REC~ 

U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

ED 

OFFICE OF HEARINGS 

WASHINGTON, DC HEARING DOCKET 

In the Matter of: 

Martinaire Aviation, LLC 

Respondent 

THE HONORABLE RICHARD C. GOODWIN 

ADMINISTRATIVE LAW JUDGE 

FAA DOCKET No. FAA-2013-0040 

FAA Case No.2011SW700189 

(Civil Penalty Action) 

FDMS No. FAA-2013-0040 

COMPLAINANT'S MOTION TO ADD AN EXHIBIT 

NOW COMES the, Complainant, Federal Aviation 

Administration, by and through its attorney, and files a motion 

to add an exhibit for trial on the issue of civil penalty. In 

support of this motion, Complainant states the following: 

1. Complainant seeks to supplement its exhibit with Special 

Agent Paul Klimas' statement, identified as exhibit 100.01. 

2. A copy of this exhibit is attached to the motion. 

3. Opposing Counsel was given a copy of these documents with 

Complainant's EIR disclosure, which was provided prior to the 

Informal Conference. 

Respectfully submitted this 11th day of June 2014. 

ERIC E. ANDERSON 

Regional Counsel 

Southwest Region 

By : ~~-~ -=""'&=:vt'-:-"-G_c~t:--=-/tfe-=c_:-b'---::-:--:-. -·~_,____ James Archier, Agency Attorney 

(817) 222-5074 
CERTIFICATE OF SERVICE 

Re: Martinaire Aviation, LLC, FAA Case No. 2011SW700189 

I hereby certify that on this date, I have sent via Federal 

Express an executed original and one copy of the COMPLAINANT'S 

MOTION ADD TO ADD AN EXHIBIT addressed as follows: 

Federal Aviation Administration 

Attention: Hearing Docket Clerk, AGC 430 

600 Independence Avenue, SW 

Washington DC 20591 

Wilbur Wright Building-Suite 2W1000 

Washington, DC 20591 

(original plus one copy) 

(Federal Express) 

I further certify that on this date, I have sent via 

Federal Express a true copy of the COMPLAINANT'S MOTION ADD AN 

EXHIBIT addressed as follows: 

The Honorable Richard C. Goodwin 

Administrative Law Judge 

Office of Hearings, M-20 

Department of Transportation 

1200 New Jersey Avenue, S.E. (E11-310) 

Washington, DC 20590 

TEL: (202) 366-5121 Staff Assistant 

FAX: (202) 366-7536 

(Federal Express) 

I further certify that on this date, I have sent via 

Federal Express a true copy of the COMPLAINANT'S MOTION ADD AN 

EXHIBIT addressed as follows: 

Mr. Michael L. Dworkin and Associates 

Law Offices 

465 California Street, Suite 210 

San Francisco, California 94104-1808 

(Federal Express) 

. .. Telephone: (415) 421-2500 

) Facsimile: (415) 421-2560 _: /) 

// •. 

§¥-l>;&?££4 c::4c:/;t:L1 

James Archier, Agency Attorney 

(817) 222-5074 

2 

June 11, 2014 
U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

Hazardous Materials Branch, ASW-740 

STATEMENT OF SPECIAL AGENT 

I, Paul KLIMAS (KLIMAS), a Special Agent of the U.S. D.O.T., FEDERAL AVIATION 

ADMINISTRATION (FAA), Burleson, Texas, submit the following report. 

During a comprehensive hazardous materials inspection at the MARTINAIRE AVIATION LLC 

(MT9A) headquarters, 4553 Glenn Curtis Drive, Addison, Texas (ADS), which was completed 

on July 8, 2011, it was found that MT9A routinely failed to properly complete and comply with 

the requirements for the Notification to Pilot-In-Command (NO PIC) for hazardous materials 

MT9A transported via cargo-carrying flights operated by MT9A. These issues were found to 

originate from the entire MT9A system. 

During this inspection, I accompanied FAA Special Agent Jay F. SORAH (SORAH), following 

MT9A Flight inspections at DFW International Airport (DFW), Texas to MT9A and , during a 

review of the 90-day NOPIC file, it was found that MT9A routinely failed to properly complete 

the NOPIC for hazardous materials MT9A transported via cargo-carrying flights from various 

domestic stations. FAA Special Agent Dennis JUENEMANN assisted in reviewing the records 

of training for MT9A employees at ADS. 

During this inspection, MT9A Chief Pilot Michael BATES (BATES) was present as was 

Assistant Chief Pilot Cory SMITH (SMITH). When learning of the NOPIC issues during this 

inspection, MT9A Executive Vice President and Chief Operating Officer Alan RUSINOWITZ 

(RUSINOWITZ) became involved and acquired the hazardous materials shipping papers from 

the initial air carriers. Only the initial air carrier is required to maintain copies of the hazardous 

material shipping papers. Following the completion of MT9A flights, the shipping papers are 

discarded. 

The non-compliant NOPICS are described as follows: 

a) On June 22, 2011, the NOPIC for MT9A Flight Number 637 (Woodward, Oklahoma 

(WWR)-Oklahoma City, Oklahoma (OKC)) failed to include the proper shipping name 

and hazard class required for a hazardous materials shipment classified as "Compressed 

Gas, N.O.S., 2.2, UN1956" (tracking number 1Z72642590100064105). This NOPIC also 

failed to provide the proper shipping name for two shipments properly classified as Dry 

Ice, 9, UN1845, PG Ill on tracking numbers1ZW27E87WT86012673 and 

1ZW9888XT JT44430534. The proper shipping names provided by MT9A on the NOPIC 

were "Boehringer" and "JCAH", respectively. 

b) On June 6, 2011, the NOPIC for MT9A Flight Number 600 (Lansing, Michigan to 

Traverse City, Michigan) failed to properly provide the correct basic shipping description 

for a hazardous materials shipment classified as Paint, 3, UN1263, PG II (tracking 

number 1 Z424651 04493761 06). The packing group was not provided. The MT9A NOPIC 

described the item as "Paint, 3, UN1245". UN 1245 is the identification number for Methyl 

Interviewed/Reviewed on , At ___________ _ 

By Special Agent Paul KLIMAS fLp lJ k.k1:- , File No. 2011 SW700189 

FAA Form 1600-32-1 (9-86) ~ GOVERNMENT 

~ EXHIBIT . ·· .. · 

• 

(Public availability to be 

determined under 5 U.S.C. 552) 

FOR OFFICIAL USE ONLY 

-~ 1 ·o ~ oo. l 
isobutyl ketone. 

U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

Hazardous Materials Branch, ASW-740 

c) On June 6, 2011, the NO PIC for MT9A Flight Number 682 (Wilmington, North Carolina 

(ILM) to Raleigh-Durham International Airport (RDU), Raleigh, North Carolina) failed to 

.. include the correct identification number as required for a hazardous materials shipment 

properly classified as "Denatured Alcohol, 3, NA1987, PG II" (tracking number 

1Z2102770145719267). NOPIC described the item as ""Denatured Alcohol, 3, UN1087". 

The packing group was not provided. UN 1087 is the identification number for a hazard 

class 2.1 item, 'Vinyl methyl ether, stabilized". 

d) On May 26,2011, the NOPIC for MT9A Flight Number 806 (Houston, Texas (IAH) to San· 

Antonio, Texas (SAT)), failed to include the correct proper shipping name and packing 

group as required for a two hazardous material shipments properly classified as 

"Petroleum Distillates, N.O.S., 3, UN1268, PG Ill," (air waybill numbers 8771203122 and 

8771205111). "Distillates" was the proper shipping name provided for on the NOPIC. Air 

waybill number 8771203122 failed to include the correct identification number (listed as 

"128). "128" is not a recognized identification number. Additionally, neither the flight 

number nor the date was listed on the NOPIC. 

e) May 24, 2011, the NOPIC for MT9A Flight Number 666 (Abilene, Texas (ABI), to DFW) 

failed to include the complete proper shipping name, hazard class and correct 

identification number as required for a hazardous materials shipment properly classified 

as Helium, compressed, 2.2, UN1046, (tracking number 1Z049169014416999). MT9A 

was unable to provide the associated hazardous materials shipping paper due to a 

typographical error on the NOPIC involving the tracking number. The identification 

number listed, "UN1064" is for a product that is forbidden for transportation on cargo 

aircraft, "Methyl Mercaptan, 2.3 (2.1), UN1064". 

f) On May 19, 2011, the NOPIC for MT9A Flight Number 601 (Lansing, Michigan (LAN), to 

Houghton County, Michigan (CMX)) failed to include the complete proper shipping name, 

hazard class and packing group as required for a hazardous materials shipment properly 

classified as "Organophosphorus Compound, Toxic, Liquid, N.O.S. (Diphenylphosphoryl 

Azide), 6.1, UN3278, PG II" (tracking number 1Z9444340274593550). The NOPIC 

provided the hazard class for the item as "5.1 ". 

g) On May 14, 2011, the NOPIC for MT9A Flight Number 700 (RDU, to New Bern, North 

Carolina (EWN)), failed to include the complete proper shipping name and correct 

identification number as required for a hazardous materials shipment properly classified 

as "Printing Ink, 3, UN1210, (tracking number 1Z337E30446005). MT9A was unable to 

provide the associated hazardous materials shipping paper due to a typographical error 

on the NOPIC involving the tracking number. The identification number listed, "UN1457" 

is for a product, "Calcium peroxide, 5.1, UN1457". 

Interviewed/Reviewed on , At------------

By Special Agent Paul KLIMAS fL_p D k.~L__ , File No. 2011SW700189 

FAA Form 1600-32-1 (9·86) FOR OFFICIAL USE ONLY 

(Public availability to be 

determined under 5 U.S. C. 552) 
U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

Hazardous Materials Branch, ASW-740 

h) On May 13, 2011, the NOPIC for MT9A Flight Number 688 (Columbia, South Carolina 

(CAE) to Hilton Head Island. South Carolina (HXD)), failed to include the complete 

proper shipping name and packing group as required for a hazardous materials shipment 

properly classified as "Corrosive liquid, acidic, inorganic, N.O.S., 8, UN3264, (tracking 

. number 1Z5R91W8023572881 ). MT9A was unable to provide the associated hazardous 

materials shipping paper due to a typographical error on the NOPIC involving the 

tracking number. The proper shipping name was listed as "NOS". 

i) On April 14, 2011, the NOPIC for MT9A Flight Number 637 (WWR-OKC), failed to 

include the complete proper shipping name and packing group as required for a 

hazardous materials shipment properly classified as "Chemical Kit. 9, UN3316", (tracking 

number 1Z5R91W80123229672). The proper shipping name was listed on the NOPIC as 

"BECKMAN COULTER". Additionally, on this flight MT9A failed to include the complete 

proper shipping name and packing group as required for a hazardous materials shipment 

properly classified as "Sodium hydroxide Solution, 8 UN1824", (tracking number 

1Z5R91W80123218942). The proper shipping name was listed on the NOPIC as 

"BECKMAN COULTER". MT9A was unable to provide the associated hazardous 

materials shipping papers due to a typographical error on the NOPICS involving the 

tracking number. 

j) On April 12, 2011, the NOPIC for MT9A Flight Number 637 (WWR to OKC) failed to 

include the proper shipping name and packing group for hazardous materials shipments 

consisting of items classified as Lithium Metal Batteries Packed With Equipment, 9, 

UN3091, PG II and Lithium Metal Batteries, 9, UN3090, PGII (tracking numbers 

1Z8847490150235015 & 1Z8847490150247628, respectively) as required. 

k) On April12, 2011, the NOPIC for MT9A Flight Number 685 (Eugene, Oregon (EUG) to 

Portland, Oregon (POX)) failed to include the complete proper shipping name, hazard 

class, identification number and packing group as required for a hazardous materials 

shipment properly classified as "Caproic Acid, 8, UN2829, PG Ill" (tracking number 

1Z074E300205633517). The NOPIC described the shipment as "Carat acid, 3, UN2800". 

Hazard Class "3" is designated for flammable liquids and UN2800 is the identification 

number for "Battery, wet, non-spillable". 

I) On April 1, 2011, the NOPIC for MT9A Flight Number 666 (ABI-DFW), failed to include 

the complete proper shipping name and packing group as required for a shipment 

properly classified as "Sodium hydroxide Solution, 8 UN1824", (tracking number 

1Z751188011649924). The proper shipping name was listed as "Carr". MT9A was 

unable to provide the associated hazardous materials shipping papers due to a 

typographical error on the NOPIC involving the tracking number. 

Founded in 1978, MT9A is an ADS Part 135 air cargo carrier. MT9A operates "feeder" cargo 

flights, nationally, under contract from the UNITED PARCEL SERVICE AIRLINES (IPXA) and 

Interviewed/Reviewed on , At ___________ _ 

By Special Agent Paul KLIMAS fLt D f!..e_:__ , File No. 2011SW700189 

FAA Form 1600-32-1 (9-86) FOR OFFICIAL USE ONLY 

(Public availability to be 

determined under 5 U.S. C. 552) 
U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

Hazardous Materials Branch, ASW-740 

DHL GLOBAL EXPRESS. MT9A has hubs at DFW, RDU, Lansing, Michigan, and Sacramento, 

California, utilizing a fleet of 41 Cessna 208B (Caravan) aircraft and 4 Metro Ill aircraft. MT9A 

pilots create the NO PIC following aircraft loading and communicate the hazardous materials 

related information via radio or telephone to the MT9A Dispatch Office in Addison, Texas. The 

MT9A dispatch personnel then copy the information onto MT9A Form MRA-HAZ02, Rev3 

(Notification of Pilot in Command), for use in event of an emergency on board the flight. 

Following the MT9A flight, the pilot discards the on-board copy of the NO PIC and the dispatch 

copy is filed at the MT9A Addison, Texas headquarters to satisfy the HMR's 90-day 

record keeping retention requirement. NOPIC's for the entire system are maintained at the 

MT9A headquarters. 

On July 11, 2011, KLIMAS met with RUSINOWITZ at the MT9A facility in Addison, Texas. 

RUSINOWITZ provided those associated hazardous materials shipping papers that he could 

gather from the initial air carriers (IPXA and ABX Air (ABXA)) and stated that due to the 

transcription errors on the tracking and air waybill numbers made by either the MT9A pilots or 

MT9A dispatchers, numerous shipping papers could not be properly identified and acquired. 

On July 11, 2011, KLIMAS contacted IPXA Hazardous Materials Safety Specialist Jason 

BRADLEY (BRADLEY) at DFW regarding the associated shipping papers. BRADLEY stated 

that he needed accurate tracking numbers in order to acquire the shipping papers. 

During a previous comprehensive inspection performed by KLIMAS on April 15, 2009, it was 

found that MT9A failed to properly complete NOPICS. EIR 2009700185 was closed with a 

Letter of Warning following receipt of a Letter of Response which pledged increased auditing 

and review of the MT9A NOPICS by MT9A management. 

EIR 2009NM70058 was closed with an assessed civil penalty involving MT9A NOPIC 

compliance issues. 

On July 19, 2011, a Letter of Investigation (LOI) was forwarded to RUSINOWITZ at MT9A. 

RUSINOWITZ provided MT9A'S response on August 2, 2011. In the LOR, RUSINOWITZ, 

admitted to the violations and stated the issues addressed in the Letter of Investigation (LOI) 

were due to employee errors that were in violation of the HMR and MT9A policies, procedures 

and manuals. RUSINOWITZ stated that MT9A has revised the MT9A NOPIC form and sent a 

broadcast message out to all pilots via email regarding NO PIC compliance. MT9A included a 

copy of their updated Hazardous Materials Section in their General Operations Manual. 

As a WILL-CARRY cargo airline, MT9A transports items classified as hazardous materials as a 

normal course of daily business and understands the responsibilities and requirements of the 

HMR as well as the penalties for routinely failing to comply with the HMR. MT9A received a 

Letter of Warning in 2009 for NOPIC violations detected during a comprehensive inspection at 

the MT9A at ADS and was assessed a civil penalty in 2009 stemming from NOPIC compliance 

issues found during a comprehensive inspection completed by ANM. By failing to properly audit 

Interviewed/Reviewed on , At ___________ _ 

By Special Agent Paul KLIMAS /L,).) !{4:...__.. , File No. 2011SW700189 

FAA Form 1600-32-1 (9-BS) FOR OFFICIAL USE ONLY 

(Public availability to be 

determined under 5 U.S.C. 552) 
U.S. DEPARTMENT OF TRANSPORTATION 

FEDERAL AVIATION ADMINISTRATION 

Hazardous Materials Branch, ASWM740 

and correct the NOPICS as stated in their 2009 EIR Letter of Response, MT9A management 

demonstrated a substantial disregard for the safety of their crewmembers, the safe 

transportation of hazardous materials via their aircraft, and their regulatory responsibilities. 

Note -The NOPIC descriptions made in this case to MT9A Flight Number 666 (ABI-DFW) are 

found on NOPICS listing MT9A Flight Number 66. "666" was not included by MT9A pilots due to 

superstition and biblical reference. SMITH provided an electronic mail message on September 

19, 2011, attesting to this practice. 

End of Statement 

Interviewed/Reviewed on , At ____________ _ 

By Special Agent Paul KLIMAS /L, D ;.(.e.:._ , File No. 2011SW700189 

FAA Form 1600-32-1 (9-86) FOR OFFICIAL USE ONLY 

(Public availability to be 

determined under 5 U.S.C. 552) 
:JrJgerous Goods I HflvZrvV\T f'lotification of Pilot in Command 

r shippOn:g name : 

·.: 1-i'l: !~"1~ 

suard clmss : '"} 

G(meral info: For inforrnatkr1 ;e-gardtng th1s fOiT1, O)r1te.!c! 

,' ~~i: Hiinaire Flight Ope;-ations $t 972·349-570"0. 

T - d 
Dangerous Goods I HAZMA T Notification of Pilot in Command NOPC 

Date 

MARTINA IRE. __ _____]......,_ 

or 

Proper "'"f'f'"'Y name: 

UN ID#: 

Hazard class : 

name: 

UNID#: 

Hazard class : 

/Weight: 

General Info: For information regarding this form, contact 

Martinaire Flight Operations at 972-349-5700. 

aged or Leaking Packages are not Permitted on 

naire Aircraft. 

i 

dry ice shipments, 172.604, C2) 

2?oo-J0--]f:J-'7 

on board 

(not required for dry ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod): 

Papers: 

C2) 

on 

or 

# 
426451 

1Z425<15104~937610S 

(~UUJ ~~!:1·:5\:1::'4, 

CHEMTEL C 

I ER Regl•lt<~nl CHEMTEl CONTRACT:IMI$000\ 

Signature on file 

426451 

1Z426451fl441!371JI06 

{l:SUUJ 4b~·::I\J44, 

CHEMTELC 

I

ERR<>gi>!ranl 

CHEMTEL CC»<TRACTUMISOOOI 

0~1::..:0, ?JWNT, 3, !1 /~ 

I F!P.£.P.BOMHl EOX X O.i14£0 L // 353 II 

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CHEMTELC 

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426451 

UN12f':J, PAIN"!', J, II II 

(I:SUUJ :..!~·;:H:I£4, 

CHEMTELC 

1 E"l5!::RBOA!Ui SOX l\ O.H60 L II 351 II 

XXX 

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UPS lCAO/IATA 

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UPS fCAO/IAT A 

XXX 

UPS ICAO/IATA 

426451 

1l<I2G4Sitl44937fi106 

ltiUUJ lb!:hj\:;1";{4, 

CHEMTELC 

I

ER Regisltonl 

CHEMTEl CONTRACUMISOOOI 

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{I:SUU) £bb-::1~:.!4, 

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CHEMTa CONlRACTIII.I1SCOOt 

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XXX 

UPS ICAOIIATA 

XXX 

UPS ICAOIIATA 

XXX 

UPS ICAO/IAT A 
Dangerous Goods I HAZMA T Notification of Pilot in Command NOPC 

! Date Flight No. NCTail# PIC EMPL. # 

MARTINAIRE "'/&/Lr (p~~ 17r.o6 IS r_s 

-- ,_ ·- -·--····· "' . - ---- ··-·- - . - . - -- ···-··- --·· ·-·····-------

UPS or DHL Tracking#: Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

Jcz.to z77 bil-/ 571 ~Z-~7 

l '8"t:>o 'f 1.-'f ~ 3oD 

.I 

Proper shipping name: d.•"" j-v< ::l<o k.> f location on board aircraft (tone or pod): 

UNID#: /0~7 Hazard class : 'C 5 3 

Quantity I Weight: '-'Jv«rf.; o Passenger Aircraft 

~argo Aircraft Only 

lbs or kg eck I mark applicable box) 

UPS Tracking#: Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

I 

J 

Proper shipping name : Location on board aircraft (zone or pod}: 

UNID#: 

Hazard class : 

Quantity f Weight: o Passenger Aircraft 

o Cargo Aircraft Only I 

lbs or kg {check I mark applicable box) 

UPS Tracking#: Emergency Contact# From Shipping Papers: 

(not required for dry ice shipments, 172.604, C2) 

Proper shipping name : . - Location on board aircraft (zone or pod): 

UN ID#: 

Hazard class : 

Quantity I Weight: o Passenger Aircraft 

o Cargo Aircraft Only 

II lbs or k~ (check/ mark applicable box) II 

RAM Tl & Location (If applicable): Total# of DG/HM packages on board: 

I I 

General Info: For information regarding this form, contact Special Permit Req.: DY~_Vt'No 

Martinaire Flight Operations at 972-349-5700. 

I Captain's or Dispatcher's Signature: 

.. , 

Martinaire 

Damaged or 

Aircraft 

Leaking 

. 

Packages are not Permitted on 

~ Martma1re Form MRA.-HAZ02 Rev 3, 6 -18 . 09 
210277 1-800-424-9300 

I

ERR<tjJIS\l<!fll 

HESS 1102 

liNi-~!>7. ~i::tlil.'l'URC:!.l ~.;,(QE(.':., J, 11 // 

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Signature on file 

210277 1-800-424-9300 

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1 tliiBRIIOl'--RO BOlo: X 2.0000 qt // 

210277 

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1-800-424-9300 

I

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HESS 1102 

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0!11967, D£RATUR£D 1\LCOHOL, 3, 1! I I 

1 E"!SE:RBO!\RD BOX X 1. 0000 qt I I 

XXX 

UPS 49 CFR 

XXX 

UPS 49 CFR 

XXX 

UPS 49CFR 

XXX 

UPS 49CFR 

-------· 

210277 1-800-424-9300 

1Z210177014571g267 

I.P.H9B1, OEtlhTUREO ALCOHOL, J, Ir II 

1 FIBERBOARD BOX X 2. 0000 qt II 

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HESS 1102 

UN1997, llENATURE:D ...l.COHOL, J, II /1 

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UPS 49 CFR 

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UPS49CFR 

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DangeroJs Goods J HAZMAT Notificat~on of Pilot in Command 

;1/1ART!NAIRE 

\--,--

1

,, P-rop<t3-rr' shtlt~l:l:ir.Jg narr~e : 

m~m#: 

.. 6~azard da.ss ~ 

• 

··!·~"'"----:-;· /" --" /------------------1-- ~( ·.&~.~.:arlnl~~~ , W$~!£1nL o Passenger Aircraft 

lr o Cargo Aircraf1 Only 

NOPC 

iL_ ___ lbs or --- lli:fiL.~ (checklmarkappllcablebox) 

r'Wr'f'& Location (If applicable): ~ - ! Tot;;!# of DGIHM packages on boar;:r----~ .-~-- -~ ; ~ep.-- I r- -------+--~ ~---------+----------~c~---~~~---

1 Special Permit Req.: DYes !3'NO , Genet·ailnfo: For information regarding this form, contact 

· Marlirrai!·e Fight Operations at 972-349-5700. 

, __ 

j 03Fi2gsc; or Leaking PacKages are not Permitted Gn-

\ M3(tina:re Aircraft 

I Captain's or Dispalc?e 's Signature· 

i lt/<r:::::;:'~ ......,__.. 
EFAX ARDEN ;2102710714 # 2/ 2 

SHIPPER'S DECLARATION FOR DANGEROUS GOODS 

Shipper Air Waybill No. g 'J7 / Z.CJ ? / ~ Z- ~~~~~~ M7 AEROSPACE I C26 PROGRAM Page 1 of 1 Pages " 

10823-NE ENTRANCE ROAD· 

SAN ANTONIO, TX 78216 Shipper's Reference Number 

~----------------------------------+-------(o-pti-·o_"'_')------------------~11' Consignee 

A TIN: J.B South f Mark Jordan - A CO. 641n AV.N. REG. C23 Sherpa 

Thunderdome Bldg. 7355A 

~J~o~in~tcB=a~s"e~B~a~la~d ,~1r~a=q~0~9~3~91~~~o-~~~~~~~~o-+----------------------------------------1 Two cOmpleted and signed copies of this declaration must he handed to 

·- 111111 rRANsPORTDETAILs WARNING " 

This shipment is within the Airport of Departure: Failure to comply in ali aspects wlth the applicable 

llmftafions prescribed for. Oangerpus Goods Regulations may be In breach or - (Delete non-applicable) the applicable law, subject to legal penalties. 

PASSENGER XXXXXXXX SAN ANTONIO 

AND CAIRGO XXXXXXXX 

AIRCRAFT XXXXXXXX 

Airport of Destination Shipment Type (Oelete rJon-applicable) -

Bagram AB 1 NON-RADIOACTIVE 1 xxxxxxxxxxxx 1 ~~~~~~~~~~~~~----~~----------4-J---------~-----J~------------~--i NATURE AND QUANTITY OF DANGEROUS GOODS ': ': • -

Oangerous Goods Identification 

-·---•• ~ ~ • • :•--W W 0. W • •• WOW~ OM • • 0 • 0 .. ----0 .. -00 -· 0-----:--.. 0 • • • •• • 0 0 W: ---0 W 0 0--:---------0--0 ••• • o • o •00-•.-:-0 0- o --:---0 0 W.--• • UN ! : Class 01' : Pack- : Quanllty ~nd : Pack : Aotllor-

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' . ' ' ' ' ' ' -Additi0ti8188~diiil9 intc;rmati·on:CHEM"fREC. ---------------------.-----. -~----- --.--------.-.-... -------------.-.-------

24 HR. EMERGENCY CONTACT TELNO.: 703-527-3887 

I hereby declare that the contents of this consignment are fufly and 

accurately described above by the proper shipping name. and are 

classffied, packaged, marked and labeJied/placardecl, ancl are in all respects 

in proper conditiOn for transport according to applicable international and 

national governmental regulations. 1 declare that aU of the applicable air 

transport requirements have been mel 

Name/Title of Signatory . 

PETE VAL!:NCIA/SUPPL Y LEAD 

Place 

S~ ANTO~IO·~ and Date: ·:n; O?tS/26/11 

w y· (see Stgn:~re: wiiml . 

72·· ov 

·, ·. . ... ~ 

-

-

-

-

-

-

-
7-12-11; 2:11PM; EFAX ARDEN ;21027107",4 

SHIPPER'S DECLARATJON FOR DANGEROUS GOODS Shipp., Al'Waybill No, 8"?7 I ::ZO 5"/J/ - M7 AEROSPACE f C26 PROGRAM Page 1 of 1 Pages 

10823-NE ENTRANCE ROAD 

SAN ANTONIO, TX 78216 Shipper's Reference Number 

~------------------------------------~------~-~-'i_oo_•_l)--------------------~-' Consignee 

ATIN: J.B South I Mar.k Jordan - A CO. 641st AVN. REG. C23 Sherpa 

Thunderdome Bldg. 7355A 

Joint Base Balad, Iraq 09391 

~~~~--------'-1 Two completed afU! sighed C()pies of this dec/arotlon must he haildetf to 

·--

TRANSPORT DET AJLS WARNING 

-

PASSENGER XXXXXXXX SAN ANTONIO AlND CARGO XXXXXXXX 

Failure to comply In all aspects with tile applicable 

Dangerous Goods Regulations may be In breach of 

the applfcaible law, subject to legal penalties. 

AIRCRAFT XXXXXXXX 

Airport of Destination Shipment Type {Delete non-appflcable) ~ 

Bagram AB 1 NON-RADIOACTIVE 1. )()(]()(JQ(l()OXX 1 J' 

~=N=A=TU=R=E=AN==D==Q=U=AN=TI:TY::O:F::DAN::G:E:R:O:U:S:G:O:O::DS:::======~=~====:==========~~======_= Dangerous Goods __ = __:_:_,_= __ =_~--~-= __ =;__ - Identification , 

.... ------:----.---------.---------.----------------"(-. --.-------··:-------- ~- --------.--.--------'------ UN : Cl.au or ! Pack· ! QuanUry ~11 Paok !, Author-

-uJ268-f. PEfRoiliu::;.::~:~::;; __ ----------~- --'~~:~---!- ~~;~-- J ---------;;~~~----.-- --- -:~~-- ;_~'"_"_--- ~ 

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' ·. :. : ' - -~h:::::::~:.:~::~::::~::~::;;::~:~::~:~e~t-are-~II:-.. ~--~.~~1-Ue-ofSig~alo~-------------------- - accurately described above by the proper shipping name, and are PETE VAL.ENCIAIS~PPLY LEAD 

classified, packaged, marked and labelled!placarded, and are In all respects Place and Date· -

national 

in .proper 

governmental 

condition for 

regulations. 

transport according 

I -declare 

to 

that 

applicable 

all of the 

international 

applicable 

and 

air Sig~~ature: 

SAN ANTON~O · ' .TX 

' 

05/ z 

transport requirements have been met. (see wa n 0 

L_ ______________________ ~'~·7·~~~==~~ ~ 

/¢zul~/l 
Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

Date 

MARTINAIRE __ ~~-• ' ~ 

~J·yl!l ·" ~ I . 

UPS or DHL Tracking#: 

_:~ _)! C/Lf r :~9 9 9 ( / 

~~f;; ~hip~iDgt~ime: C. . ''' l/1' / ' 

Hazard class : 1 

.,_,_. 

Quantity f Weight: 

,.=1 1 

/. ~-'" 

- lbs or kg 

UPS Tracking #: 

Proper shipping name : 

UNID#: 

Hazard class : 

• Quantity f Weight: 

lbs or kq 

UPS Tracking #: 

Proper shipping name : 

UN ID#: 

Hazard class : 

Quantity I Weight: 

lbs or kq 

RAM Tl & Location (If applicable): 

General Info: For information regarding this form, contact 

Martinaire Flight Operations at 972-349-5700. 

Damaged or Leaking Packages are not Permitted on 

Martinaire Aircraft. 

Flight No. AIC Tail# PIC EM PL.# 

io~J /-rs11B n2. 

Emergency Contact #From Shipping Papers: 

(not required for dry ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod): 

o Passenger Aircraft 

,\'Cargo Aircraft Only 

'(check I mark applicable box) 

Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod): 

o Passenger Aircraft 

o Cargo Aircraft Only 

(check I mark applicable box) 

Emergency Contact# From Shipping Papers: 

(not required for dry ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod): 

o Passenger Aircraft 

o Cargo Aircraft Only 

(check I mark applicable box) 

Total# of DG/HM packages on board: 

\ 

Special Permit Req.: DYes ~NO 

Captain's or Dispatcher's Signature: 

I 1_____.- \p-=1--./ Martma1re Form MRA"HAZ02 Rev 3, I 
'2011-05-17 05:26 DISPATCH 18883210224 >> 9723495755 

C--1-AX 

Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

l-ISDO- tf ;2~- Cfsoo 

or 

General Info: For Information regarding thls form, contact 

Martlnaire Flight Operations at 972-349-5700. 

Damaged or Leaking Packages are not Permitted on· 

Martina ire Aircraft. 

.. -·- --------------

on 

Special Permit Req.: DYes~ NO 

J j /_ I' 

[ . l-<../~..V 

p 2/2 
944434 

{l::iUU) <l-::::4-\:!:.SUU (UUM) 

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L'l'JJ27a, ORG.'\liOFIIOSf'll!)r.l)s CO:<PCIU!;(-r, TO:t . .!C., LlQt:TG. H.Q.~. 

(DIPHENYLfll()SPHOfn"L AZWEi, f.-.1, IJ .'/ 

I rlaE.RBOAlW ?-0:-: ;.: 0.0:·~~(! L /I P~.l/ i!0?-:;-t· f-l;0-6 

XXX 

UPS 49 CFR 

Signature on file 

944434 

1ZIIH4:J-40.:.!745935SO 

(t5UUJ 4Z4·\:!:1UU (UUM) 

011-

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ERRIO!Iistr.ml 

21831 TCIAMERICA 

UNJZ79, ORGl<NOPP.OSPUORUS COiiPQUJW, TO:-:rc, L!OillD, 11 O.S. 

C0IPH8NYLPH05PiiORYI· AZIDE), 6.1, II /I 

l fJ:IlE:RBCIARD !lOX K O.Q:!SO L (I 173.// DOT-S<' ~U~ 

XXX 

UPS 49CFR 

944434 

1294~4340274~93560 

{i:SUU) tU4-\:!;jUU (UUM) 

011-

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ERRegt.rram 

21031 TCI AMERJCA 

UN3278, ORGI'.NOPHOSI'HOP.OS C~POUI'I~·. TCXlC, LIQUID, l!.O.S. 

(OIPIIEt>IYLPHOS!'HORYL t\UDE), 6.1, 11 II 

1 E'IBB:tB-OIIRD BOX X O.fo2~0 L // l'/3.// DOT-S!' .91E!J 

XXX 

UPS 49 CFR 

944434 

1Zfi44~340274593SSO 

l~UU) 4£4-~:_jUU {UUM) 

011-

I

ER;Regislrallt 

21631 TCIAMERICA 

UN3276, OP.Gl\NOPHOSP:tO!\US COMPOUI10, TOXIC, LIQUID, ll.O.S. 

IDIPHF::NYLPilOSC'Y.O!t'iL I>.ZrDE), E.l, 11 1/ 

1 fll.lf:RSOJ\rtD BOX X 0,02:50 L // 113.// MI-SP 916S 

XXX 

UPS 49CFR 

944434 

1ZQ<I4~:l<I0274593550 

(l::iUU) 4~H:IJW (UUM) 

011-

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21031 TCI AMERICA 

Ull321!!', 01\Gt\NOPHOSPIIOR\l.S Cffi\POUt!O, TOXIC, LIQUID, tl O.S. 

(DIPHf:liYLP!iOSPHORYL AZ10E), 6.1. II II 

! fJB€1\EIOARO 80)( r. 0.0250 [,!I 173.// O'Jl'-SP 9H~ 

XXX 

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944434 

(l:lUU) 4:L4-9JUU (UUM} 

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UNJZ78, 0RG111llOPJIOSPilORIJS COMPOO!ID, TO!-tlC, L1Q(JHI, N.O.S. 

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l f'lB£RB01\RD SOl(;( 0,0250 L // 113.// OOT-~P !>-H6 

XXX 

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944434 

1Z94443~0l7~59&550 

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(OH'HENYi.~HOSPHORYL 1\.HDE), 6.1, ll II 

1 t!BERBO.~RD liOX )( 0,0250 L // 173.// DQT~S~ 9165 

XXX 

UPS 49CFR 
li 

Dangerous Goods I HAZMA T Notification of Pilot in Command NOPC 

MARTI NAIR E.~~-----'-

UPS or DHL Tracking#: 

I ? ") ·). ., " <---- J .o-7 ! L 

Proper shipping name: 

UNID#: ! L1. 'SI 

Hazard class : 

3

. ' 

Quantity I Weight: 

\ ]... lbs 

UPS Tracking#: 

or 

Date Fiight No. AIC Tail# PIC EMPL. # 

5 JLdi i 1-hO 

kg 

Emergency Contact# From Shipping Papers: 

(not required for d!Y ice shipments, 172.604, C2) 

f o D ---~--/ 2 -~/ ····S -~ C)t.J 

Location on board aircraft (zone or pod): 

~assenger Aircraft 

h Cargo Aircraft Only 

(check I mark applicaole>box) 

Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.6D4, C2) 

J Proper shipping name : 

UNID#: 

Hazard class : 

Quantity I Weight: 

locatfon on board aircraft {zontl or pud): 

o Passenger Aircraft 

."---

lbs or kg 

UPS Tracking #: 

Proper shipping name: 

UNID#: 

Hazard class : 

Quantity I Weight: 

lbs or kg 

RAM Tl & Location (If applicable): 

General Info: For information regarding this form, contact 

Martinaire Flight Operations at 972-349-5700. 

, Damaged or Leaking Packages are not Permitted on I Martinaire Aircraft. 

o Cargo Aircraft Only 

(check I mark applicable box) 

Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod}: 

o Passenger Aircraft 

o Cargo Aircraft Only 

(check I mark applicable box) 

J Total# of DG/HM packages on board: 

I I 

I Special Permit Req.: DYesi'J;NO 

I 

Captain's or Dispatcher's Signature: 

Martir1a1re Form MRA HAZ02 Rev 3, 6 Hl 09 
Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

Date Flight No. A/C Tail# PIC EMPL. # 

MARTINAIRE .. ~rl3{1{ b~ ~ .tf11 7!3 323 

UPS or DHL Tracking#: Emergency Contact# From Shipping Papers: 

i- J"'- t!?(4! w<6o 'l~S7Z~1 

~· { (not required for dry ice shipments, 172.604, C2) 

I L.":> 'h-I\ ~00 -qz..t..-f/ "1560 

Proper shipping name : NOS Location on board aircraft (zone or pod): 

UNID#: 320'-{ PoP Hazard class : g 0 

Quantity I Weight: ,ot.('6L- o Passenger Aircraft 

~argo Aircraft Only 

lbs or kg eck I mark applicable box) 

UPS Tracking#: Emergency Contact# From Shipping Papers: 

(not required for dry ice shipments, 172.604, C2) 

Proper shipping name : Location on board aircraft (zone or pod): 

UNID#: 

Hazard class : 

Quantity I Weight: o Passenger Aircraft 

o Cargo Aircraft Only 

lbs or kg (check I mark applicable box) 

UPS Tracking #: Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

·- Proper shipping name : Location on board aircraft (zone or pod): 

UN ID#: 

Hazard class : 

Quantity I Weight: o Passenger Aircraft 

o Cargo Aircraft Only 

lbs or kg (check I mark applicable box) 

RAM Tl & Location (If applicable): Total# of DG/HM packages on board: 

' 

General Info: For information regarding this form, contact Special Permit Req.: DYe~ NO 

\,J 

Martinaire Flight Operations at 972-349-5700. 

Captain's or Dispatcher's Signature: 

Damaged or Leaking Packages are not Permitted on 

~~- Martina ire Aircraft. 

Mart1na1re Form MRA HAZ02 Rev 3, 6 1! 
Apr 15 2011 5:47AM 1SERJET FAX p. 1 

Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

. MARTINAIR=E ~· --=-=~=u·-· -

#: 

UN 

Hazard class : q 

or .<f36L 

sh name: 

UN 

Hazard class : 

or 

General Info: For information regarding this form, contact 

.Martinaire Flight Operations at 972-349-5700. 

Damaged or Leaking Packages are not Permitted on 

Martinaire Aircraft. 

PIC EMPL. 

(not 

on 

C2) 

on 

on 

Special Permit Req.: DYes ITNO 

er's Signature: 
·, ·, 

Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

!L'i,'.T4l41() ISO 2.35015 

c.. 

or 

roper shipping name : 

UNID#: 

H azard class : 

/Weight: 

<; eneral Info: For information regarding this form, contact 

lvlartinaire Flight Operations at 972-349-5700. 

JSL JB rrco 

on 

J 

on 

Special Permit Req.: DYes o NO 

or 

Camaged or Leaking Packages are not Permitted on 

~; lvlartinaire Aircraft. 

L----------------------~----------~~~~~ 

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I fl!l!:':RBO!,r\0 58:'::.: !.(•09'• k<; !I 

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;:Jignature on file 

884749 

tZilB474Q0\60235015 

352-323-3500 (84893) 

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UPS 49 CFR 

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1 HBE!'Jl01'.RD a ox X L 0000 "kg I I 

884749 

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352-323-3500 (84893) 

ERR~Islnlnl 84993 

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liNJ09l, LUf!IU~l HE't/IL BAT'rSRJES ~ACKED W!Til E:QUlr-MEifT, 9, U // 

1 rtBERBOMW DOX )( 1, 0000 kg I I 

884749 

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352-323-3500 (84893) 

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UPS 49CFR 

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UtUMI, LI'l'HlUM METAL B;<.TiiOitli::S 1'1\CKF.:D WITS EQ\JleMEt>l·r, 9, [! 1/ 

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884749 

1Zea474901~235015 

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352-323-3500 (84893) 

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UPS 49CFR 

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OlO')!i'l, LITHIUM ~l£TI\L MTTERIES P;;CKE!i I.;JTH !:QOIPME!lT, 9, 11 II 

1 FIBE.RBOAAO BOX l( 1 .0000 kg 1/ 

Overpack Used UPS 49 CFR 

884749 352-323-3500 (84893) 

1Z68'11491.115023SD1-5 XXX 

UN3091, LITK!UM f.lWAL SATTE!l.IES PACKED ~ITH Et;lUIPME!'T, 9, T1 If 

1 rU>t:flBOARO BW. X 1.0000 r.g II 

Overpack Used UPS 49CFR 
884749 

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1148113 

352~323-3500 

UN3090, L1THJUM METAL BATTERIES, 9, TI II 

1 flBERBOf.RD BOX X 1.0000 tg G // 

Signature on file 

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884749 

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UU3090, L!'l'HIUM ME'!'l,L BATTERlE:S, \1, II II 

1 e'I8ERSOARfJ BOX K 1.0000 l:g G II 

884749 

1Z86<1749015024762B I

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8<1893 

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352-323-3500 

UN3090, Ll'I'I!HlM ME:TAL Bl\'l'Tt:Rn:s, 9, II (I 

l frBf.RBOA~P BOX X 1. 0000 kg G I I 

Overpack Used 

XXX 

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UPS49CFR 

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UPS 49 CFR 

XXX 

UPS 49 CFR 

884749 

1Z81147490150247828 

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Overpad< Used 

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UPS49 CFR 

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UPS 49 CFR 

XXX 

UPS49CFR 
Dangerous Goods I HAZMAT Notification of Pilot in Command NOPC 

i 

Date Flight No. A!C Tail# PIC EMPL. # ! 

c4 ~fiNIIIRE=====-=-i'·~~;-::-t-;--J----r-:?'TT"-t---J----;-,-;-,---+-=~--+---+i ' if/!z/t 1 b t; S I o 4 i L \D 2 5 i 

UPS or DHL Trockrng #: 

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Quantity /Wei_ght: 

lbs 

I 

UPS Tracking#: 

I Proper shipping name : 

UN/D#: 

~zard class : 

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Emergency Contact# From Shipping Papers: 

(not required for dry ice shipmenls, 172.504, C2) 

(L)()- (/"7 t./ ,- /) :!;" 0 f ,<-i I ' ~,.. 

Location on bo2rd aircraft (zone or pod): 

o Passenger Aircraft 

6\Cargo Aircraft Only 

'(check I mark applicable box) 

Emergency Contact# From Shipping Papers: 

(not requ1red for drv ice shipments, 172.604, C2) 

Location on board aircraft (zone or pod):. 

-

~~Q~u~a-n~ti~ty~/~W~e~ig~h~t~:---------------------------------+~-o~P~a-ss_e_n_g_e_r_A~i~rc_r_a~ft----------------------~ 

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UPS Tracking if: Emergency Contact# From Shipping Papers: 

(not required for drv ice shipments, 172.604, C2) 

Proper shipping name: 

JN ID#: 

-Iazard class : 

)uantity I Weight: 

lbs or 

AM Tl & Location (if applicable): 

kg 

eneral Info: For inic.-meuon regarding lllis form, contact 

artinaire Flight Operations at 972-349-5700. 

rmaged or Leaking Packages are not Permitted on 

Jrtinaire Aircraft. 

Location on board aircraft (zone or pod): 

I o Passenger /',ircrafi 

o Cargo A~rcraft Only 

(check I mark applicable box) 

Total# of DG/H/\A packaoes on board: -\ I 

\( 

I 

Special Permit R2q.: DYes··~ NO 

li 

MartJnaira Form MRA-KA702 Re~ 3, 
074E30 8004249300 

1Z074EJOCI20S633517 I

'"'"'""""' CCN62343S XXX 

Signature on flle 

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1 E'lBEitllOr,RD SOX X :212.0000 mi. I I ~99 II 

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Oangsrc:us Goods I Hf\ZMP.T Notification of Pilot in Command NOPC .~--­

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{not required for Qiy ice shipmenls, 172.604, C2) 

il [I 

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ir,I,_{Quantity i Weight: 1 ,- f o ?assengar Aircraft -~ I L i o Cargo .1\ircraft On'y 

ibS Of kg r {check/ mark app!JcabiG box) 

~1 ::;U:;:P:;=S;:T;:=ra=c=k=l=n=<;=#~:=====~======'===~==~~' ::;E~m~e~r~g~e=n~c=y~c~·o=n=ta::;c~-tO:#:C:r~r=o=m==;S;:h::;ip=p=in=g~P=a=p:::e:::rs=:====iJ 

(not requi~ed for dr/ ice shipm~nts, 172.604, C2) li 

{1 : 

; II 

iJ Proper shippfng name: 

{f U!\110#: 

I

I \1 

------------------4~~~~~~----~------~·1·1- 1 Locetion on board aircraft (zone or pod): )/ 

11 H!'l7::.rd ,,r~~"' · ;rf,~~-i--- -- ---~·-

·~~~!uantfty I Weight: 

-~---~ .. --~---~·------·------------------

Gene-a! litfo: Fc1- infciLi:ction regardir.g U:is form, ccr:tact 

t'J1art.ir:ai.'"e Fl;~;~t O_:::.>e,--atiors at 972-349-5700. 

,aged Dr ;_sar<ing Packages 218 ~JOt Pe!-nlitted on 

.v-arfina;re Air::.'""aft. 

I

. , I

/ o Passenger Aircraft i/ 

----,----:,-.-<',-:-:___ __________ _, 

Special Permi1 Req.: DYes}?No 

Cap~ai--,'s or Dispatc'-lec's Signature: 

/ -1-~-

c-'~. __ ___)\ ___ _ 

lvlarHnoH·re form !viR:A-HAZ02 Rev 3, 6-iO-U9