION A4 13,75 1 82,52
SIZE 16 1 PCE THERMOMETER FOR BRIDGE WET AM] DRY BULB 120,69 1 120,56
THERMOMETER FOR STEVENSON SCREEN PREFERRE DIMENSION FOR THERMOMETER (L X B ? 27 CM X 10 CM)
17 2 PCE PRINTER CARTRIDGE HP OFFICEJET 7,99 1 15,99 933XL(YELLOW)FOR HP OFFICEJET 7110
18 2 PCE PRINTER CARTRIDGE HP OFFICEJET 8,53 1 17,07 932XL(BLACK)FOR HP OFFICEJET 7110
15 3 PCE PRINTER CARTRIDGE-HP LASERJET CF 280X 17,39 1 52,18 C(BLACK)FOR HP LASERJET PRO 400 M401ON
Seaway Marino Trading B.V. Hoekerstraat 19 3133 KR Viaarding an The Notharlands
Sqaway Manna 'Reding 8.V. P : +31 OD 0 24E18600 ABN-AMRO BANK V.A.T. No. NL0026349101301 P.O. Box 77 P : +31 (0)10 24138640 Account no.: 63.67.43.653 tOM No.: NL002634 4710 3130 AB Vlierdingun E • IfifOOSeerWaymarine.ni MAN : NI.17AEINA0636743053 COMM. Reg. Rotterdam Tho N•therlands W erierWeaawaymarine.nf BIC ABNANUA NM: 24220724
PkYninhl Within 30 days after date invoice. Vat- 0 base tab.lia 4. All sales, delleariaa arid sondeca VI ac Cording to ISSA renditions (latest version) as registered at tha Mallet Court at lb. Hague, the Netharland., uniess othenvice mete/illy agreed In writing.
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UNIT PRICE PER TOTAL DESCRIPTION
11,57 1
16,92 16,92 I 6,92
46,29
33.az 33,63 16,92
TOTAL EUR 031,91
E.V. Seaway Marina Trading P.O. Box 77 3130AB Vlaardingen The Nothirlands
;aspic.. Vat-C base tab,tht 4. rauteally agreed in writing.
at iii,, ni.iri.t C.4011 at The Hague, Payment within 30 slay* d.rot The Nethertands, unless otherwise
All sales, dahvaries and sereices are A20.orejno to 15511 conditions 'latest verslarg as rogistered
•••• • • •••• Seaway Marine e.
..
Oe• •
31 JANUARY 2017
PROFORMA INVOICE INVOICE DATE •, 31-01-17
INVOICE NO. : 17004161
CUSTOMER NO. : 1300209
OUR ORDER NO. : 17004161 VESSEL NAME : STI BLACK HAWK
VESSEL HO. NO. : 05152DCK 4651738 REV 0
CUSTOMER VAT :
DELIVERY ADDRESS: MARINE A
TO THE MASTER & OWNER OF
STI BLACK HAWK
SCORPIO SHIP MANAGEMENT SAM
9, RUE DU GABIAN
MC 98000 MONACO MONACO
ITEM CODE (WY UNIT
70 4 PCE
21 2 PCE 22 2 PCE 23 1 PCE
FOR CUSTOMS PURPOSES ONLY
SAT-C & MRHF PRINTER CARTRDIGE RIBBON CARTRIDGE FORD PINEPSON ite750 15A HP LASER JET OP 1025 COLOR CE 311A CYAN HP LASER JET OP 1025 COLOR CE 312A YELLOW HP LASER JET CP 1025 COLOR CE 313 A MAGENTA
Seaway Marino Trading EN. Heekerstroat 19 3133 KR Viaardinvo The Notberlahdd
P +31 (0)10 2490600 ~~: +31 (0)10 2400640 E infeez*ewayrnariromni W: www.seawaymarino.n1
AHMAMR0 BANK Account no.: 83.1.7,43,e53 IBAN NUTARNA063614M353 MC 4 ARNANL2A
V.A.T. No.: N1.0026349101301 CORI No.: NL0026349113 COMM. Rag. Rotterdam
24220724
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AURAMARINE OY LTD
4651730 SUPPLIER BUYERS PO NO. WGT Position
5 NLVT-AMS3
5
EUR 1.269 CUSTOMS VALUE
WEIGHT
03.02,17 15:06 TEE
03.02.17 03.02.17 15:08 TEE
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
AGENT REF AMS3-2340302
VESSEL STI BLACK HAWK Scorpio Ship Mannemeni Sam
MT MANAGER I OFFICE LING / SINGAPORE
CONTENTS Shipspares
PCS 1
T1
.1
AMS3 Cargo Receiving Report AMS3
- - 2340302 -
110,, 11110 1,1113 1111113 1011 j1j
State in subject "PO: 2340302" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
Layout: Print. CRR PRINTED : 03.02.17! 15:08:33 Tee
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Invoice Address STI Black Hawk Shipping Company Limited c/o Scorpio Ship Management s.a.m. 9, Rue du Gabian MC 98000 Monaco Monaco
Ordered by Scorpio Ship Management s.a.m. Le Millenium 9 Boulevard Charles III MC 98000 Monaco Monaco
Delivery Address Master STI BLACK HAWK Ship's spares in transit c/o Marinetrans Benelux BV Singaporestraat 1-3 1175 ra Lljnden (Amsterdam airport) The Netherlands
Terms of Delivery Transport mode Term of Payment Net date Interest for delay Customers VatRegNum
DAP (incoterms 2010) Lijnden TNT Express 30 days net 4.3.2017 13,00 MC
AURA MARINE
INVOICE 5312599
2.2.2017 1/2
Our reference
Customer reference
STI Black Hawk Our contact
Kai Ristimakl
Item
Amount Unit price Discount%
Nei Price
For STI Black Hawk, ship's spares In transit.
Order number 05152ENG 4651730 Rev 0 I 5315353 I Number of Delivery 5334939 / Delivery date 01/02/17
81,00 486,00
121,68
486,00
121,68
7,99
45,85
M003125 Seal guard 6 pcs Tariff code: 84139100 / Country of origin: CH / Net weight: ,082
M004047 Hose with fittings 6 pcs 20,28 Tariff code: 40092200 / Country of origin: Fl / Net weight: ,222
M003125 Seal guard 6 pcs
81,00 Tariff code: 84139100 / Country of origin: CH 1' Net weight: ,082
M004047 Hose with fittings 6 pcs 20,28 Tariff code: 40092200/ Country of origin: Fl Net weight: ,222
Ayoovi Packing material fee
1 pcs 7,99 Tariff code: / Country of origin:
AY00003 Delivery cost
1 pcs 45,85 Tariff code: / Country of origin:
Package
Dimensions m (L*W*H) Vol m3 NW kg GW kg Carton 0,45*0,39*0,28 0,049 3,648 4,8
Transfer: 1269,20
AURAMAR1NE OY LTD
Bank Nordea Bank Finland Lid. Keskilanlie
P,O.Box 649
Business ID: 0684696-3
TeL+366 (0)204 66 6030
Ac'. 208118-64244 FIN-20660 LI1tolnen FIN-20101 TUrku VAT rag: F100846963
Fax:+358 (0)204 86 5031
!BAN: 5173 2061 1800 0642 44 FINLAND
FINLAND
Reg office: Lleto
SWIFT (BIC) NDEAFIHN
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AURA MARINE
INVOICE 5312599
2.2.2017 2/2
Our reference
Customer reference STI Black Hawk Our contact kal Rlstimäkl
Item
Amount Unit price Discount% Net Price
Transfer: 1269,20
Total excluding Vat EUR Vat%
1.269,20 0,00
Total including Vat 1.269,20
AURAMARINE 0? LTD Bank Nordas Bank Finland Ltd. Keakiliantie 1 P.O.Box 849 Business ID: 0684696-3 Tel:+358 (0)20486 5030 Ace, 208118-64244 FIN-20660 LIttolnen FIN-20101 Turku VAT leg: FI06846963 Fax:+358 (0)204 80 5031 IBAN: FITS 2081 1800 0642 44 FINLAND FINLAND Raof fl LIato SWIFT (3 IC): NDEAFIHH
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STI BLACKHAWK
4652155
STI BLACK HAWK SHIPPING COMPANY LIMITED C/
STI031
A02070
00000059
07.02.2017
9 RUE DU GABIAN
Invoice No
Date
Quatation No
Customer No
Vessel Name
P.O. No
:
:
:
:
:
:
Company
Adress
Att
:
:
: Rutika Gidh
VAT :
Tel : +91-22-61060122
Fax :
Mob :
I N V O I C E
30 DAYSTerm Of Payment :
MC 98000 MONACO, MONACO MC MONACO
Total PriceUnit PriceQtyGtip NoDescription
Pilot Ladder 9 Mtr. MED 405,001 EACH 405,0000 EUR
Transport 100,001 TRIP 100,0000 EUR
0
505,00Total Amount
505,00
505,00
0
:
:
:
:
:
Sub Total
Discount
Net Total
VAT
EUR
EUR
EUR
EUR
EUR
DELMAR SAFETY B.V.www.delmarsafety.com
Mandenmakerstraat 84, 3194 DG Hoogvliet
Rotterdam The Netherlands
Tel : +31 10 260 16 46 GSM : +31 61 582 27 21
Chamber of Commerce 53951425
V.A.T. NL.851087048.B01
ING BANK-IBAN-NL49 INGB 0005 7763 61 SWIFT-INGBNL2A
State in subject "PO: 2342510" to [email protected] First page not necessary using subject.
Use as first page if sendt directly to [email protected]
AGENT REF VESSEL
MT MANAGER I OFFICE
SUPPLIER
AMS3-2342510 STI BLACK HAWK Scorpio Ship Management Sam
UNG/SNGAPORE
HARDING MARINE SERVICE
BUYERS PO NO. 4651622 WGT Position 4651621 85 NLVT-AMS3 4651754 7 NLVT-AMS3 4651743 105 NLVTAMS3 4651746 132 NLVT-AMS3
CONTENTS Shipspares
PCS 8
WEIGHT 1252
CUSTOMS VALUE EUR 4.467
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
07.02.17 12:16 TEE
07.02.17 07.02.17 12:20 TEE
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- 2342510 -
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WE HEREBY CONFIRM DELIVERY OF FOLLOWING ORDERS
"M/V STI BLACK HAWK" PO# 0S152STWD 4651622 PO# 0S152DCK 4651621 PO# 0S152DCK 4651754 PO# 0S152ENG 4651743 PO# 0S152STW 4651746
s- V
z) /0,s- v 1 PALLET *ADR* = <6; V 7 PALLETS 1 LADDER - 4-'6' V
1391 KG
)17 2 V DELIVERY DATE:
/‘'t/ 07-02-2017
Harding Marine Services (Rotterdam) B.V.
.it-c:Hry, hula ri Survites (P,otie -
Ach 57/11iiii 2, 2992 SB .• I , Vic lands
) 1- (0) 180-G.1 3 i r.)o
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MarineTrans Lijnden
cop
skliP5ERV =N V VS I* pm Vas I.T...lavax,
Delivery5bett_5TI BLACK Futm_2017-02-06 16_29_48
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The shipper declares all information on this document to be true.
(ROLtel thir PI V
cedlpk 57/1.,..I nil' 2, 2q9; SR arrindrei_ht,
rreL; i 31 (0) i() 6,17,100 WWW.hdrdiniuroNrini ru -
Shipper: Harding Marine Services BV, (sign & stampplease)
Harding Marine Services (Rotterdam) BY. Phone No. +31 1.80 643 100
Achterzeedijk 51, Unit :3 Fax No. +31 180 643 101
2902 SES Berendreeht Falai! me1ek0)ardingmarine,n1
The Netherlands Site www.hardingmarine.rd
VAT Reg. No. NI..00:38.191931301
Dam 25-01-2017 Registr, No. 24217800
Client: Scorpio Ship Management SAM Bank A1-3N AMY)
Vaggin: STI SLACK HAWK IIIAN No. NI98ABNA0610669774
131C Code ARNANI...2A
Dear sirs, PRO-FORMA INVOICE
This pro-forma invoice is a shipping invoice and only for STI BLACK HAWK shipping and Custom purposes.
Yours sincerely,
Harding Marina Services BV
Our ref. Your ref. Department Amount
R17-000909 PO# 051525TWO 4651622 SIOR LS 2.059,92
R17-000910 POirl. 051,52DCK 4651521 STORES 909,15
R17-000936 POP 05152ENG 465174a STORES 531,77
R17-000940 PO# 0515251W 4651746 STORES 295,19
R17-000924 POP 0S152DCK 4651754 . STORES 668,62
Total amount NET EUR 4.466,65
Our general conditions of sale apply to all offers/orders and deliveries. unless otherwise stated. A copy is available on request. Goods remain property of Harding Marine Services (Rotterdam) B.y, until paid in full.
Genuine spares from original maker offered.
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Hie
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Harding Marine Services Rotterdam
DELIVERY NOTE
Achterzeedijk 57 / unit 2 2992 513 Barendrecht
Netherlands
www.hardinemarineml
Page:
Vessel STI BLACK HAWK • Port
printing Date Delivery Note Our PO-no. Your Ref-No.
Department
06-02-17 D17-01067
- R17-000909 PO# 0515251'WD 4651622
STORES
Phone No.
Fax No.
VAT Reg. No.
Registr. No.
Bank
Bank acct
IBAN No.
SIC Code
+31 180 643 100
+31 180 643 109
N1_0038491931301
24217800
ABN Amro
610659774
NL98ABNA0610659774
ABNANL2A
Item IMPA/ ISSA HMS Code Description Unit Qty. Check
1 170337 H99170337 COFFEE MUG CHINA 30 CL PCS, 24
H5:69111000
1"- 1T70:187 H99170487 PAPER PLATES ROUND 130)4' 2f
222MM 1005
#14 Per 100s##
Country of Orgln: GERMANY
3 170606 1-199170606 TUMBLER STRAIGHT PCEI 241
STANDARD PLAIN 360CC
HS:70134910
COMntry of Orgin: THAILAND
4 170749 1199170749 SALAD BOWL DURALEX 200MM PCEL 61
20CM 1.00L
H5:70134910
Country of Drain: FRANCE
5 170794 H99170794 SERVING TONGS MULTI PCEI 41
PURPOSE STAINLESS STEEL 220MM
HS:73239310 ,
Country of Orgin: INDIA
6 171408 11199171408 SERVICE TRAY ROUND PCS 1
PLASTIC NON SLIP 405MM DIAM
7 172347 IH99172347 SMALL KNIFE CARBON PCE 4
STEEL SUPERIOR 120MM
H5:73239390
8 172362 1-1J72362 POTATO PEELER FRAME PCE 21
HANDLE OVERALL 145MM
HS:73239390 _ 9 172370 H99172370 FISH SHEARS 200MM LENGTH PCEI 11
115:73239310
Country of Orgin: SWITZERLAND
10 172541 H99172541 EGG TURNER STAINLESS PCEI A STEEL BLADE 75X9OMM
HS:73239390
Country of Orgin: INDIA
11 I 172849 H99172849 CHEESE GRATER STAINLESS PCE 11
STEEL 4 SIDE CUT 60X90X204MM
115:82055100
Country of Oren: INDIA
12 172938 1H99172938 FOOD CONTAINER PCS 24
PLASTIC W/TIGHT
SEALCOVER 355X270X120MM 9.6LTR
H5:39231000
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International Ship Supplier Association.
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Harding Marine Services Rotterdam
DELIVERY NOTE
Vessel STI BLACK HAWK
Printing Date
06-02-17 Port
Delivery Note
D17-01067 Our PO-no. R17-000909 Your Ref-No. PO# 05152STWD 4651622
Page
Achterzeedijk 57 / unit 2
2992 513 Barendrecht
Netherlands
www.hardinemarin • .n1
Phone No. 4-31 180 643 100
Fax No. +31 180 643 109
Email sales@hardingmarine,n1
VAT Reg. No. NL0038491931301
Registr. No. 24217800
Bank ABN Amro
Bank acct # 610659774
184N No. NL98ABNA0610659774
Bic Code ABNANUA Department
STORES
Item IMPA/ 155A
fl HMS Code Description Unit Qty. Check
Country of Orgin; NETHERLANDS
13 172986 H99172986 RACK PLATE & TRAY PCE
DISH WASHER PLASTIC 5021502X112MM
HS:39249000
Country of Orin; TURKEY
14 174055 H99174055 HAND SCOURER STAINLESS STEEL PCE 24
HS:73231000
174055
1 174076 1499174076 SCOTCH BRITE STROPPING PCS 48
PAD 3M NO.94
[16 I 174078 1-199174078 SCOTCH BRiTE PAD PCS
BLOCK 3M NO-5473
H5:96039091
18 174256 H99174256 TOILET PLUNGER PCEI 21
D1AM 130MM FOR JAPANESE STYLE
H5:40169100
Country of Orgin: NI.
19 I 174258 H99174258 TOILET PLUNGER PCE
DIAM 165IVIM FOR WESTERN STYLE
1-15:96039091
20 174356 H99174356 FLY SWATTER LENGTH 550MM PCE
HS:732,39390
21 174724 H99174724 pRESS IRON STEAM/DRY 220V PCs
H5:85164010
22 I 174272 1H99174272 REPLACEABLE HEAD PCEI 24
FOR YACHT MOP
HS:96039091
Country of Orgln: EGYPT
174272
23 I 019 150121 SHEET ALL COTTON WHITE SHEET ALL PCE 24 COTTON WHITE 2030X2400MM IMPA: 150121
#0 200/260cm 4.#
24 D19 150128 SHEET ALL COTTON WHITE SHEET ALL PCEI 24
COTTON WHITE 2286X2600MM IMPA: 150128
#4 240/260cm 4#
25 150286 H99150286 PILLOW CASE WHITE 60X70 CM PCE 48
HS:63023100
26 150306 H99150306 BLANKET, WOOL 60% Pa
1500X2200MM BLUE
### Blanket wool 70% blue
15001'2000mm #4
Goods remain the property of Harding Marine Services Rotterdam By. until pald in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International Ship Supplier Association.
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Harding Marine Services Rotterdam
DELIVERY NOTE
Achterzeedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
www.hardingmarine.n1
Page
Vessel STI BLACK HAWK Port
Printing Date Delivery Note Our PO-no. Your Ref-No,
06-02-17 D17-01067 R17-000909
• KM 0S152STWD 4651622
Phone No.
Fax No.
VAT Reg. No.
Registr. No.
Bank
Bank acct
IRAN No.
BIC Code
+31 180 643 100
+31 180 643 109
NL003849193801
24217300
ABN Amro
610659774
NL98ABNA0610659774
ABNANL2A Department STORES
Item Unit
27 PCE
IMPA/ !SSA HMS Code
O19
Description
150447 SHIRT SHORT SLEEVES SHIRT SHORT
Qty. Check
3
SLEEVES COTTON WHITE L IMPA: 150447
150427 TROUSERS POLYESTER BLACK PCE 3
TROUSERS POLYESTER BLACK L IMPA:
150427
28 1
019
129 1 1506011H99150601 BATH TOWEL COTTON
WHITE 140 X 70 CM
H5;6302E000
30
150602 PCE
12 H99150602 BATH TOWEL COTTON
BLUE 140 X 70 CM
H5:63026000
PCE1 12
31 D19 (IMPA 150609) Towels Face IMPA: 150609 PCE 12
32 150616 H99150616 SPONGE CLOTH ALL COTTON PCE 12 HS:63071030
Country of Orgin: GERMANY
(IMPA 150714) Shower Curtains 1500x2000 IMPA:
150714
## PVC 180/200cm ##
34 I LIMS0001.20 WASHING POWDER 25 KGS
DETERGENT LAUNDRY MACHINE ALVA
## Per 25 KG ##
33
O19 PCE
12
BAG
61
35 550125 H99550125 LAUNDRY SOFTENER2LTR. BTL 12
36 550121 H99550121 BLEACHING WATER 12 X 1 LTR. CANI 24
** MSDS REQUIRED **
1HMS000094 ## DETERGENT (TEEPOL) 2OLTR/CAN CAN
MSDS 550142
I 1HM5000122 MILWA LIQUID DISHWASHING 1OLTR CAN
CLEANER 1OLTR/CAN FOR DISHWASHING MACHINE
** MSDS REQUIRED **
550185 H99550185 DISHWASHING RINSE CAN'
ADDITIVE ##10 LTR##
550253 1HMS000144 LUX SOAP 144X8SGRM (PCE) PCE1
## Offer LUX ## H97134255 LIQUID HAND SOAP W/PUMP PCE
BOTTLE 500 ML
JHM5000106 CARPET CLEANER SPRAY 12 X 600
** UN 1950 MSDS REQUIRED **
42 BTL
121
** NOT SUITABLE FOR AIR REIGHT UNLESS
SPECIALLY PACKED AT EXTRA COST **
43 550621 H99550621 COCKROACH KILLER
AEROSOL 300CC
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or mlssings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the international Ship Supplier Association.
PCE
6
137
38
39
40
141 481
31
4
5
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Harding Marine Services Rotterdam
DELIVERY NOTE
Vessel STI BLACK HAWK
Printing Date
06-02-17
Port
Delivery Note
017-01067 Our PO-no. R17-000909
Your Ref-No. 1304 051525TWD 4651622
Page'
Achterzeedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
www.harclingmarine.n1
Phone No. +31 180 643 100
Fax No. +31 180 643 109
Email sales@ hardingrnarine.rd
VAT Reg. No. NL003849193801
Reglstr. No, 24217800
Bank ABN Amro
Bank acct # 610659774
IBAN No. NL98ABNA0610659774
BlC Code ABNANUA Department
STORES
Item IIVIPA/ ISSA HMS Code Description Unit Qty. Check
H5:34029010
550621
44 HM5000107 ANTI-INSECT SPRAY 12 X 400 ML Bill 61
** MSDS REQUESTED - SEPARATE PACKAGING *
"UN 1950 "
550624
45 550141 jH99550141 DISHWASHING LIQUID EITL1 ji _LI
H5:34022090
46 I HMS000181 PRO-LINE SANITARY CLEANER PCE1 10
CRT/ 12X1LTR
47 HM5000108 GRILL&OVEN CLEANER SPRAY 500ML PCE1 61
4" UN 1950 MSDS REQUIRED ***
48I D19 550510 FLOOR CLEANER JOHNSON FORWARD CAI 61 FLOOR CLEANER JOHNSON FORWARD NON
RINSE 18LTR IMPAI 550510
## DISINFECTION CLEANER MARINE 91 /
Per 5 LTR ##
49 D19 550503 Floor Stirooer Floor Stlrooer CAI SI Power Go 18Itr IMPA: 550503
Ntt Per 5 LIR ##
50 1550111 H99550111 SOAP LAUNDRY POWDER BAG' 121
W/ENZYME 3,0KGS/PKT
## Bag/3Kg ## _ 51 550355 H99550355 CLEANER & POLISH TIN 12
SPRAY STAINLESS STEEL 600ML
" LJN1950 MSDS REQUIRED **
** NOT SUITABLE FOR AIRFREIGHT UNLESS
SPECIALLY PACKED AT EXTRA COST"
F15:34039910
152 j 550313 J1-199550313 CLEANER GLASS AEROSOL CAN 12j
KEEN 300NIL
" UN1950 MSDS REQUIRED '
## alt. brand ##
53 HM5000163 ## MARINE REFUSE P/BAGS 70X110CM PCS 200
/ per piece ##
54 HM5000145 #BAGS, PLASTIC, BLUE 700X1100MM PCE1 3501 ., 40mU / per piece ##
55 174572 11-199174572 LI JUICER BLENDER ELECTRIC 220V PCS 1
220V 2LT
HS:85094000
174572
Goods remain the property of Harding Marine Services Rotterdam By. until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery,
Harding Marine Services Rotterdam By, is member of the International Ship Supplier Association.
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Ii Harding Marine Services Rotterdam
DELIVERY NOTE
Page
Achterzeedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
vvww.hardingmarine.n1
Phone No. +31 180 643 100
Fax No. +32 180 643 109
Email salesQhardingmarine.rd
VAT Reg. No. NL003849193801
Registr. No, 24217800
Bank ABN Amro
Bank acct # 610659774
IBAN No. NL98ABNA0610659774
SIC Code ABNANL2A
Vessel STI BLACK HAWK
Printing Date
06-02-17
Port
Delivery Note
D17-01067 Our PO-no. R17-000909 Your Ref-No. : po# 0.51525-rwa 4651622
Department
STORES
Item IMPA/ ISSA HMS Code Description Unit Qty, Check
56 172.519 H99172619 CAN OPENER HAND PCS 1
PLIER 185MM OVERALL
HS:82055100
57 174048 H99174048 OVEN MITT HEAT PCS
PROTECTION ALUMINIZED CLOTH
H5:62160000
Country of Orgin: PAKISTAN
58 550361 H99550361 POLISH FURNITURE LIQUID 200CC BTL
550361
59 174513 H99174513 KETTLE ELECTRIC 2.1LTR 220V PCSI ii
CORDLESS
I-15:85161019
174513
I 60 1.24243 1HM5000143 TOILET PAPER WHITE 64'S/PCK RLS 128
#4Per pce/roll , please check quantity##
61 1 D19 PAPER CUP DISPOSABLE 7.50Z IMPA: 170682 PAl
## Per 100's ##
62 171753 199171753 SPARE FRYING BASKET PCE 2
DIAM 240MM
I-15:73239390
63 172338 H99172338 HOTEL SLICER CARBON PCEI 41
STEEL BLADE 270MM
I-15:73239390
[64 174233 HM5000154 KITCHEN PAPER TOWEL ROLL ROLLI 100
W-235MM 16X2ROLL
HS: 48182000 ORIGIN : NETHERLANDS
174234
65 D19 (IMPA 150387) Quilts / Blankets IMPA Code PCEI 61
150387
## 150x220CM ##
66 I 1 019 (IMPA 150608) Face Towels White IMPA Code PCEI 12J
150608
67 I HM5000101 ##MULTIPURPOSE CLEANER 1 LTR## BTL 24j
IMPA Code 550160
68 D19 (IMPA 550340) Drain Pipe Cleaner 250 grm IMPA PCEI I
Code 550340
[69 I 019 (IMPA 550601) Pine Scent Disinfectant solution BO
IMPA Code 550601
## Per 5 LTR ##
70 D19 Garbage Bag - Plastic 200 ltrs RLL 10
## BAGS GARBAGE 95X110CM T70 160LTR
Goods remain the property of Harding Marine Services Rotterdam BV. until paid in full.
Discrepancies or rnlssings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam By. Is member of the International Ship Supplier Association.
00.4.5114
lr'Fsochd,
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Harding Marine Services Rotterdam
DELIVERY NOTE
Achterzeedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
www.hardingrnarine.n1
Page I
Vessel STI BLACK HAWK Port
Printing Date Delivery Note Our P0-no. Your Ref-No.
Department
06-02-17 D17-01067 R17-000909 PO# 051525TWD 4651622
STORES
Phone No.
Fax No.
VAT Reg. No.
Registr. No.
Bank
Bank acct
I BAN No.
BIC Code
+31 180 643 100
+31 180 643 109
5alesVhardingmarine.n1
NL0038491931301
24217800
ABN Arnro
610659774
N198ABNA0610659774
ABNANL2A
Item 1IMPA/
ISSA HMS Code Description Unit Qty. Check
/ Per 10's ##
71 HM5000155 WRINGER MOP BUCKET PCS
72 HMS000178 ##PRO-LINE CONCENTRATED CLEANER 1LTR ## PCE 24
73 D19 Vacuum Cleaner Bag Make - Samsung PA 3
_ Model - MH1 Part No - VP - 95B
## Per 5 pcs ##
74 D19 Garbage plastic bags. Size (50 kr) RLL 8-
## BAGS GARBAGE 60X80CM NON•KOMO
60 LIP Per 20's ##
75 I 150668 H99150668 PLASTIC SHEET TRANSPARENT NRL 2
0.2X1830MMX5OMTR
HS:39201089
MASTER
"Please sign and stamp"
CHIEF ENGINEER
"Please sign and stamp" *IA
ifl Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
n
Harding Marine Services Rotterdam By, is member of the International Ship Supplier Association. -1.4sticioe
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid In full.
CHIEF OFFICER
"Please sign and stamp"
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Harding Marine Services Rotterdam
DELIVERY NOTE
_
Achterzeedijk 57/ unit 2
2992 SB Barendrecht Netherlands
www.hardingmarine.n1 Phone No. +32 180 643 200 Fax No. +31 180 643 109
5alesghardingmarine.n1
VAT Reg. No- N1,003849193E101 Registr. No. 24217800
Bank
ABN Amro
Dank acct
610659774 IBAN No. NL9BABNA0610659774
BIC Code
ABNANL2A
Vessel STI BLACK HAWK
Printing Date
06-02-17 Port
Delivery Note
D17-01068 Our PO-no. t R17-000910 Your Ref-No. - PO# 0S152DCK 4651621
Department
STORES
Item 11V1PA/ 155A HMS Code Description Unit Qty. Check
1 450702 H99450702 WD 40 LUBRICANT SPRAY 360ML TIN 1.2 _ " UN 1950 MSDS REQUIRED "
** NOT SUITABLE FOR AIRFREIGHT
UNLESS SPECIALY PACKED AT EXTRA COST "
li1tt Alt. brand tilt
2 650841 H99650841 TAPE MEASURING PCS 1
STAINLESS STEEL
WITH METAL CASE 10MTR
HS:90178010
Country of Orgin: GERMANY
3 I 610122 H99610122 SOCKET WRENCH SET SET 1
12.7MIVI/SQ 8-27MM
13SOCKET & 4TOOL
HS:82,060000
Country of Orgin; CHINA
F7610475 I-199610475 SOCKET ADAPTOR PCS 1
19MM-MALEX12.7MM-FEMALE
HS:820420M
Country of Orgill: TAIWAN R.O.C. 5 7344102 H99812502 TAPE SEAL TEFLON PCE 12
20MMX10MTR
HS:39209951
Country of Orgin: CN
6 610476 IH99610476 SOCKET ADAPTOR - — PCS 1
12.7MM-MALEX19MM-FEMALE
1-15:82 042000
Country of Orgin: TAIWAN RA: 1.C- ] 610846 H99610846 WRENCH SET OPEN SET 1
& RATCHET TYPE
12-POINT BOX 8-17MM 65
H5182060000
Country of Orgin: CHINA
8 611301 H99611301 WRENCH PIPE STRAIGHT HD 150 MM PCS 1
H5:82032000
Country of Orgln: GERMANY 9 611288 H99611288 BIT SET HEXAGON PCS 1
6-17MM 6 BITS & STOOLS
H5:82060000
Country of Orgill: TAIWAN R.O.C.
10 611642 1H99611642 PLIER VISE-GRIP PCSI 21
COMBINATION 175rvIM
. Sa 66. /O $1fi Goods remain the property of Harding Marine Services Rotterdam B.V. until paid In full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International Ship Supplier Association. 1'4.10 i 015%
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Harding Marine Services Rotterdam
DELIVERY NOTE
Achterzeedijk 57 / unit 2
2992 SR Barendrecht Netherlands
www.hardinemarine.n1 Phone No. 4.31 180 643 100 Fax No. +31 180 643 109
VAT Reg. No. K003849193E101 Registr. No. 24217800
Bank
ABN Amro Bank acct
610659774 IBAN No. NL98ABNA0610659774
BIC Code
ABNANL2A
Vessel 5T1 BLACK HAWK
Printing Date
06-02-17 Port
Delivery Note
' D17-01068 Our PO-no. R17-000910 Your Ref-No. PO# 05152OCK 4651621
Department
5TORE5
fl Item
IMPA/ ISSA HMS Code Description Unit Qty. Check
H5:82032000
11 510623 1H99510623 BRUSH SWEEPING SOFT PCSI 12 1 300 MM WITH LONG HANDLE
HS:96039091
Country of Orgin: NETHERLANDS
12 510461 1H99510451 BRUSH PAINT ROLLER PCE MINI 100 MM WITH HANDLE
HS:96034090
Country of Orgin: CHINA
13 510108 H99510108 BRUSH PAINT FLAT 110MM WIDTH PCS 12
HS:96034010
Country of Orgin: CHINA
510108
14 510194 H99510194 BRUSH PENCIL ROUND 6MM DIAM PCS BRISTLE 6MM DIAM
HS:96034010
Country of Orgin: CHINA
510194
15 I 174303 H99174303 SAFETY MATCHES 330'S PCE 12 ** UN1944 IVISDS REQUIRED **
HS:36050000
Country of Orgin: NETHERLANDS
16 174141 1H99174141 DUST PAN PLASTIC FLAT PCE 12
HS:39269097
Country of Orgin: POLAND
17 I 174293 H99174293 SQUEEGEE RUBBER PCE 12 HANDLED BLADE WIDTH 480IVIM
HS:96039099
Country of Orgin: CHINA 18 J HM5000129 RAGS, WHITE X 25 KG (BAG) KGSI 50
232905
I 611843 1H99611843 SCISSORS CLOTH OVERALL 240MM PCE
H5:82130000
Country of Orgin: SPAIN
611843
20 D19 (IMPA 792229) 792229 Intrinsically Safe LED PCEI 12
Flashlights Intrinsically Safe LED
Flashlights Razor Model - 60102 IMPA:
792229
21 I 210503 H99210503 NYLON ROPE 3STRAND C L 1
"1-1/4""CIRX200MTR"
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full. Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International ship Supplier Association.
MT
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Harding Marine Services Rotterdam
DELIVERY NOTE
Page
Achterteedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
www_hardingmarine.n1
Phone No. +31 180 643 100
Fax No. +31 180 643 109
Email [email protected]
VAT Reg, No. NL003849193B01
Registr. No. 24217800
Bank ABN Amro
Bank acct # 610659774
IBAN No. NL98ABNA0610659774
BIC Code ABNANL2A
Vessel 511 BLACK HAWK
Printing Date
06-02-17 Port
Delivery Note
D17-01068 Our PO-no. • R17-000910 Your Ref-No. PON 05152DCK 4651621
Department
STORES
Item IMPA/ ISSA HMS Code Description Unit Qty. Check
HS:56075019
Country of Orgin: PORTUGAL
22 I 490503 1H99490503 PADLOCK BRASS 40MM WITH 3KEYS PCE 121
HS183011000
Country of Orgin: GERMANY
490503
23 490501 H99490501 PADLOCK BRASS 30MM WITH 3KEY5 PCE
1-15:83011000
Country of Orgin: GERMANY
490501
24 614052 H99614052 HOSE BAND GALV STEEL PCS
11-17MM
HS:73269098
Country of Orgin: G$
614052
25 614069 H99614069 HOSE BAND STAINLESS PCs 2
STEEL 22-32 MM
HS:73269098
Country of Orgin: G$
26 614070 H99614070 HOSE BAND STAINLESS PCS
STEEL 32-44 MM
HS:73269098
Country of Orgin: GB
127 614068 H99614068 HOSE BAND STAINLESS PCE
STEEL 15-24 MM
HS:73269098
Country of Orgin: G$
28 614072 H99614072 HOSE BAND STAINLESS PCEI 121
STEEL 58-75 MM
HS73269098
Country of Orgin: GB
29 232758 H99232758 NAIL COMMON WIRE 40 MM 1 KG KG51
## Offer per KG ##
30 I 81236211-199812352 TAPE WATER ACTIVATED PCE
SCMX3.6MTR
31 610531 H99610531 WRENCH SET OPEN SET ii & 12-POINT BOX 8X8 TO 24X24MM 105
H5:82060000
Country of Orgln: INDIA
2 J 590905 1H99590905 DRILL DRIVER CORDLESS PCS
CAPACITY 10IVIM
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam By, is member of the International Ship Supplier Association.
S 44.4.6
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Harding Marine Services Rotterdam
DELIVERY NOTE
Achterzeedijk 57 / unit 2
2992 SS Barendrecht
Netherlands
www.hardingmarine.n1
Page •
Vessel STI BLACK HAWK
Port Printing Date Delivery Note Our PO-no.
Your Ref-No.
Department
06-02-17
; D17-01068 R17-000910
; PON 051520CK 4651621
STORES
Phone No.
Fax No.
VAT Reg. No,
Registr. No.
Dank
Bank acct #
!BAN No.
BIC Code
+31 180 643 100
+31 180 643 109
sales@hardingmarine,n1
N1_003849193801
24217800
ABN Amro
610659774
NL98ABNA0610659774
ABNANL2A
Item IMPA/ ISSA HMS Code Description Unit Qty. Check
HS:84672110
33 D29 MARSHALING BATON FOR HELICOPTER KIT - PCEI
INTRINSICALLY SAFE
34 190103 H99190103 GLOVES WORKING apron! PRSI 1201
COTTON, NON-SLIP DOTS
HS61161020
Country of Orgin: NL
35 190111 H99190111 GLOVES WORKING PRSI 120
LEATHER PALM
HS:42032910
Country Of Orgln: Ni.
190111
36 190106 H99190106 GLOVES WINTER VINYL LEATHER PRSj 36
SIZE "M"
H5:42032910
Country of Orgin: CHINA
37 274044 H99174045 GLOVES RUBBER FOR PAIRJ 61 GALLEY USE
I-15:40151990
Country of Orgin: CHINA
38 792472 H99792472 BATTERY CHARGER CADNICA 220V PCS .
54/60HZ. UNIVERSAL MW39865
HS:85069000
39 792453 H99792453 BATTERY RECHARGEABLE PCS! 51 R6 1.2V 500MAH
HS:84671190
MASTER
"Please sign and stamp"
CHIEF ENGINEER
"Please sign and stamp"
CHIEF OFFICER
"Please sign and stamp"
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or missings MUST he reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam By, is member of the International Ship Supplier Association.
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El Harding Marine Services Rotterdam Achterzeedijk 57 / unit 2
Page
2992 SB Barendrecht
DELIVERY NOTE
Netherlands
www.hardinamarine.nl
Phone No. +31 180 643 100 Vessel 511 BLACK HAWK
Printing Date ' 06-02-17
Fax No. +31 180 643 109
Port
Delivery Note
017-01069
Email [email protected] Our PO-no. R17-000934
VAT Reg. No. NL003849193B01
Your Ref-No. PO# 05152DCK 465175,4
Registr. No. 24217800
Bank ABN Arnro
Bank acct # 610659774
IDAN No. N1_98A5NA0610659774 Department
STORES
BIC Code ABNANL2A
Item IM PA/ !SSA HMS Code Description Unit Qty. Check
1 019 TREADMILL FOR GYMNASIUM 220V, PCE 1
60hz,Fully motorised, Heavy Duty, Max.
speed 16kmph, with incline and Program
features.
## TREADMILL WALKING EXERCISE
220V/50-60HZ ##
MASTER
'Please sign and stamp"
CHIEF ENGINEER ''Please si n and stamp'
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid In full.
Discrepancies or rrilssIngs MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. Is member of the International Ship Supplier Association.
CHIEF ()HIM
"Please sign and stamp''
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Harding Marine Services Rotterdam
DELIVERY NOTE Achterzeedijk 57 / unit 2
2992 SD Barendrecht
Netherlands
www.hardinernarine.ni
Page:
Vessel STI gLACK HAWK Port
Printing DMe Delivery Note Our PO-no. Your Ref-No.
Department
' 06-02-17 D17-01070 R17-000936 PO# 05152EN6 4651743
STORES
Phone No.
Fax No.
VAT Reg. No.
Registr. No.
Bank
Bank acct #
IBAN No.
BIC Code
+31 180 643 100
+31 180 643 109
NL0038491931301
24217800
ABN Amro
610659774
NL98ABNA0610659774
ABNANL2A
Item IIVIPA/ ISSA HMS Code Description Unit Qty. Check
1 650586 H99650586 GAP GAUGE FOR MOTOR PCS 1
1000MM 0.04-0.3MM
LEAVES) M.I.B.
H5:90173000
Country of Orgin; GERMANY
791427_1H99791427 LAMP FLUORESCENT PCS 100
DAYLIGHT FL-205 20W 32.5X580MM
HS:85393110
791436 1H99791436 LAMP FLUORESCENT 1 DAYLIGHT FL-405 40W 32.5X1198MM
4 D19 (IMPA 792229) 792229 intrinsically Safe LED PCE 10
Flashlights Intrinsically Safe LED
#ftoffer peli 3315zo##
5 792403 H99792403 BATTERY DRY CELL PCS 60
R6 (UM-3) 1.5V SIZE "AA"
HS:84671190
792410 H99792410 BATTERY DRY CELL pcsl 30
R03 (UM-4) 1.5V SIZE "AAA"
HS:84671190
792405 F99792405 BATTERY DRY CELL PC5I 41 6F22(5-006P) 9V LEAK-PROOF
H5:84671190
792962 H99792962 PLUG ADAPTOR 2-ROUND PCS 121 PIN PLUG & 2-FLAT PIN RECEPTACLE
95;85366990
10 793017 H99793017 SWITCH ROTARY SMALL
WATERTIGHT TYPE#2MR SYNTHETIC RESIN
H5:85365019
11 I 793507 1H99793507 LAMP HOLDER PORCELAIN PCS
TUBULAR TE-26
HS:85366190
12 795433 H99795433 ELECTRICAL TAPE 19 MM. BLACK csj 121 INSULATION 5DMMX20MTR
13 610836 H99610836 WRENCH OPEN & RACHET
TYPE 12-POINT BOX 13MM
H5:82041100
Country of Orgill! CHINA
14 610839 H99610839 WRENCH OPEN & RACHET PCS
TYPE 12-POINT BOX 17Mtv1
HS:82041100
Country of Orgill: CHINA
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam By. is member of the International Ship Supplier Association,
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Page
Harding Marine Services Rotterdam
DELIVERY NOTE Achterzeedijk 57 / unit 2
2992 $8 Barendrecht
Netherlands
www.hardingmarine.n1
Phone No. +31 180 643 100
Fax No. +31 180 643 109
salesVhardingmarine.n1
VAT Reg, No. NL003249193801
Registr. No. 24217800
Bank
ABN Amro
Bank acct
610659774
1BAN No. NL92A8NA0610659774
BIC Code
ABNANL2A
Vessel STI BLACK HAWK
Printing Date
06-02-17 Port
Delivery Note
017-01070 Our PO-no. R17-000936 Your Ref-No. PO# 05152ENG 4651743
Department , STORES
Item ICV1PA/ ISSA HMS Code Description Unit Qty. Check
15 610840 H99610840 WRENCH OPEN & RACHET PCE 2
TYPE 12-POINT BOX 19MM
H5:82041100
Country of Orgill; TAIWAN R.O.C.
16 J 611331 H99611331 WRENCH ADJUSTABLE PCE 2
HD 100 MM
H5:82041200
Country of Orgln: SPAIN
17 611332 H99611332 WRENCH ADJUSTABLE PCE iJ
HD 150 MM
1-I5:82041200
Country of Orgin: SPAIN
18 617133 H99617133 LADDER PLATFORM SET 1
ALUM-ALLOY 3MTR
19 I790434 H99790434 LAMP NAVIGATION PCS1 251
TUBULAR P-225 220V 65W 60CD
H5;85392290
120 1291272 H99791272 LAMP HALOGEN TUBULAR PCSI 251
540 230V 500W
H5:85392198
MASTER CHIEF ENGINEER CHIEF OFFICER
"Please sir and stamp" "Please sign and stamp" "Please sign and stamp"
Goods remain the property of Harding Marine Services Rotterdam B.V. until paid in full.
Discrepancies or missings MUST he reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International Ship Supplier Association. 451fea.,74
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Page :
Achterzeedijk 57 / unit 2
2992 SB Barendrecht
Netherlands
www.hardingmarine.n1
Harding Marine Services Rotterdam
DELIVERY NOTE Phone No.
Fax No.
VAT Reg. No.
RegIstr. No.
Bank
Bank acct #
IBAN No.
Bic Code
Printing Date
Delivery Note Our PO-no.
Your Ref-No.
Department
+31 180 643 100
+31 180 643 109
NL0038491931301
24217800
ABN Amro
610659774
NL98ABNA0510659774
ABNANL2A
06-02-17
D17-01071 • R17-000940
' PO# 0515251W 4651746
STORES
Vessel STI BLACK HAWK
Port
MASTER CHIEF ENGINEER
Goods remain the property of Harding Marine Services Rotterdam By, until paid in full.
Discrepancies or missings MUST be reported within 48 hours from date/time of delivery.
Harding Marine Services Rotterdam B.V. is member of the International Ship Supplier Association.
Item 1M PA/ !SSA HMS Code Description Unit Qty. Check
1 - 1511-9 SPB 2240 SET OF V-BELT SET OF V-BELT PCE 3
ELECTRIC MOTOR FOR Al-ill FAN Model: __ (M20A1BOM4A)
D19 I 019 Portable DCP Extinguisher (2 Kg) PCEI 2
Capacity: 2 KG Type: ABC Powder 559
2 I 1019 PLASTIC PALLETS FOR COLD STORAGE PCE1 6
1200X1000X155MM
INCL COLLECTING CHARGES
"Please sign and stamp" "Please sign and stamp''
CHIEF OFFICER
"Please sign and stamp"
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Shipspares
1
CONTENTS
PCS
WEIGHT 124
EUR
07.02.17 12:22 TEE
07.02.17 07.02.17 12:28 TEE
CUSTOMS VALUE
ENTERED IN SYSTEM
RECEIVED WAREHOUSE
.12
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first pag
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AGENT REF AMS3-2342515 VESSEL STI BLACK HAWK
Scorpio Ship Management Sam
MT MANAGER / OFFICE LING / SINGAPORE
SUPPLIER HARDING MARINE SERVICE BUYERS PO NO. 4651622 WGT Position 4651621 124 NLVT-AMS3 4651754
4651743 4651746
AMS3 uargo Receiving Report AMS3
- - 2342515 -
11 11 11 lilt 111 1 1 j . State in subject "PO: 2342515" to [email protected]
First page not necessary using subject, Use as first page if sendt directly to [email protected]
II
II
Layout: Print. GRR PRINTED : 07.02.17! 1228:47 Tee
TI
1,1
- 2342515 -
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SAFETY DATA SHEET
Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 - Revised: April 21, 2005 Page 6/1
SPRIGONE against crawling insects and wasps
I.
Company and Trade name Intended use Company
Emergencies
product identification ; Sprigone against crawling insects and wasps : Control of insects : Denka International B.V.
Hanzeweg 1 3771 NO Barneveld The Netherlands telephone +31.342.455455 telefax +31.342.490587
: In case of emergency contact the nearest toxicological information institute. Physicians only.
2. Composition information on ingredients
Ingredient EC-number CAS-number Symbol _ R-phrases* Content
%
— Propellant (butadiene free) 270-990-9 68512-91-4 P+ 12 _ >35
Permethrin 258-067-9 52645-53-1 Xn, N 20/22, 43, 50/53 0,25 Tetramethrin 231-711-6 7696-12-0 N 50/53 0,05 Aromatic hydrocarbons 265-199-0 64742-95-6 Xn, N 10, 37, 51/53 65, 66, 67 <5 Isopropyl alcohol 200-661-7 67-63-0 F, Xi 11, 36, 37 <5
— *R-phrases are explained in section 16 hereof.
3. Hazard identification Hazards to human health Safety hazards Environmental hazards
: With expert use unlikely to occur. : Pressurized container. Extremely flammable. : Highly toxic to aquatic organisms; may cause long-term
adverse effects in the aquatic environment. Toxic to bees.
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Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 - Revised: April 21, 2005 Page 6/2
SPRIGONE against crawling insects and wasps
4. First aid measures Emergencies : In general, when used according to instructions, urgent
medical attention will not be necessary. In the unlikely event of ingestion seek immediate medical attention.
Inhalation Remove subject from exposure area to fresh air. If discomfort occurs, seek medical advice.
Eye contact : Flush eyes with copious quantities of water. Seek medical advice if irritation occurs.
Skin contact : Remove contaminated clothing and thoroughly wash skin with water and soap. Seek medical advice if irritation occurs and persists.
Ingestion Unlikely; product is an aerosol. In the unlikely event of ingestion seek immediate medical attention.
Information for physician : Treatment is symptomatic and supportive. No specific antidote known.
5. Fire fighting measures Suited extinguishing media : Powder, foam, CO2, water spray. Unsuited extinguishing media : Water jet. Exposure risks : During fire spray cans may explode.
Carbon oxides may form. Special protective equipment for fire fighters : Self-contained respiratory apparatus and protective
clothing.
6. Accidental release measures Personal protection Protective clothing, gloves, respiratory equipment and
safety goggles are recommended. Secure adequate ventilation at indoor locations.
Environmental precautions Active ingredients are highly toxic to fish and other aquatic organisms. Prevent contamination of soil or water. Do not allow entry in streams, sewers or natural environment.
Methods for cleaning up Absorb spilled product with an absorbent and place into closed containers for later disposal. Dispose of drummed waste according to local authority regulations for disposal of chemical waste.
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Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 - Revised: April 21, 2005 Page 6/3
SPRIGONE against crawling insects and wasps
7. Handling and storage Handling precautions Standard directives for handling chemicals must be strictly
observed. Do not eat, drink or smoke during handling and before washing after handling. Secure adequate ventilation.
Storage : CPR 15-3 classification: aerosol. Storage in compliance with hazard category separation of materials.
Shelf life : Two years from date of production if correctly stored. Classification : SC, aerosol with flammable contents.
8. Exposure control - personal protection Statutory limit : MAC-value: no data available at present. Ventilation : Secure adequate ventilation at all indoor process locations. Respiratory protection With expert use respiratory equipment is not regarded
necessary. Do not breathe spray mist. Hand protection : With expert use gloves are not regarded necessary, Eye protection With expert use safety goggles are not regarded necessary. Others : Wear suitable clothing. Do nor eat, drink or smoke.
Do not spray towards flames or incandescent material. Avoid release to the environment.
9. Physical and chemical properties Appearance : colourless aerosol Odour : mild chemical Density emulsion 0.956 g.m1-1 Relative vapour density not applicable Vapour pressure : not applicable Melting point : not applicable Boiling point : not applicable Flash point : not determined Auto-ignition : not determined Explosive limits : not determined Partition coefficient not applicable PH • ~~ not applicable Oxidizing properties ~~ non-oxidizing Viscosity • not applicable Solubility in water • ~~ soluble Solubility in others • soluble in alcohols
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Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 - Revised: April 21, 2005 Page 6/4
SPRIGONE against crawling insects and wasps
10. Stability and reactivity Stability
Product is stable under normal conditions and temperatures.
Substances to avoid
Alkaline media, strong acids, minerals, Conditions to avoid
Excessive heat, fire. Hazardous decomposition products: Carbon oxides during fire, HamArdous polymerization
Will not occur.
11. Toxicological information Acute toxicity to mammals
Toxicity to human beings Chronic toxicity
LD(ernulsion, oral, rat)50 >> 2000 mg/kg. Acute dermal irritation index <1,2. Acute eye irritation index IIPO <2.7. May cause an allergic reaction. Non-carcinogenic, non-rnutagenic, non-teratogenic.
: Highly toxic to aquatic organisms and may cause long- term adverse effects in the aquatic environment. Toxic to bees.
: Active ingredients are biodegradable in soil.
In compliance with local/national authority regulations for disposal of chemical waste. In compliance with local/national authority regulations for disposal of chemical waste.
12. Ecological information Environmental toxicity
Environmental properties
13. Disposal consideration Waste from residues
Contaminated packaging
14. Transport information International regulations Description
Labelling
Transport emergency group card
UN! 1950 AEROSOLS, flammable, with perrnethrin and tetramethrin (limited quantity) Land - RID/ADR LQ Inland waterways - ADNR : LQ + MP Sea - IMDG : LQ + MP Air - ICAO-TI, IATA-DGR : flammable gas 2 20G5P
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Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 - Revised: April 21, 2005 Page 6/5
SPRIGONE against crawling insects and wasps
15. Regulatory information Regulations for labelling Approval number 8214 N (The Netherlands) Symbol F+ Extremely flammable.
N Dangerous for the environment. Hazard indications (R-phrases) : R12 Extremely flammable.
R50/53 Very toxic to aquatic organisms; may cause long-term adverse effects in the aquatic environment.
Safety precautions (S-phrases) : S2 Keep out of the reach of children, S16 Keep away from sources of ignition. No
S21 smoking, When using do not smoke.
S23 Do not breathe spray mist. S24 Avoid contact with skin. S29 Do not empty into drains,
Additional information : Pressurized container. Do not use in areas where children between 0 and 4 years have access. Protect from sunlight and do not expose to temperatures exceeding 50°C. Do not spray towards flames or incandescent material. Do not pierce or bum, even after use. Contains perrnethrin and tetramethrin. May cause an allergic reaction.
16. Other information Explanation R-phrases section 2 : R10 Flammable.
R11 Highly flammable. R12 Extremely flammable. R20/22 Harmful by inhalation and if swallowed. R36 Irritating to eyes. R37 Irritating to respiratory system, R43 May cause sensitization by skin contact. R50/53 Very toxic to aquatic organisms; may cause long-
term adverse effects in the aquatic environment. R51/53 Toxic to aquatic organisms; may cause long-term
adverse effects in the aquatic environment. R65 Harmful; may cause lung damage if swallowed. R66 Repeated exposure may cause skin dryness or
cracking. R67 Vapours may cause drowsiness and dizziness.
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Safety data sheet for chemical products according to EC-directive 2001/58/EC Issued: February 20, 1996 = Revised: April 21, 2005 Page 6/6
SPRIGONE against crawling insects and wasps
16. Other information (continued) Information sources : The Pesticide Manual (ISBN 1 901396 11 8),
-N-class data base of the EC13. CTB (College for approval of insecticides, NI.). Safety data sheets of the components.
Alterations in relation to previous edition of 15.02.2005 § 2: R-phrases permethrin adapted to directive
67/548/EC (dec. 2004) § 11: Added 'May cause an allergic reaction'. § 14: Transport information amended in compliance
with latest regulations. § 15: Labelling adapted to regulations of CTB
resolution of 11.03.2005. § 16 R-phrases adapted to §
No liability is accepted for any injury, loss, damage or cost arising directly or indirectly from the use of the product or from the use of the information contained within this safety data sheet since the customer's treatment of the product is necessarily beyond our control. The supplied data are based on current knowledge and experience. This safety data sheet is intended to describe our product in terms of its safety requirements. The customer should determine by appropriate trials that the product is suitable for his intended use.
DENKA 'INTERNATIONAL BV.
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SAFETY DATA SHEET MARINE NR91
Page: 1
Compilation date: 01/08/2008
Revision date: 26/03/2015
Revision No: 6
Section 1: Identification of the substance/mixture and of the company/undertaking
1.1. Product Identifier
Product name: MARINE NR91
Product code: 319
1.2. Relevant Identified uses of the substance or mixture and uses advised against
Use of substance / mixture: PC8: Biocide! products (e.g. Disinfectants, pest control),
1.3. Details of the supplier of the safety data sheet
Company name: Kroonit
Albert Plesmanweg 77
3088 GB
Rotterdam
Tel: (+31)10 -2946969
Fax: (+31)10 -294 69 66
Email: info kroonInt.r11
71.71. Emergency telephone number
Ennergency tel: NHS Direct 08454647
NH824 0845242424
ROI 018092166
(office hours only)
Section 2: Hazards identification
2.1. Classification of the substance or mixture
Classification under CLP! Aquatic Acute 1: H400; Skin Corr. 1A: H314
Most important adverse effects: Causes severe skin burns and eye damage. Very toxic to aquatic if.
1 2.2. Label elements
Label elements:
Hazard statements: H314; Causes severe skin burns and eye damage,
H400: Very toxic to aquatic life.
Signal words: Danger
(cent..-)
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SAFETY DATA SHEET MARINE NR91
Page: 2
Hazard pictograms: GHS05: Corrosion
GHS09: Environmental
Precautionary statements: P102: Keep out of reach of children,
P282: Wear eye protection.
P280; Wear protective gloves.
P264: Wash hands thoroughly after handling.
P273: Avoid release to the environment.
P260: Do not breathe spray.
P3054-351+338: IF IN EYES: Rinse cautiously with water for several minutes. Remove
contact lenses, if present and easy to do. Continue rinsing,
P337+313: If eye irritation persists: Get medical attention,
P303+361 +353: IF ON SKIN (or hair): Take off immediately all contaminated clothing, Rinse
skin with water/shower,
P332+313: If skin irritation occurs: Get medical attention,
P363: Wash contaminated clothing before reuse.
P301+330+331: IF SWALLOWED: rinse mouth. Do NOT induce vomiting,
P314: Get medical attention if you feel unwell.
P391: Collect spillage.
2.3. Other hazards
HIT: This product is not identified as a PBT/vPvEl substance.
Section 3: Composition/information on ingredients
3.2. Mixtures
Hazardous ingredients:
B-ALANINE,N-COCO ALKYL DERIVATIVES, SODIUM SALTS
EINECS CAS PBT / WEL CLP Classification Percent
271-795-1 68608-68-4 Eye irrit. 2: H319 1-10%
ISOTRIDECANOLETHOXYLATE,POLYMER(8 MOLE ED AVERAGE)
69011-36-5 I Acute Tax. 4: H302; Eye Dam. 1:1-1318
SODIUM HYDROXIDE
215-185-5 1310-73-2 Skin Corr. 1A: H314 1-10%
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SAFETY DATA SHEET
MARINE NF191
Page: 3
QUATERNARY AMMONIUM COMPOUNDS, BENZYL (C12-C16)ALKYL DIMETHYL CHLORIDES
270-325-2 68424-85-1
Met. Corr. 1: H290; Skin Corr. 1B: H314; Aquatic Acute 1: H400; Acute Tox. 4: H302
09/11 A, >3-6 EO PREDOMINANTLY LINEAR (DID 21)
POLYMER
160575-56-1
Eye Dam. 1: H318 1-10%
Section 4: First aid measures
4.1. Description of first aid measures
Skin contact: Remove all contaminated clothes and footwear immediately unless stuck to skin. Drench the
affected skin with running water for 10 minutes or longer if substance is still on skin. Transfer
to hospital if there are burns or symptoms of poisoning.
Eye contact: Bathe the eye with running water for 15 minutes. Transfer to hospital for specialist
examination.
Ingestion: Wash out mouth with water. Do riot induce vomiting. Give 1 cup of water to drink every 10
minutes. If unconscious, check for breathing and apply artificial respiration if necessary. If
unconscious and breathing is OK, place in the recovery position. Transfer to hospital as soon
as possible.
Inhalation: Remove casually from exposure ensuring one's own safety whilst doing so, If unconscious
and breathing is OK, place in the recovery position. If conscious, ensure the casualty sits or
lies down. If breathing becomes bubbly, have the casualty sit and provide oxygen if available,
Transfer to hospital as soon as possible.
4.2. Most important symptoms and effects, both acute and delayed
Skin contact: There may be irritation and redness at the site of contact, Blistering may occur. Progressive
ulceration will occur if treatment is not immediate.
Eye contact: Corneal burns may occur. May cause permanent damage.
Ingestion: There may be soreness and redness of the mouth and throat. Corrosive burns may appear
around the lips. Blood may be vomited. There may be bleeding from the mouth or nose.
Inhalation: There may be shortness of breath with a burning sensation in the throat. Exposure may
cause coughing or wheezing.
Delayed I Immediate effects: Immediate effects can be expected after short-term exposure.
4.3. Indication of any immediate medical attention and special treatment needed
Immediate I special treatment: Eye bathing equipment should be available on the premises.
Section 5: Fire -fighting measures
r 5.1. Extinguishing media
Extinguishing media: Water,
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SAFETY DATA SHEET
MARINE NR91
Page: 4
5.2. Special hazards arising from the substance or mixture
Exposure hazards: Corrosive. In combustion emits toxic fumes of carbon dioxide I carbon monoxide.
5.3. Advice for fire-fighters
Advice for fire-fighters; Wear self-contained breathing apparatus. Wear protective clothing to prevent contact with
skin and eyes.
Section 6: Accidental release measures
6.1. Personal precautions, protective equipment and emergency procedures
Personal precautions: Notify the police and fire brigade immediately. Mark out the contaminated area with signs and
prevent access to unauthorised personnel. Do not attempt to take action without suitable
protective clothing - see section 8 of SOS. Turn leaking containers leak-side up to prevent the
escape of liquid,
6.2. Environmental precautions
Environmental precautions: Do not discharge into drains or rivers. Contain the spillage using bunding,
6.3. Methods and material for containment and cleaning up
Clean-up Procedures: Transfer to a closable, labelled salvage container for disposal by an appropriate method.
6.4. Reference to other sections
Reference to other sections: Refer to section 13 of SOS
Section 7: Handling and storage
7.1. Precautions for safe handling --
Handling requirements: Avoid direct contact with the substance. Avoid the formation or spread of mists in the air,
i 7.2. Conditions for safe storage, including any Incompatibilities
Storage conditions; Keep container tightly closed.
Suitable packaging: Polyethylene. Stainless steel. Teflon. Do not use aluminium containers,
F7.3. Specific end use(s)
Specific end use(s): No data available.
Section a: Exposure controls/personal protection
8.1. Control parameters
Hazardous ingredients:
SODIUM HYDROXIDE
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8 hour TWA 15 min. STEL I 8 hour TWA 15 min. STEL State
UK 2 mg/m3
SAFETY DATA SHEET
MARINE NP91
Workplace exposure limits: Respirable dust
Page: 5
DNELJI2NEC Values
DNELII PNEC No data available.
8.2. Exposure controls
Hand protection: impermeable gloves. Gloves (alkali-resistant).
Eye protection: Tightly fitting safety goggles. Ensure eye bath is to hand.
Skin protection: impermeable protective clothing. Alkali resistant protective clothing.
1 Section 9: Physical and chemical properties
Information on basic physical and chemical properties
State; Liquid
Colour: Off-white
Odour: Characteristic odour
Evaporation rate: Moderate
Oxidising: Non-oxidising (by EC criteria)
Solubility in water: Soluble
Viscosity: Non-viscous
Boiling pointirange°C; 100 C Melting point/rangeDC: 0 C
Flammability limits %: lower: Not applicable, upper: Not applicable,
Flash poInt°C; Not applicable. Partooeff. n-octanoi/water: Not applicable.
AutofiammabIlltyC: Not applicable. Vapour pressure: Not applicable.
Relative density: 1.05- 1.15 pFl! 13.4
VOC g/I: 0
9.2. Other information
Other information: No data available.
Section 10: Stability and reactivity
L 10.1. Reactivity
Reactivity: Stable under recommended transport or storage conditions.
10.2. Chemical stability
Chemical stability: Stable under normal conditions.
10.3. Possibility of hazardous reactions
Hazardous reactions: Hazardous reactions will not occur under normal transport or storage conditions.
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Route
DRM Hazardous: calculated
Hazard
Skin corrosion/irritation
OPT Hazardous: calculated
Basis
Serious eye damage/irritation
SAFETY DATA SHEET MARINE NR91
Page: 6
I 10.4. Conditions to avoid
10,5. Incompatible materials
Materials to avoid: Aluminium. Zinc.
1C — Hazardous decomposition products
Haz. decomp, products: In combustion emits toxic fumes.
Section 11: Toxicological information
I 11.1, Information on toxicological effects
Hazardous Ingredients:
13-ALANINE,N-COCO ALKYL DERIVATIVES, SODIUM SALTS
ORL ' LD50 >5000 mg/kg
ISOTRIDECANOLETHOXYLATE,POLYMER(8 MOLE E0 AVERAGE)
jORAL RAT L050 500-2000 mg/kg
SODIUM HYDROXIDE
1PR MUS L050 40 mg/kg
ORL RBT LDLO 500 mg/kg
QUATERNARY AMMONIUM COMPOUNDS, BENZYL (C12-C16)ALKYL DIMETHYL CHLORIDES
ORAL RAT L050 795 mg/kg
C9/11 A, >3-6 EO PREDOMINANTLY LINEAR (010 21)
ORL j RAT LD50 >2000 mg/kg
Relevant hazards for substance:
Symptoms / routes of exposure
Skin contact: There may be irritation and redness at the site of contact. Blistering may occur. Progressive
ulceration will occur if treatment is not immediate.
Eye contact: Corneal burns may occur. May cause permanent damage.
Ingestion: There may be soreness and redness of the mouth and throat. Corrosive burns may appear
around the lips. Blood may be vomited. There may be bleeding from the mouth or nose.
Inhalation: There may be shortness of breath with a burning sensation in the throat. Exposure may
cause coughing or wheezing.
Delayed / Immediate effects: Immediate effects can be expected after short-term exposure.
[cont,..
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SAFETY DATA SHEET
MARINE NR91
Page: 7
Section 12: Ecological information
I 12.1. Toxicity
Hazardous Ingredients:
B-ALANINE TN-COCO ALKYL DERIVATIVES, SODIUM SALTS
48H EC50 18 rng/I
48H EC50 97.5 mg/I
ISOT1IDECANOLETHOXYLATE,POLYMER(8 MOLE EO AVERAGE)
FISH 96H LC50 1-10 mg/I
QUATERNARY AMMONIUM COMPOUNDS, BENZYL (C12-C18)ALKYL DIMETHYL CHLORIDES
Daphnia magna 48H EC50 .016 mg/I
GREEN ALGA (Selenastrum capricornutum) 72M ErC50 ,026 mg/I
RAINBOW TROUT (Oncorhynchus mykiss) 96H LC50 .85 mg/I
C9/11 A, >3-6 EO PREDOMINANTLY LINEAR (DID 21)
Scenedesrnus 46M EC50 10- 100 mg/I
12.2. Persistence and degradability
Persistence and degradability: The surfactants contained in this preperation comply with the biodegradability criteria as laid
down in regulation (EC) No.648/2004 on detergents.
I12.3. Bloaccumulative potential
Bioaccumulative potential: No bloaccurnulation potential.
L 12.4. Mobility in soil
J
Mobility: Soluble in water,
12.5. Results of PST and vPvB assessment
PBT identification: This product is not identified as a PBT/vPvB substance,
12.6. Other adverse effects
Section 13: Disposal considerations
L 13.1. Waste treatment methods
Disposal operations:
Disposal of packaging: Dispose of as normal industrial waste..
NB: The users attention is drawn to the possible existence of regional or national regulations
regarding disposal.
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SAFE-1'Y DATA SHEET
MARINE NR91
Page: 8
Section 14: Transport information
14.1. UN number
UN number: UN1760
14.2. UN proper shipping name
Shipping name: CORROSIVE LIQUID, N.O.S.
(( SODIUM HYDROXIDE))
I14.3. Transport hazard class(es)
Transport class: 8
14.4. Packing group
Packing group: III
14,5. Environmental hazards
Environmentally hazardous: Yes Marine pollutant: Yes
14,6. Special precautions for user
Special precautions: No special precautions.
Tunnel code: E
Transport category: 5
Section 15: Regulatory information
L 15.1. Safety, health and environmental regulations/legislation specific for the substance or mixture
Specific regulations: ..
15,2. Chemical Safety Assessment
Chemical safety assessment; A chemical safety assessment has not been carried out for the substance or the mixture by
the supplier.
Section 16: Other information
Other information
Other information: This safety data sheet Is prepared in accordance with Commission Regulation (EU) No
463/2010.
Phrases used in s.2 and s.3: H290: May be corrosive to metals.
H302: Harmful if swallowed.
H314: Causes severe skin burns and eye damage.
H318: Causes serious eye damage.
H310: Causes serious eye irritation.
H400: Very toxic to aquatic life.
Legal disclaimer; The above information is believed to be correct but does not purport to be all inclusive and
shall be used only as a guide. This company shall not be held liable for any damage resulting
from handling or from contact with the above product.
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SAFETY DATA SHEET
KROONIT STRIPPER
Page: 1
Compilation date: 01/08/2008
Revision date: 08/01/2015
Revision No; 5
Section 1: Identification of the substance/mixture and of the company/Undertaking
1.1. Product identifier
Product name: KROONIT STRIPPER
Product code: 102
1.2. Relevant identified uses of the substance or mixture and uses advised against
Use of substance / mixture: PC35; Washing and cleaning products (including solvent based products).
1.3. Details of the supplier of the safety data sheet
Company name: Kroonit
Albert Plesmanweg 77
3088 GB
Rotterdam
Tel: (+31)10 -294 69 69
Fax: (+31)10 -294 69 66
Email; [email protected]
1.4. Emergency telephone number
Emergency tel: NHS Direct 08454647
NH $24 0845242424
ROI 018092166
(office hours only)
Section 2: Hazards identification
2,1. Classification of the substance or mixture
Classification under CLP: Skin Corr. 1A: H314; Aquatic Chronic 3; H412; -: EUH208
Most important adverse effects: Contains limonene ( citrus duicis ). May produce an allergic reaction. Causes severe skin
burns and eye damage. Harmful to aquatic life with long lasting effects.
2.2. Label elements
Label elements:
Hazard statements: EUH208: Contains limonene ( citrus dulcis ). May produce an allergic reaction.
H314; Causes severe skin burns and eye damage.
H412: Harmful to aquatic life with long lasting effects.
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F271-795-1 68608-68-4
215-181-3 1310-58-3
CLP Classification Percent
Skin Init. 2: H315; Eye Wit. 2: H319 1-10%
Skin Comm. 1A: H314 1-10%
Eye Irrlt, 2: H319 1-10%
Acute Tox. 4: H302; Eye Dam. 1: H31$ 1-10%
Acute Tox. 4: H302; Skin Corr. 1A: H314 41%
3 - SUTOXYPROPAN -2 - OL
SODIUM HYDROXIDE
215-185-5 1310-73-2
EINECS
225-878-4
CAS
005131-66-8
PBT / WEL
18-ALANINE,N-COCO ALKYL DERIVATIVES, SODIUM SALTS
ISOTRIDECANOLETHOXYLATE,POLYMER(8 MOLE EO AVERAGE)
69011-36-5 r POTASSIUM HYDROXIDE
SAFETY DATA SHEET
KROONIT STRIPPER
Page: 2
Signal words: Danger
Hazard pictograms: GHS05: Corrosion
Precautionary statements: P102: Keep out of reach of children.
P262: Do not get in eyes, on skin, or on clothing.
P280: Wear protective gloves.
P282: Wear eye protection.
P264: Wash hands thoroughly after handling,
P305+351+338: IF IN EYES: Rinse cautiously with water for several minutes. Remove
contact lenses, If present and easy to do. Continue rinsing.
P337+313:1 eye irritation persists: Get medical attention.
P3034-361+353: IF ON SKIN (or hair): Take off immediately all contaminated clothing. Rinse
skin with water/shower.
P333+313; If skin irritation or rash occurs: Get medical attention.
P405: Store locked up.
2.3. Other hazards
PBT: This product is not identified as a PIST/vPvB substance.
I Section 3: Composition/information on ingredients
12. Mixtures
Hazardous ingredients:
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SAFETY DATA SHEET KROONIT STRIPPER
Page: 3
LIMONENE ( CITRUS DULCIS )
232-433-8 8028-48-6 - Flarn. Lio. 3: H226; Aquatic Acute 1: 1-1400; Aquatic Chronic 1: H410; Skir
2: H315; Skin Sens. 1: H317; Asp. T 1:11304
Section 4: First aid measures _
4.1. Description of first aid measures
Skin contact: Remove all contaminated clothes and footwear immediately unless stuck to skin. Wash
immediately with plenty of soap and water.
Eye contact: Bathe the eye with running water for 15 minutes. Transfer to hospital for specialist
examination.
Ingestion: Wash out mouth with water. Do not induce vomiting. If conscious, give half a litre of water to
drink immediately. Transfer to hospital as soon as possible.
Inhalation: Remove casualty from exposure ensuring one's own safety whilst doing so, Transfer to
hospital as soon as possible.
L 4.2. Most Important symptoms and effects, both acute and delayed
Skin contact: There may be irritation and redness at the site of contact.
Eye contact: There may be pain and redness. The eyes may water profusely. There may be severe pain,
The vision may become blurred. May cause permanent damage.
Ingestion: There may be soreness and redness of the mouth and throat. Nausea and stomach pain
may occur.
Inhalation: There may be irritation of the throat with a feeling of tightness in the chest.
Delayed / immediate effects: immediate effects can be expected after short-term exposure.
4.3, Indication of any Immediate medical attention and special treatment needed -
Immediate / special treatment: Eye bathing equipment should be available on the premises.
Section 5: Fire-fighting measures
5.1. Extinguishing media
Extinguishing media: Water.
5.2. Special hazards arising from the substance or mixture
Exposure hazards: In combustion emits toxic fumes of carbon dioxide / carbon monoxide.
5.3. Advice for fire-fighters
Advice for fire-fighters: Wear self-contained breathing apparatus. Wear protective clothing to prevent contact with
skin and eyes.
Section 6: Accidental release measures
<1%
X.
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Handling requirements: Avoid direct contact with the substance. Ensure there is sufficient ventilation of the area.
Avoid the formation or spread of mists in the air.
7,2. Conditions for safe storage, Including any incompatibilities
Storage conditions: Keep container tightly closed.
Suitable packaging: Stainless steel. Polyethylene.
Section 8: Exposure controls/personal protection
8.1. Control parameters
Respirable dust
15 min. STEL State 8 hour TWA 8 hour TWA
UK 2 mg/m3
Hazardous ingredients:
SODIUM HYDROXIDE
Workplace exposure limits:
POTASSIUM HYDROXIDE
UK 2 rrig/mL1
15 min. STEL
SAFETY DATA SHEET KROONIT STRIPPER
Page: 4
6.1. Personal precautions, protective equipment and emergency procedures
Personal precautions: Mark out the contaminated area with signs and prevent access to unauthorised personnel.
Do not attempt to take action without suitable protective clothing - see section 8 of SDS. Turn
leaking containers leak-side up to prevent the escape of liquid.
6.2. Environmental precautions
Environmental precautions: Do not discharge into drains or rivers, Contain the spillage using bunding.
6.3. Methods and material for containment and cleaning up
Clean-up procedures: Absorb into dry earth or sand. Transfer to a closable, labelled salvage container for disposal
by an appropriate method.
6,4, Reference to other sections
Reference to other sections: Refer to section 8 of SDS.
7
Section 7: Handling and storage
I 7.1. Precautions for safe handling
7.3. Specific end use(s)
Specific end use(s): No data available.
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SAFETY DATA SHEET
KROONIT STRIPPER
Page: 5
L2 . Exposure controls
Engineering measures: Ensure there is sufficient ventilation of the area.
Respiratory protection: Respiratory protection not required.
Hand protection: Rubber gloves. Gloves (alkali-resistant).
Eye protection: Tightly fitting safety goggles. Ensure eye bath is to hand,
Skin protection: Protective clothing.
Section 9: Physical and chemical properties
r9.1. Information on basic physical and chemical properties
State: Liquid
Colour: Red
Odour: Characteristic odour
Evaporation rate: Moderate
Oxidising: Non-oxidising (by EC criteria)
Solubility in Water: Soluble
Viscosity: Non-viscous
Boiling point/range°C: 100 Melting point/range°C: 0
Flammability limits %: lower: Not applicable. upper: Not applicable.
Flash point 9C: Not applicable, Part.coeff. n-octanol/water: Not applicable.
Autofiammability°C: Not applicable. Vapour pressure: Not applicable.
Relative density: 1.073 pH: 13.1
VOC gil: 36.5
Other information
Other information: No data available,
7
Section 10: Stability and reactivity
10.1. Reactivity
Reactivity: Stable under recommended transport or storage conditions.
L 10.2. Chemical stability
Chemical stability: Stable under normal conditions.
10.3. Possibility of hazardous reactions
Hazardous reactions: Hazardous reactions will not occur under normal transport or storage conditions.
10.4. Conditions to avoid
10.5. Incompatible materials
10.6. Hazardous decomposition products
Haz. decomp. products: In combustion emits toxic fumes of carbon dioxide / carbon monoxide.
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RAT 2700 LD50 mg/kg ORAL
IPR
ORL
MUS LD50 40 mg/kg
RBT LDLO 500 mg/kg
LD50 FORL mg/kg >5000
RAT ORL LD50 273 mg/kg
SAFETY DATA SHEET
KROONIT STRIPPER
Page: 6
Section 11: Toxicological information
3- BUTOXYPROPAN - 2 - OL
SODiuM HYDROXIDE
B-ALANINE.N-COCO ALKYL DERIVATIVES, SODIUM SALTS
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13.1. Waste treatment methods
Section 13: Disposal considerations
Disposal of packaging: Dispose of as normal industrial waste.
NB: The user's attention is drawn to the possible existence of regional or national regulations
regarding disposal.
Section 14: Transport information
14.1. UN number
UN number: UN1760
14.2. UN proper shipping name
SAFETY DATA SHEET KROONIT STRIPPER
Page:
Hazardous ingredients:
3 - BUTOXYPROPAN -2 - OL
48H EC50 >1000
GUPPIES 96H LC50 580-1000 mg/I
B-ALANINE,N-COCO ALKYL DERIVATIVES, SODIUM SALTS
48H EC50 18 mg/I
48H EC50 97.$ mg/I
ISOTRIDECANOLETHOXYLATE,POLYMER(8 MOLE EC AVERAGE)
FISH 96H LC50 1-10 mg/I
12.2. Persistence and degradability
Persistence and degradability: Biodegradable. The surfactants contained in this preperation comply with the biodegradability
criteria as laid down In regulation (EC) No.1348/2004 an detergents,
7
712.3. Bioaccumulative potential
Elloaccumulative potential: No bioaccumulation potential.
12.4. Mobility in soil
Mobility: Soluble In water.
12.6. Results of laBT and vpvB assessment
PBT identification; This product is not Identified as a PBT/vPvS substance.
12.6. Other adverse effects
Other adverse effects: Negligible ecotoxicity.
Shipping name: CORROSIVE LIQUID, N.O.S.
(SODIUM HYDROXIDE (2%))
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SAFETY DATA SHEET
KFi0ONIT STRIPPER
Page: 8
14.3 Transport hazard class(es)
Transport class: 5
I 14.4. Packing group
Packing group: Ill
14.5. Environmental hazards
Environmentally hazardous: No Marine pollutant: No
[ 14.0. Special precautions for user
Special precautions: No special precautions.
Tunnel code: E
Transport category: 3
Section 15: Regulatory information
15.1. Safety, health and environmental regulations/legislation specific for the substance or mixture
15.2. Chemical Safety Assessment
Chemical safety assessment: A chemical safety assessment has not been carried out for the substance or the mixture by
the supplier.
Section 16; Other information
Other information
Other Information: This safety data sheet is prepared in accordance with Commission Regulation (EU) No
453/2010.
Phrases used In s.2 and s.3: EUH208: Contains <name of sensitising substance>. May produce an allergic reaction,
H226: Flammable liquid and vapour.
H302: Harmful if swallowed.
H304: May be fatal if swallowed and enters airways.
H314: Causes severe skin burns and eye damage.
H315: Causes skin irritation.
H317: May cause an allergic skin reaction.
H318: Causes serious eye damage.
H319: Causes serious eye irritation.
H400: Very toxic to aquatic life.
H410: Very toxic to aquatic life with long lasting effects,
H412: Harmful to aquatic life with long lasting effects.
Legal disclaimer: The above information is believed to be correct but does not purport to be all inclusive and
shall be used only as a guide. This company shall not be held liable for any damage resulting
from handling or from contact with the above product.
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HEALTH & SAFETY DATA SHEET
i) PRODUCT IDENTIFICATION
COMMERCIAL NAME: KEEN WAX FURNITURE POLISH
PRODUCT TYPE: Aerosol Polish with Beeswax for wood surfaces
CONTAINER: 300 ml Aerosol
CLASSIFICATION: NOT CLASSIFIED under the UK CHIP Regulations 1994, EXTREMELY FLAMMABLE under the EC Aerosol Directive.
VARIANTS: Original
NAME & ADDRESS OF SUPPLIER: KEEN (WORLD MARKETING) LIMITED I NORTHBROOK STREET, NEWBURY BERKSHIRE, RG14 1DJ.
2) COMPOSITION / INGREDIENT INFORMATION
GENERAL DESCRIPTION; A SILICONE/WA X EMULSION IN WATER/WHITE SPIRIT. THE PROPELLANT IS BUTANE.
Chemical Identity: Aqua, white spirit, cetostearyl alcohol, sodium benzoate, sodium nitrite, sorbitan oleate, PEG(20) sorbitan oleate., alkyl imidazoline methosulphate, alkyl dimothyl benzyl ammonium chloride. beeswax, silicone, parium.
Substances listed in CHIP or EH40 Classified
Concentration aU BUTANE 40
<30% w/w 600 ppm WHITE SPIRIT
<10% w/w 1000mg/cu.m
ALKYLD1METHYL <0,1% w/w BENZYLAMMON1UIVI CHLORIDE
ALKY LIM IDAZOL1NE <0,1% w/w METHOSULPHATE
Ain NS phrases Symbol R12, 52, 9, 16,33. Fx RIO, 52/53,65;S2,23, Xtt,N S24/25,43,61,62. R22,34;S26,28,36/37/ C 39,45,
R36,38;S26.28,37/39 Xi
3) HAZARDS LDENA1JC8TI,ON
Eye Contact:
Contact may cause mild irritation Skin Contact:
Low hazard Inhalation:
High levels of vapour may cause dizziness Ingestion:
Accidental ingestion is an unlikely event
Cans may rupture i l heated to excess.
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4) FIRST AID MEASURES
Eye Contact: Contact lens should be removed. Irrigate copiously with clean, fresh water I or at least 10 minutes, holding the eyelids apart, and seek medical advice.
Skin Contact: Wash with water - normal hygiene procedures Inhalation: Remove to fresh air, keep warm, seek medical advice Ingestion: If accidentally swallowed: Drink 2-3 glasses of milk or water. Keep at
rest. Seek medical advice, Do NOT induce vomiting,
5) FIRE FIGHTING MEASURES
Extinguishing media:
Dry powder, foam & CO2 may be used. Special fire fighting procedures:
Fire exposed containers should be sprayed with water to lessen the risk of explosion.
6) ,ACCIDENTAL RELEASE MEASURES If containers are ruptured extinguish all ignition sources. Ventilate area, particularly at low level. Absorb residue on inert material and dispose of in accordance with local regulations,
7) HANDLING AND STORAGE Store at ambient temperatures under dry conditions. Read the label before use. Do not mix with other chemicals. Keep out of the reach of children,
8) ES POSUR, CONTROLS / PERSONAL PROTECTION
Do not smoke during use. Ensure adequate ventilation.
9) I'llaarraAND CHEMICAL PROPERTIES Appearance Off white emulsion PH 7.8 Internal pressure at 20C Approximately 3 bar Vapour Density >Air Odour As per fragrance Flammability Soo section 16 Solubility in water at 20 C Insoluble Relative Density Approximately 0.95g/in1
10) 5:I-ABILITY AND REACTIVta The aerosol is stable under normal conditions. Cans may rupture in a fire with the release of flammable propellant. The product must not be used on copper, aluminium or bright metal.
11) 1-09J_Qa_c., A).,_ IN FORMATION The product under normal conditions of storage and use is not likely to present a health hazard. Ingestion is unlikely,
[2) ECOLOGICAL INFORMA Most of the chemicals used are biodegradable. No chlorofluorocarbons (CFCs) are present. White spirit is slightly toxic to aquatic organisms, but will slowly degrade.
13) DISPOSAL CONSIDEKATIONS Da not puncture or incinerate even when empty. Dispose of in accordance with local regulations,
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14) TRANSPORT INFORMATION 1MDG Class; "Aerosols" UN Code 1950 ADR Class; "Gases" Marine Pollutant No
OTHER INFORMATION; Cannot be transported by air.
15) REGULATORY INFORMATION
The labelling is in accordance with both the "Chemical (Hazard Information and Packaging for Supply) Regulations 1994' as amended in 1996, and current EC guidelines. The aerosol carries a statutory aerosol statement (see section 16) and is labelled EXTREMELY FLAMMABLE.
16) OTHER INFORMATION Extremely flammable. Aerosol caution. The container is pressurised. Do not pierce or burn, even when empty. Protect from sunlight and do not expose to temperatures exceeding 50 C. Do not spray on a naked flame or any incandescent material. Keep out or reach of children. Keep away fi•om sources of ignition — no smoking.
This information is based on our present state of knowledge and is intended to describe the product from the point of view of safety. It should not be construed as a guarantee of specific properties. No responsibility can be accepted for the consequences of misuse of the product.
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Revision Cate 09/07/2010
Revision 9
Revision
0 Agropharm SAFETY DATA SHEET
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL
SECTION 1: IDENTIFICATION OF THE SUBSTANCE/MIXTURE AND OF THE COMPANY/UNDERTAKING
1,1 Product identtflez Product name
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL
Product No. FP 500
1.2. Reluantkkintified uses of the substallqe_Or mixture encLuses advised nalrlat
j,LNigna rsi the figis- Lthe_safetv deta sheet
Supplier Agrepharrn Limited Buckingham Place, Church Road, Penn, High Wycombe Bucks HP10 8LN Tel +44 (0) 1494 8165M Factory: +44 (0)1952 740533 Fax: +44 (0) 1494 816578 salescgagrOpherm.co.uk
1.4. Erneroancv telephone number,
+44 (0) 1952 740 533
SECTION 2: HAZARDS IDENTIFICATION
2.1, ClassllIoation of tb_e_iststance or rnixttae
Classification (1999/45/EEC) N:R50/53-
2.2. Labels[ements
Labelling
Dngoraus for the environment
Risk Phrases
Safety Phrases
R50/53 Very toxic to aquatic organisms. may cause tong-term adverse effects in the aquatic environment.
Al
Pressurized container: protect from sunlight arid do not expose to temperature exceeding 50C. Do not pierce or bum, even after use.
523 Do not breathe vapOurispray,
529 Do net empty into drains. 851 Use only In well-ventilated areas. 361 Avoid release to the environment. Refer to special Instructiens/safety data
sheets. P14 Contains d-LIMONENE. May produce an allergic reaction. 323 Do not breathe spray.
Do not breathe srnoke/Iumes,
0.1110,,thazards
SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS
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Revision 9
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL 3.2. Mixtures
CUMENE
CAS-No.: 98-82-8 EC No.: 202-704-5
< 1%
Classification (EC 1272/2008) Flam. Liq. 3 - I-1226 STOT Single 3 - H335 Asp. Tox. 1 - H304 Aquatic Chronic 2- H411
Classification (67/548/EEC) R10 Xn;R65 XI:1;37 KR51/53 —
_ ETHYLIENTENE
CAS-No.; 100-41-4 EC No.: 202-849-4
<1%
Classification (EC 1272/2008) Flam. Liq. 2 - H225 Acute Tox. 4 - H332 _ _ _ _
CrasSificalian (67/548/EEC) F:R11 Xn;R20
FYRETHRINS INCLUDING CINERINS
< 1%
CAS-NO,: 8003-34-7
EC NO.; 232-319-8
Classification (EC 1272/2008) Acute Tex. 4 • H302 Acute Tox. 4 - H312 Acute Tax. 4 - H332 Aquatic Acute 1- H400 Aquatic Chronic 1 • H410
Classification (67/548/EEC) Xn;R20/21/22, N;R50/53,
XYLENE
1-5%
CAS-No.: 1330-20-7
EC No.: 215-535-7
Classification (SC 1272/2008) Ham, Liq. 3 -I-1226 Acute Tox. 4 -1-1312 Acute Tax. 4 - H332 Skin Init. 2 - H315
Classification (67)548/EEC) R10 Xn:R20/21 Xi:R313
The Full Text for all R-Phrases and Hazard Statements are Displayed in Section 113.
SECTION 4: FIRST AID MEASURES
4,1. Description of first aid measures
Inhalation
Move the exposed person to fresh air at once. Place unconscious person on the side in the recovery position and ensure breathing can take place. Get medical attention, ingestion
DO NOT INDUCE VONTINO1 If patient vomits, turn to recovery position give water to drink. Get medical attention. Skirl Contact
Wash skin with soap and water.
Eye contact
Rinse the eye with water immediately. Continue to rinse for at least 15 minutes. Contact physician if irritation persists,
4.2. Most important symptoms and effects. both acute and delayed
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Revision 9
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL 4-3-11aRation of any Immediate medical at -tentOn and special trealmilt.needed
SECTION 5: FIREFIGHTING MEASURES
LLEglogglra IricukdAl Extinguishing media
Use: Water spray. Foam. Cry cheMic-als.
5.2. peCial hazards arising from the substance or Mixture
Speak hazards
Aerosol containers can explode when heated, due to excessive pressure build-up.
6_3—Advice for firetigno
Special Fire Fighting PrOCedures
Use water to keep fire exposed containers cool and disperse vapours. Move container from flra area if it can be done without risk. Be aware of danger of explosion. Protective equipment for fire-figthere
Self contained breathing apparatus and full protective clothing must be worn in case of fire.
SECTION 6: ACCIIDENTAL RELEASE MEASURES
8,1,reonal precautions, protective eaulpment and emergencv procedures
Extinguish any naked flames, sources of Ignition. Absorb liquid on sand or earth and sweep it up. Avoid Inhaling vapour, evacuate personnel Thorn area.
9,2. Environmental precautions
If contamination of resources occurs Contact appropriate authorities (Fire Service)
6.3. Methqds and materiel for contalnmentInd cleaning uR
Coiled with absorbent, non-Combustible material into suitable containers.
8.4. Reference to otter sections
SECTION 7: HANDLING AND STORAGE
71ALs_- magi e handlinQ
CondiUopjo safe stprge. Inciudinqpv incomPatibilItiss
Aerosol cans: Must not be exposed to direct suniight or temperatures above 50D. Keep out of reach of children. Keep away from heat and sources of ignition.
7,1_51300I5c end =01
SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
Q.1, _Control parameters
Name STD TWA - 6 Mrs .
STEL 15 Min Notes
CUMENE OES 26 ppm(Sk) 125 mg/m3(Sk),
50 ppm(Sk) 250 mg/m3(Sk)
ETHYLEIENZENE OES 100 ppm(Sk) 441 mo/m3 $k)
126 ppm(Sk) 552 mo/m3(Sk)
pYRETHRINS INCLUDING OINERINS WEL 1 mg/m3
XYLENE OES 50 ppm(Sk) 220 me/m3(Sk)
100 pem(5k) 441 mg/m3(Sk)
WEL = Workplace Exposure Limit,
8,2, Exposure contr221
Eye protection
DO not spray near eyes,
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Revision 9
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL Hygiene measures
Wash hands after handling.
SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
9.1, Information on bAsIgshvalcal and ohemIcal Properties
Appearance
Odour
Solubility
Initial boiling point and balling range
Flash point (CO)
Auto Ignition Temperature VP
22.Qtor InfOrmation
Volatility Description
Aerosol.
Mild or faint). Perfume.
Immiscible with water
Gas liquified under preSsure.
Extremely Flammable.
250
Explosive when exposed to heat above 500.
SECTION 10; STABILITY AND REACTIVITY
10,1. Reactlyily
10.2. Cheratalsitability
Should not be reactive at normal temperature and pressure conditions.
10.3. Possibility of hazardouq rind=
Hazardous Polymerisation
Will not polymerise.
10.4, Conditions to avoid
Avoid exposing aerosol containers to high temperatures or direct sunlight.
10.5. Incompatible matsidik
10.6. HazarCIOUS.A$P2MOSIticon apaducte
In case of fire, toxic gases (CO, CO2, N0x) may be formed,
SECTION 11: TOXICOLOGICAL INFORMATION
11.1. Information on tazioghicicaLeffecici Toxicological Information
Pyrelhrins: LD50 rat (oral) 900-2000 Mg/kg. LD50 rat (derrnal) >1500 mg/kg. Plperonyl Eutoxide: L050 ret (Orel) 7500 mg/kg. Inhalation
May oause irritation to the respiratory system. Ingestion
No harmful effects expeCted in amounts likely to be ingested by accident. Skin contact
NO specific health warnings noted. Eye contact
May cause temporary eye Irritation.
SECTION 12; ECOLOGICAL INFORMATION
12.1. Toxicity
Acute Fish Toxicity
Toxic to fish
12.4,persi#thnoe and deoradability
12.3. Bloacournplative potential
12.4, Mobility in soil
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Revision 9
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL 12.5. Results of FBI and vPvB assessment
12.13„ Other adverse effects
SECTION 13: DISPOSAL CONSIDERATIONS
12.13Yerate_treatment.mathede
Both kill and empty Containers present a flammable and explosion risk when heated and must not be incinerated. This material and its container must be disposed of in a safe way.
SECTION 14: TRANSPORT INFORMATION
Air Transport Notes Pck, Instr. Y 203 / 203
14,1. UN number
UN No. (ADRIRID/ADN) 1950
UN NO. (IM013) 1950
UN No, (ICAO) 1950
14.2. UN proper shipping name
Proper Shipping Name AEROSOLS (1, 2, .1-TRIMETHYLBENZENE)
14.3. Transport hazard class(es)
ADR/RID/ADN Class
AMR' MON CIese
ADR Label No.
WOG Class
ICAO Class/Division
Transport Labels
2.1
Class 2: Gases
2.1
2,1
2.1
114. Packing group
Not applicable.
14„5,_Eny.10.0.032dtbinge12
Environmentally Hazardous Substance/Marine Pollutant
14.6. Boeclal precaujlogthr user
EMS F-D, S-U
Tunnel Restriction Code (D)
14.7. Transoort in bulk according to Annex II of MARPQL73/78 and the IBC Codia
SECTION 15: REGULATORY INFORMATION
16.1. Safety, health and environmental reoulationsileoislatian specific for the substance or mixture
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Revision 9
PROTECTOR FLYING AND CRAWLING INSECT KILLER AEROSOL Uk Regulatory References
HE No. 8646.
15.2. Chemicjil_Rfstty Assessment
SECTION 16: OTHER INFORMATION
General information
The information contained in this Safety Data Sheet is believed to be true and correct. as of the Issue date. The accuracy and completeness of this information and any recommendations, or suggestions are made without warranty or guarantee. Since the conditions of use are beyond the control of our company, it is the responsibility of the user to determine the conditions of safe use for this product. Revision Comments
Section 14 updated. Revision Date 09/07/2010
Revision 9
Date 09/07/2010
Risk Phrases in Full R10 Flammable.
R20/21 Harmful by Inhalation and In contact with skin,
R20/21/22 Harmful by Inhalation, in contact with skin and if swallowed.
R20 Harmful by inhalation,
R55 Harmful; may cause lung damage if swallowed.
R11 Highly flammable
R57 Irritating to respiratory system.
R38 Irritating to skin.
R51/55 Toxie tO aquiatie Organisms, may Oatiala long-term adverse effects in the aquatic environment.
R50/53 Very toxic to aquatic organisms, may cause long-term adverse effects In the aquatic environment.
Hazard Statements In Full
H515 CEILI5e6 Skin irritation.
H226 Flammable liquid and vapour.
Harmful if inhaled,
H302 Harmful If swallowed.
H312 Harmful in contact with skin.
H225 Highly flammable liquid and vapour.
H304 May be fatal if swallowed and enters airways.
H335 May cause respiratory Irritation.
H411 Toxic to aquatie life with long lasting effects.
H410 Very toxic to aquatic life with long lasting effects.
H400 Very toxic to aquatic life.
Diecleimer
This information relates only to the specific material designated and may not be valid for such material used in combination with any other materiels or in E. process. Such information is, to the best of the company's knowledge and belief. accurate and reliable as of the date indicated. However, no warranty guarantee or representation is made to Its accuracy, reliability or completeness. It is the user's responsibility to satisfy himself as to the suitability of such information for his own particular use.
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Safety data sheet in accordance with regulation (EC) No 1907/2006
* Natriumhydroxide Pearls Date revised: 29.06.2015
# 1000581 Version: 8 / WORLD Master No. M-042 Print date: 13.08.15
SECTION 1: Identification of the substance/mixture and of the company/undertaking
1.1. Product identifier
Trade name Natriumhydroxide Pearls REACH-Registration no. 01-2119457892-27-XXXX
Use of the substance/mixture Base chemical with not specially defined use
1.2. Relevant identified uses of the substance or mixture and uses advised against
Identified Uses At the moment we have no information available for the identified uses. In the presence of these data will be included in the safety data sheet.
Uses advised against There are no uses have been identified, advised against.
1.3. Details of the supplier of the safety data sheet
Address Kroonint B.V. Albert Plesmanweg 77 3088 GB Rotterdam
1.4. Emergency telephone number
National poisoning Information center (NVIC) +31 (0) 30 274 8888
SECTION 2: Hazards identification 2.1. Classification of the substance or mixture
Classification (Regulation (EC) No. 1272/2008) Skin Corr. 1A H314 Met. Corr. 1 H290
Classification in accordance with EC directives 1999/45/EC and 67/548/EEC C. R35
2.2. Label elements Labelling according to regulation (EC) No 1272/2008
Hazard pictograms
Signal word Danger
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Safety data sheet in accordance with regulation (EC) No 1907/2006
* Natriurnhydroxide Pearls # 1000581 Version: 8 / WORLD
Date revised: 29.06.2015
Master No. M-042 Print date: 13.08.15
Hazard statements H290
May be corrosive to metals. H314
Causes severe skin burns and eye damage
Precautionary statements P26Q P280 P301+ P330+P331 P303+P361 +P353
P305+P351+P338
P304+P340 P310
Do not breathe dust/fume/gas/mist/vapours/spray. Weer protective gloves/protective clothing/eye protection/face protection. IF SWALLOWED: rinse mouth. Do NOT induce vomiting. IF ON SKIN (or hair): Take off immediately all contaminated clothing. Rinse skin with wafer/shower. IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. IF INHALED: Remove person to fresh air and keep comfortable for breathing. Immediately call a POISON CENTER or doctor.
Labelling in accordance with EC directives 1999/45/EC and 67/548/EEC
Hazard symbols C
P=Mi
maim Aik
corrosive
R phrases 35
S phrases 26
36/37/39 45
60
Causes severe burns.
In case of contact with eyes, rinse immediately with plenty of water and seek medical advice. Wear suitable protective clothing, gloves and eye/face protection. In case of accident or if you feel unwell, seek medical advice immediately (show the label where possible). This material and its container must be disposed of as hazardous waste.
SECTIpN 3: Comoosition/information on ingredients 3.1. Substances
Hazardous ingredients
Sodium hydroxide CAS No. 1310-73-2 EINECS no. 215-185-5 REACH-Registration 01-2119457892-27-XXXX no. Concentration > 99
0/0
C, R35
Skin Corr. 1A H314 Met. Corr. 1 H290
Complete text of RJH-phrases in Chapter 16.
SECTION 4: First aid measures 4.1. Description of first aid measures
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Safety data sheet in accordance with regulation (EC) No 1907/2006
Natriumhydroxicle Pearls
# 1000581 Version: 8 / WORLD
Date revised: 29.08,2015
Master No. M-042 Print date: 13.08.15
General information Remove affected person from danger area, lay him down. Remove contaminated, soaked clothing immediately and dispose of safely. irregular breathing/no breathing: artificial respiration. If the patient is likely to become unconscious, place and transport in stable sideways position,
After inhalation Remove the casualty into fresh air and keep him calm. Summon a doctor immediately.
After skin contact Wash immediately with plenty of water for several minutes. Summon a doctor immediately. Take off contaminated clothing and wash before reuse.
After eye contact In case of contact with the eyes, rinse immediately for at least 15 minutes with plenty of water. Summon a doctor immediately.
After ingestion Rinse out mouth and give plenty of water to drink. Do not induce vomiting. Summon a doctor immediately.
4.2. Most important symptoms and effects, both acute and delayed The following symptoms may occur: Coughing, Nausea, Vomiting, Abdominal pains, Causes burns, Causes serious eye irritation.
4.3. Indication of any immediate medical attention and special treatment needed Treat symptomatically
SECTION 5: Firefighting measureq 5.1. Extinguishing media
Suitable extinguishing media Product itself is non-combustible; adapt fire extinguishing measures to surrounding areas.
Non suitable extinguishing media Full water jet, Carbon dioxide
5,2. Special hazards arising from the substance or mixture In case of combustion evolution of dangerous gases possible. Reacts violently with water. Reactions with metals, with evolution of hydrogen.
5.3. Advice for firefighters Use self-contained breathing apparatus. Wear protective clothing. Collect contaminated fire-fighting water separately, must not be discharged into the drains.
SECTION 6: Accidental release measures 6.1. Personal precautions, protective equipment and emergency procedures
Use personal protective clothing. Ensure adequate ventilation. Avoid contact with skin, eyes and clothing. Use breathing apparatus if exposed to vapours/dust/aerosol.
6.2. Environmental precautions Do not allow to enter drains or waterways. Do not discharge into the subsoil/soil.
6.3. Methods and material for containment and cleaning up Pick up mechanically. Avoid raising dust. When picked up, treat material as prescribed under Section 13 "Disposal".
6.4. Reference to other sections Information regarding personal protective measures, see Section 8. Information regarding waste disposal, see Section 13.
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Safety data sheet in accordance with regulation (EC) No 1907/2006
* Natriurnhydroxide Pearls
Date revised: 29.06.2015
# 1000581 Version: 8 / WORLD
Master No. M-042
Print date: 13,08.15
SECTION 7: Handling and storage 7.1. Precautions for safe handling
Keep container tightly closed. Handle and open container with care. Avoid dust formation. When diluting, always stir product into water. Take off immediately all contaminated clothing. Avoid contact with skin and eyes. Keep seperated from food-stuffs and feed-stocks. At work do not eat, drink, smoke or take drugs. Wash hands before breaks and after work. Do not breathe dust.
Advice on protection against fire and explosion No special measures required.
7.2. Conditions for safe storage, including any incompatibilities Do not use metal containers. Use containers made of Polyethylene. Do not store together with: Acids, Halogenated hydrocarbons
storage category TRGS 610 B B Not combustible corrosive hazardous substances
Keep container in a cool, well-ventilated place. Store in a dry place. Product is hygroscopic.
7.3. Specific end use(s) No information available.
SECTION 8: Exposure controls/personal protection 8,1. Control parameters
Derived No/Minimal Effect Levels (DNEL/DMEL)
Sodium hydroxide Conditions Worker Long term inhalative Local effects Concentration 1 mgirr0
Conditions General Long term inhalative Local effects Population
Concentration 1 mg/m'
8.2. Exposure controls Respiratory protection
Use breathing apparatus in dust-laden atmosphere. Short term: filter apparatus, Filter P2 Hand protection
Appropriate Material nitrile Material thickness > 0,4 mm Breakthrough time >= 480 min
Eye protection Tightly fitting safety glasses
Body protection Alkali-resistant protective clothing
SECTION 9: Physical and chemical properties 9.1. Information on basic physical and chemical properties
Appearance Form Flakes
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Safety data sheet in accordance with regulation (EC) No 1907/2006
Natriumhydroxide Pearls Date revised: 29.06.2015
# 1000581 Version: 8 / WORLD
Master No. M-042
Print date: 13.08.15
Colour white Odour odourless
Form Lumps Form Beads
Odour threshold Remarks No data available
pH value Value 14 Temperature 20 °C
Melting point/freezing point Value 319 oc
Initial boiling point and boiling range Value 1390 °C
Flash point Remarks Not applicable
Evaporation rate Remarks No data available
Flammability (solid, gas) Not ignitable
Upper/lower flammability or explosive limits Remarks No data available
Vapour pressure Value 3,5 hPa Temperature 800 °C
Vapour density Remarks No data available
Relative density Value 2,13 gtern3 Temperature 20 oc
Bulk density Value appr. 1,14 g/cm 3 Temperature 20 4.c
Solubility(ies) Medium Water Value 1090 Temperature 20 °C
Partition coefficient; n-octanol/water Remarks Not applicable
Auto-ignition temperature Remarks not determined
Decomposition temperature Remarks No data available
Viscosity Remarks Not applicable
Explosive properties Remarks This product is not potentially explosive.
Oxidising properties evaluation not oxidizing
Page 5(9)
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Safety data sheet in accordance with regulation (EC) No 190 7/2006
Natriumhydroxide Pearls
Date revised: 29.06.2015
# 1000581 Version: /WORLD
Master No. M-042
Print date: 13.08.15
SECTION 10: Stability and reactivity 10,1, Reactivity
Exotherms reaction. Corrosive to metals.
10.2. Chemical stability Under normal conditions of storage and use is the product stable.
10.3. Possibility of hazardous reactions Reactions with metals, with evolution of hydrogen. Strong exothermic reaction with acids. Reacts violently with water.
10.4. Conditions to avoid Protect from atmospheric moisture and water.
10.5. Incompatible materials Product reacts with: Aluminium, Zinc, tin, Acids, Nitriles, Cyanide, Ammonium compounds. Nitro compounds, Reducing agents
10.6. Hazardous decomposition products Hydrogen, Corrosive gases/vapours
SECTION 11: Toxicological information 11.1. Information on toxicological effects
Acute oral toxicity (Components)
Sodium hydroxide Species rat LD50 500 mg/kg
Skin corrosion/irritation evaluation strongly corrosive
Serious eye damage/irritation evaluation strongly corrosive
Sensitization No sensitizing effect known.
Mutagenicity No indications of genotoxicity are available.
Carcinogenicity Indications of possible carcinogenic effects are not available.
Reproductive toxicity No indications of reproduction toxicity are available.
Specific Target Organ Toxicity (STOT) Single exposure
No data available Repeated exposure
No data available Aspiration hazard
No information available.
Other information Strong caustic effect in the mouth and throat and danger of perforation of the esophagus and stomach.
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Safety data sheet in accordance with regulation (EC) No 1907/2006
NatrIumhydroxIde Pearls # 1000581 Version: 8 (WORLD
Date revised: 29.06.2015
Master No. M-042 Print date: 13.08.15
SECTION 12: Ecoloqical information __. Do not discharge into the drains/surface waters/groundwater. The product Is an alkaline solution. Neutralization Is normally necessary before a waste water is discharged into sewage treatment plants.
12.1. Toxicity Harmful effect due to pH shift.
Fish toxicity (Components)
Sodium hydroxide Species rainbow trout (Oncorhynchus mykiss) LC50 4514 mg/I Duration of exposure 96 h Species goldfish (Carassius auratus) LC50 160 mg/I Duration of exposure 24 h Species golden orfe (Leuciscus idus) LC50 189 mg/I Duration of exposure 48 h Species Gambusia affinis LC50 125 mg/I Duration of exposure 24 h
Daphnia toxicity (Components)
Sodium hydroxide Species Daphnia magna EC50 40 to 240 mg/I
Bacteria toxicity (Components)
Sodium hydroxide Species Photobacterium phosphoreum EC50 22 mg/I Duration of exposure 15 min
12.2. Persistence and degradability Biodegradability
evaluation not degradable Remarks Inorganic product, cannot be eliminated from the water by biological
purification processes.
12.3. Bioaccurnulative potential
Partition coefficient n-octanolfwater Remarks Not applicable
12.4. Mobility in soil Mobile in soils
12.5. Results of PBT and vPvB assessment Evaluation of persistance and bioaccumulation potential
The Substance do not meets PBT-criterions. The Substance do not meets vPvB-criterions.
12.6. Other adverse effects
Behaviour in sewers [waste treatment plants] The product is an alkaline solution. Neutralization is normally necessary before a waste water is discharged into sewage treatment plants.
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Safety data sheet in accordance with regulation (EC) No 1907/2006
* Natriumhydroxide Pearls
# 1000581 Version: 8 / WORLD
Date revised: 29.06.2015
Master No. M-042 Print date: 13.0815
SECTION 13: Disposal considerations 13.1. Waste treatment methods
Disposal recommendations for the product Allocation of a waste code number, according to the European Waste Catalogue (EWC), should be carried out in agreement with the regional waste disposal company.
Disposal recommendations for packaging Packaging that cannot be cleaned should be disposed off in agreement with the regional waste disposal company.
SECTION 14: Transport information Land transport ADR/RID
14.1. UN number
1823 14.2. UN proper shipping
SODIUM HYDROXIDE, SOLID
name 14.3. Transport hazard class(es) Label 8 14,4. Packing group II 14,5, Environmental hazards Tunnel restriction code
14.6. Special precautions for
No information available. User 14.7. Transport in bulk
No information available. according to Annex II of MARPOL73/78 and the IBC Code
Marine transport IMOG/GGI/See 14.1. UN number 1823 14.2. UN proper shipping SODIUM HYDROXIDE, SOLID name 14.3. Transport hazard 8 class(es) 14.4. Packing group 14.5. Environmental hazards EmS F-A, S-B
14,6. Special precautions for No information available. user 14.7. Transport in bulk No information available. according to Annex II of MARPOL73/78 and the IBC Code
SECTION 15: Regulatory information 15.1, Safety, health and environmental regulations/legislation specific for the substance or mixture
The product is classified and labelled in accordance with EC directives/the relevant national laws.
SVFIC The product does not contain substances of very high concern (SVHC).
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Safety data sheet in accordance with regulation (EC) No 1907/2006
* Natriumhydroxide Pearls Date revised: 29.06.2015
# 1000581 Version: 8 / WORLD
Master No. M-042
Print date: 13.08,15
15.2. Chemical safety assessment For this substance a chemical safety assessment has been carried out.
SECTION 16: Other information R-phrases listed in Chapter 3
35 Causes severe burns.
Hazard statements listed in Chapter 3 H290 May be corrosive to metals. H314 Causes severe skin burns and eye damage.
Supplemental information Relevant changes compared with the previous version of the safety data sheet are marked with: *** This information is based on our present state of knowledge. However, it should not constitute a guarantee for any specific product properties and shall not establish a legally valid relationship.
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Ravislon date: 14/05/2015 Revision: 1.0
SAFETY DATA SHEET Keen Ltd Aquanol
SECTION 1: Identification of the substance/mixture and of the company/undertaking
1.1, Product identifier
Product name
Keen Ltd Aquanol
1.2. Relevant identified uses of the substance or mixture and uses advised against
1.3. Details of the supplier
Supplier Kroonint BV Albert Piesmanweg 77
3088 GB Rotterdam
1.4. Emergency telephone number
SECTION 2: Hazards identification
2,1. Classification of the substance or mixture
Classification
Physical hazards Aerosol 1 - H222, H229 Aerosol 1 - H222, H229
Health hazards Asp. lox. 1 - H304
Environmental hazards Not Classified
2.2. Label elements
Pictogram
Signal word Danger
Hazard statements H222 Extremely flammable aerosol. H229 Pressurised container: may burst if heated
Precautionary statements P210 Keep away from heat, hot surfaces, sparks, open flames and other Ignition sources. No smoking. P211 Do not spray on an open flame or other ignition source, P251 Do not pierce or burn, even after use.
P410+P412 Protect from sunlight. Do not expose to temperatures exceeding 50C/122T.
Contains low aromatic white spirit 040
2.3. Other hazards
SECTION 3: Composition/information on ingredients
3.2. Mixtures
low aromatic white spirit D40 30-60%
CAS number: 64742-48-9 EC number: 649-327-6
Classification
Asp. Tox, 1 - H304
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RevisioN date: 14/05/2015 ReVISIOn; 1.0
Keen Ltd Aquanol
Petroleum Gases, Liquefied 30-60%
CAS number: 88476-85-7 EC number: 270-704-2
Classification
Ham. Gas 1 - H220
Press. Gas, Liquefied - H280
The Full Text for all R-Phrases and Hazard Statements are Displayed in Section 16.
SECTION 4: First aid measures
4.1. Description of first aid measures
Inhalation Remove affected person from source of contamination.
Ingestion Not relevant.
Skin contact Wash skin thoroughly with soap and water.
Eye contact Rinse with water.
4.2. Most important symptoms and effects, both acute and delayed
4.3. Indication of any immediate medical attention and special treatment needed
SECTION 5; Firefighting measures
5.1. Extinguishing media
Suitable extinguishing media Carbon dioxide (002).
5.2. Special hazards arising from the substance or mixture
Specific hazards Pressurised container: may burst If heated
5,3. Advice for firefighters
Protective actions during Containers close to fire should be removed or cooled with water. Use water to keep tire firefighting exposed containers cool and disperse vapours.
SECTION 6: Accidental release Measures
15,1. Personal precautions, protective equipment and emergency procedures
Personal precautions No smoking, sparks, flames or other sources of Ignition near spillage. Avoid contact with eyes and prolonged skin contact. Avoid inhalation of vapours.
8.2. Environmental precautions
6.3. Methods and material for containment and cleaning up
Methods for cleaning up Collect and dispose of spillage as indicated in Section 13.
6.4. Reference to other sections
SECTION 7: Handling and storage
7.1. Precautions for safe handling
Usage precautions Keep away from heat, hot surfaces, sparks, open flames and other ignition sources. No smoking.
7.2. Conditions for safe storage, including any incompatibilities
Storage precautions
Do not store near heat sources or expose to high temperatures.
7.3. Specific end use(s)
SECTION 8; Exposure Controls/personal protection
215
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FeVISIOn date: 100512015 Revision: 1.0
Keen Ltd Aquanol
8.1. Control parameters
Occupational exposure limits
Petroleum Gases, Liquefied
Long-term exposure limit (a-hour TWA): WEL 1000 ppm 1750 mg/m3 Short-term exposure limit (15-minute): WEL 1250 ppm 2180 mg/m4
WEL = Workplace Exposure Limit
8.2. Exposure controls
FCTION g: Physical and Chemical Properties
9.1. Information on basic physical and chemical properties
Appearance Aerosol.
9.2. Other information
SECTION 10: Stability and reactivity
10.1. Reactivity
10.2, Chemical stability
10.3. PossIbiIKEA hazardous reactions
10,4. Conditions to avoid
Conditions to avoid Avoid exposing aerosol containers to high temperatures or direct sunlight.
10.5. Incompatible materials
10.6. Hazardous decomposition products
SECTION 11: Toxicological information
11.1, information on toxicological effects
SECTION 12: Ecological Information
12.1. Toxicity
12.2. Persistence and degradability
12.3. BloaccumuletivIpotentiai
12.4, Mobility in soil
12.5. Results of PBT and vPve assessment
12.6. Other adverse effects
SECTION 13: Disposel considerations
13.1. Waste treatment methods
General information Dispose of waste product or used containers in accordance with local regulations
'SECTION 14: Transport information
14.1. UN number
UN No. (ADR/RID) 1950
UN No. (IMDG) 1950
UN No. (ICAO) 1950
UN No. (ADN) 1950
14.2. UN proper shippin9 name
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Revision clpte: 14/05/Z)15 Revision: 1.0
Keen Ltd Aquanol
Proper shipping name AEROSOLS
(ADPJRID)
Proper shipping name AEROSOLS (IMIDG)
Proper shipping name (ICAO) AEROSOLS
Proper shipping name (ADN) AEROSOLS
14.3. Transport hazard class(es)
ADR/RID class 2.1
ADR/RID classification code 5F
ADR/RID label 2.1
IMDG class 2.1
ICAO class/division 2.1
ADN class 2,1
Transport labels
14.4.Packing group _
14.5. Environmental hazards
Environmentally hazardous substance/marine pollutant
No.
14.6. Special precautions for user
EmS F-D, S-U
ADR transport category 2
Tunnel restriction code (0)
14.7. Transport in bulk according to Annex ll of NIARPOL73/78 and the IBC Code
SECTION 15: RegulatorrinformatIon
15.1. Safety, health and environmental regulations/legislation specific for the substance or mixture
15,2. Chemical safety assessment
(SECTION 16: Other Information
Issued by A. Walsh
Revision date 14/05/2015
Revision 1.0
SOS number 4726
Risk phrases in full R12 Extremely flammable.
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Revision date: 1.71/05/2415 Revision: 1.0
Keen Ltd Aquanol
Hazard statements In full H220 Extremely flammable gas. H222 Extremely flammable aerosol. H229 Pressurised container: may burst if heated H280 Contains gas under pressure; may explode if heated, H304 May be fatal If swallowed and enters airways.
This information relates only to the specific material designated and may not be valid for such material used in combination with any other materials or in any process. Such information is, to the best of the company's knowledge and belief, accurate and reliable as of the date indicated, However, no warranty, guarantee or representation Is made to its accuracy, reliability or completeness, It is the user's responsibility to satisfy himself as to the suitability of such Information for his own particular use,
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cs,
OffMATERIALFIRE EXTINGUISHER ABC MULTIPURPOSE DRY CHEMICAL
Fl SAFETY DATA SHEET CONFORMS TO DIRECTIVE 2001/58/EC
I. IDENTIFICATION OF THE SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKING
1,1. Identification of the Product Name:
Chemical Name: CAS No.: Chemical Forrnula: EINECS Number:
preparation "Fire Extinguisher ABC Multipurpose Dry Chemical" "Fire Extinguisher Powder ABC Multipurpose" N/A — This is a mixture/preparation. N/A — This is a mixture/preparation. N/A — This is a mixture/preparation. N/A — This is a mIxtureipreparation.
1.2. Use of the preparation The intended or recommended use of this preparation is as a FIRE EXTINGUISHING AGENT.
1.3. Company identification Manuracturer/Suppller; FLAG FIRE Address: One Stanton Street, Marinette, WI 54143-2542 Prepared by: Safety and Health Department Phone: 715-732-3465 Internet/Home Page: http://www.flagfiracom Date of Issue: May, 2004
14. Emergency telephone CHEMTREC 800424-9300 or 703-527-3887.
2. COMPOSITION/INFORMATION ON INGREDIENTS
2.1. Ingredient Name: Chemical Forrnula: CAS No.: EINECS Number: Concentration, Wt Hazard Identification:
Ingredient Name: Chemical Formula: CAS No.: EINECS Number: Concentration, Wt %; Hazard Identification:
Ingredient Name; Chemical Formula; CAS No.: EINECS Number: Concentration, Wt %: Hazard Identification:
Ingredient Name:
Chemical Formula; CAS No.: EINECS Number; Concentration, WI %; Hazard Identification;
Ingredient Name: Chemical Formula: CAS No.; EINECS Number: Concentration, Wt %; Hazard Identification:
Ingredient Name: Chemical Formula; CAS No.: EINECS Number: Concentration, Wt %; Hazard Identification;
Monoammonium Phosphate. NH4H2PO4, 7722-76-1, 231-764-5. 50-80 %. See Heading 3,
Ammonium sulfate (NH4)2504. 7783-20-2. 231-984-1. 20-45%. See Heading 3.
Magnesium Aluminum Silicate (Attapulgite Clay or Fuller's Earth) MgAly(SiO4),. 8031-18-3. (a). 1-5%. See Heading 3.
Tricaicium Phosphate (Pentacalcium Hydroxide Tris(orthophosphate)). Ca5(OH)(PO4 )3. 12187-74-7. 235-330-6. 1-5 %. See Heading 3.
Silica Gel, 4DSi(0)]-(1120)k. 112926-00-8, (b). 0-3 %. See Heading 3.
Methyl Hydrogen Polysiloxane. Mixture/preparation, 83148-57-2. (b). 0-1 %, See Heading 3.
FF-200322S
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FIRE EXTINGUISHER ABC MULTIPURPOSE DRY CHEMICAL (Continued) Page 3
4. FIRST AID MEASURES
Eye Contact: Wash with water for a minimum of 15 minutes. If Irritation persists seek medical attention. Skin Contact: Wash affected area with soap and water. If irritation persists seek medical attention. Inhalation! Remove from exposure. If irritation persists seek medical attention. Ingestion: If patient is conscious, give large amounts of water and Induce vomiting. Seek medical help.
5. FIRE-FIGHTING MEASURES
This preparation is an extinguishing media. There are NO extinguishing media which must not be used for safety reasons. NO special protective equipment is needed for fire-fighters,
8. ACCIDENTAL RELEASE MEASURES
For personal protection! Prevent skin and eye contact, see Heading 8, Clean op: Sweep up and recover for use or place in closed container for disposal, see Heading 13. NO harm to the environment Is expected from an accidental release of this preparation.
7. HANDLING AND STORAGE
7.1. Handling
Care should be taken in handling all chemical substances and preparations, See incompatibility Information in Heading 10.
7.2. Storage NO special conditions are needed for safe storage. See incompatibility Information in Heading 10. Store in original container or Flag Fire fire extinguisher. Keep tightly closed until used. There is minimal danger to the environment from a storage release.
7.3. specific use
The intended or recommended use of this preparation is as a FIRE EXTINGUISHING AGENT.
S. EXPOSURE CONTROLS/PERSONAL PROTECTION
8-1, Exposure limit values Nuisance dust limit:
OSHA TWA: ACGIH TLV-TWA:
15 mg/m3 10 mg/m3
EU. Exposure controls
8.2.1. Occupational exposure controls 8.2.1.1. Respiratory protection
Dust mask where dustiness is prevalent, or TIM is exceeded. Use mechanical filter respirator if exposure is prolonged.
8.2.1.2. Hand protection
None normally needed. Use chemical resistant gloves when handling the preparation. 8.2.1.3. Eye protection
Use safety glasses with side shields or safety goggles as mechanical barrier for prolonged exposure, 3.2.1.4. Skin protection
No special equipment is needed. 3.2.2. Environmental exposure controls
No special controls are needed.
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FIRE EXTINGUISHER ABC MULTIPURPOSE DRY CHEMICAL (Continued) Page 5
12. ECOLOGICAL INFORMATION
12.1. Eootoxioity Not determined.
12.2. Mobility Not determined.
12.3. Persistence and degradability Not relevant.
12.4. Bioaccumutative potential Not determined.
12.5. Other adverse effects Ozone depletion potential:
None.
Photochemical ozone creation potential: None Global warming potential:
None
13. DISPOSAL CONSIDERATIONS
No harm to the environment Is expected from this preparation.
Dispose of in compliance with national. regional, and local provisions that may be in force.
14. TRANSPORT INFORMATION
Hazard Class or Division: Fire Extinguisher, Class 22. UN No. 1044.
For additional transport information, contact Flag Fire.
No harm to the environment is'expected from this preparation.
15, REGULATORY INFORMATION
Product: EU Classification:
R Phrases:
S Phrases:
Harmful. 22 Harmful if swallowed. 36/37/38 Irritating to eyes, respiratory system, and skin. 26 In case of contact with eyes, rinse immediately with plenty of water and
seek medical advice. 36 Wear suitable protective clothing.
Limit Values for Exposure: Nuisance dust limit:
OSHA TWA: 15 mg/m3 ACGIH TLV-TWA: 10 mg/m3.
EINECS Status: All components are included in EINECS inventories or are exempt from listing.
EPA TSCA Status; All components are included in TSCA inventories or are exempt from listing.
Canadian DSL (Domestic Substances List): All components are included in the DSL or are exempt from listing.
Environmental restrictions: None are known. Restrictions on Marketing and Use: None are known. Refer to any other national measures that may be relevant.
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