# 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, 2014U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION Hazardous Materials Branch, ASW-740 

### STATEMENT OF SPECIAL AGENT I, Paul KLIMAS (KLIMAS), a Special Agent ofthe 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 (NOPIC) for hazardous materials MT9Atransported 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 ofthe 90-day NOPIC file, it was found that MT9A routinely failed to properly complete the NOPIC for hazardous materials MT9Atransported via cargo-carrying flights from various domestic stations. FAA Special Agent Dennis JUENEMANN assisted in reviewing the records oftraining for MT9A employees atADS. During this inspection, MT9A Chief Pilot Michael BATES (BATES) was present as was Assistant Chief Pilot Cory SMITH (SMITH). When learning ofthe 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 ofthe 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 numberfor Methyl Interviewed/Reviewed on ,At___________ _ By Special Agent Paul KLIMAS

# fLplJ 

# 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 NOPIC 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 numberfor 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, neitherthe 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). MT9Awas 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_pD

# 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). MT9Awas 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 MT9Afailed 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 Number666 (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". MT9Awas 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 

# fLtDf!..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 NOPIC following aircraft loading and communicate the hazardous materials related information via radio ortelephone 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 ofthe NOPIC and the dispatch copy is filed at the MT9AAddison, Texas headquarters to satisfy the HMR's 90-day recordkeeping 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 gatherfrom 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 orderto acquire the shipping papers. During

### a previous comprehensive inspection performed by KLIMAS on April 15, 2009, it was found that MT9Afailed to properly complete NOPICS. EIR 2009700185 was closed with a Letter ofWarning following receipt ofa Letter of Response which pledged increased auditing and review ofthe 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 ofthe HMR and MT9A policies, procedures and manuals. RUSINOWITZ stated that MT9A has revised the MT9A NOPIC form and sent a broadcast message outto all pilots via email regarding NOPIC compliance. MT9A included a copy oftheir updated Hazardous Materials Section in their General Operations Manual. As a WILL-CARRY cargo airline, MT9Atransports items classified as hazardous materials as a normal course ofdaily business and understands the responsibilities and requirements ofthe 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 atADS 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 oftheir 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.

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## Dangerous Goods 

## I HAZMAT Notification of Pilot in Command 

# NOPC Date 

# MARTINAIRE.__ _____]......,_

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

426451 (l:SUUJ ;.!:;,:;,.:::i!:f£4, CHEMTELC 

# I ER Rogis.J•ant CHEMTEL CONTAACUMJSOOOI**Uf'l~6~,** Fi\HIT, l, 1! /( l FlEEMOARD P.{lY. ); U.?4H L II 353 II

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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 ICAO/IATA 426451 1l<I2G4Sitl44937fi106 ltiUUJ lb!:hj\:;1";{4, CHEMTELC 

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ltiUU) ;tb:>-;:S\:l£4. 426451 CHEMTELC IZ42a451044Q37&tOll 

## I ER Rogbtrant CHEMTEL CONTRACTIIMIS0001**U~l2"6J, r.o.I~T,**  ), II // 1 rJD!':I!.iiOi'-.RO BOK X 0 !1160 i'.. II**35~** II

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## I ER Reglsltanl CHEMTa CONlRACTIII.I1SCOOt Ol'liZ63, PAUl!, 3, ll // 1 FIB£1\BOllftD BOX X 0 9160 L II 353 I/ 

## XXX

UPS ICAOIIATA



## XXX

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## XXX

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## Dangerous Goods 

## I HAZMAT Notification of Pilot in Command 

# NOPC ! Date Flight No. NCTail# PIC EMPL. # 

# MARTINAIRE "'/&/Lr**(p~~** 

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### 571**~Z-~7** l '8"t:>o 'f1.-'f**~** 3oD .I Proper shipping name: 

### d.•""j-v< ::l<ok.> 

### f location on board aircraft (tone or pod): UNID#:**/0~7** Hazard class : 'C 

## 5 3 Quantity IWeight: '-'Jv«rf.; o PassengerAircraft**~argo** Aircraft Only lbs or kg eck I markapplicable 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 fWeight: 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:
, Damaged or Leaking Packages are not Permitted on

# ~ .. Martinaire Aircraft.

- . Martma1re Form MRA.-HAZ02 Rev 3, 6 18 09210277 1-800-424-9300 

## I ERR<tjJIS\l<!fll HESS 1102**liNi-~!>7. ~i::tlil.'l'URC:!.l** **~.;,(QE(.':.,** J, 11 // l f'110E:RBOli.RD BOXY.**?.(1;-,~C** qL /.'

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210277 1-800-424-9300 

# I ERRo>gistrat"!\ HESS**110~** \IN19B7, DE:Ni\TURE:O I'.LCOI!OL, J, Jf II 1 tliiBRIIOl'--RO BOlo: X 2.0000 qt //

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## -------·

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# I ERRegislr"'lt HESS 1102 'JN1997, DENI\TUR£0 1-li.COKOL, 3, Il (/ 1**r~BERBOMP** !'>OX X 1.0000 q;: II

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# I ER Reglslr.lnl HESS 1102 UN1997, llENATURE:D ... l.COHOL, J, II /1 I rJBERBOARO BOX X 2.0000 qt II 

## XXX

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## XXX

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## DangeroJs Goods J 

## HAZMAT**Notificat~on** 

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# ;1/1ART!NAIRE

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### , 

# __ j 03Fi2gsc; or Leaking PacKages are not Permitted Gn- \ M3(tina:re Aircraft 

# I Captain'sor Dispalc?e 

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# i

# lt/<r:::::;:'~......,__..EFAX ARDEN ;2102710714 # 2/ 2 SHIPPER'S DECLARATION FOR DANGEROUS GOODS Shipper Air Waybill No.

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### --.--------.-.-...-------------.-.------- 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. 1declare that aU of the applicable air transport requirements have been mel Name/Title ofSignatory . PETE VAL!:NCIA/SUPPL Y LEAD Placeand Date: 

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-7-12-11; 2:11PM; EFAX ARDEN ;21027107",4 SHIPPER'S DECLARATJON FOR DANGEROUS GOODS 

# Shipp., Al'WaybillNo, 8"?7 I ::ZO 5"/J/ - M7 AEROSPACE fC26 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.kJordan - A CO. 641st AVN. REG. C23 Sherpa Thunderdome Bldg. 7355A JointBase Balad, Iraq 09391**~~~~--------'-1** Two completedafU! sighed C()pies of this dec/arotlon must he haildetfto 

# ·-- 

# - WARNING 

### TRANSPORTDETAJLS PASSENGER XXXXXXXX SAN ANTONIO 

### AlNDCARGO XXXXXXXX Failure to comply In all aspects with tileapplicable Dangerous Goods Regulations may be In breach of the applfcaible law, subject to legal penalties. 

### AIRCRAFT XXXXXXXX Shipment Type {Delete non-appflcable)

### ~ Airport ofDestination 

### BagramAB 

# 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 GoodsIdentification ,

....

## ------:----.---------.---------.------

## ---------- "(-.

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



# - uJ268-

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# PEfRoiliu::;.::~:~::;;

# __- ---------**~-**

# --**'~~:~---!- ~~;~--**  J
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# .- \ i . • Jl' ' ' 1111 

# -

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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· - in .proper condition for transport according to applicable international and SAN**ANTON~O** .TX 05/ 

# z
national governmental regulations. I -declare that all of the applicable air**Sig~~ature:** · ' ' 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 fWeight: ,.=1 1

/.**~-'"** 

### - lbs or 

### kg UPS Tracking #:
Proper shipping name : UNID#: Hazard class : • Quantity fWeight: 

### lbs or 

### kq UPS Tracking #:
Proper shipping name : UN ID#: Hazard class : Quantity I Weight: 

### lbs or 

### kq RAM Tl & Location (Ifapplicable):
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 EMPL.#

# 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 PassengerAircraft ,\'Cargo Aircraft Only '(check I mark applicable box) Emergency Contact# From Shipping Papers: (not required fordrv ice shipments, 172.604, C2)
Location on board aircraft (zone orpod):

o PassengerAircraft 

### 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 PassengerAircraft 

### 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· Martinaire Aircraft.

.. -·- 

## -------------- on



### Special Permit 

### Req.:**DYes~** NO 

# J j /_ I' [ .

## l-<../~..V p 2/2944434 {l::iUU) <l-::::4-\:!:.SUU (UUM) 011- 

# I ER R"\jislr...-.1 L 1631 TCI AMERICA 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- 

## I 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- 

# I 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- 

# I ERRegislrant 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

UPS 49 CFR

944434 (l:lUU) 4:L4-9JUU (UUM} 011- 

# I ERRcglsltant 21aJ1 TC! AMERICA UNJZ78, 0RG111llOPJIOSPilORIJS COMPOO!ID, TO!-tlC, L1Q(JHI, N.O.S. (D.l:PHEN'lLPIIQS!'HOR'lt. AZIDE;}, 6.1 1 11 // l f'lB£RB01\RD SOl(;( 0,0250 L // 113.//**OOT-~P** !>-H6 

## XXX

UPS 49 CFR

944434**1Z94443~0l7~59&550** (tsUU)**4Z4·~JUU** [UUM) 011-
UN327Q, ORGANOPHOSPHORUS**COM~ouND,** ·roxrc, LIQUID, N.o.s.**(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 

## IHAZMA T Notification of Pilot in Command 

## NOPC 

# MARTINAIR**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: (notrequired for d!Y ice shipments, 172.604, C2) 

# f oD

# ---~--/ 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 PassengerAircraft

."--- 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) EmergencyContact# From Shipping Papers: (not required for drv ice shipments, 172.604, C2)

Location on board aircraft (zone or pod}:

o PassengerAircraft 

### o Cargo Aircraft Only (check I mark applicable box)

J Total# of DG/HM packages on board: 

# I I 

# ISpecial Permit Req.: DYesi'J;NO 

# ICaptain'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#: EmergencyContact# 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 PassengerAircraft

### ~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 PassengerAircraft 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 PassengerAircraft 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

# ~~- Martinaire Aircraft.

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

## Dangerous Goods I HAZMAT Notification ofPilot 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#: Hazard class : /Weight:

<; eneral Info: Forinformation 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----------------------~----------~~~~~ XlJ3**J.3r~3SlJI** dH'•'
884749 tZ68H4Q01502J5015 352-323-3500 {84893) 

# I ER Regl>tran1**8~8;13** 

## XXX**GNJlJ~l. J.!Tlilut~** **V.S"fA~** BA'n'i:RE:> P. 0 .CJ;:Eo:> 'h'l7E O:QIJlf'Hf.tH, ;., ;l (I I fl!l!:':RBO!,r\0 58:'::.: !.(•09'• k<; !I Overpack Used

;:Jignature on file

884749 tZilB474Q0\60235015 352-323-3500 (84893) 

## I EARegfslr.onl**6489~** UPS 49 CFR



## XXX JJN1tl!ll, t.l'fHHM HE'I:.•.L Bl'.TTE:Ri!:S P,\CK£0**>nT~ :SQV?.~HI:::ll1',**  9, II (( 1 HBE!'Jl01'.RD aox X L 0000 "kg I I

884749 1Z8847400t50:<.!5015 Overpack Used

352-323-3500 (84893)**ERR~Islnlnl** 84993 UPS 49 CFR



## XXX 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 Overpack Used

352-323-3500 (84893) 

# I ER RegisIrani 

## '"" UPS 49CFR



## XXX UtUMI, LI'l'HlUM METAL B;<.TiiOitli::S 1'1\CKF.:D WITS EQ\JleMEt>l·r, 9, [! 1/**~** flBE!'.l>OARO BOX :r. 1.0000**~9** // overpack Used UPS49 CFR**----Bernoffite:i:liscarcl----~------·---** ---

884749**1Z8B~7~~015tr.l35015** 352-323-3500 (84893) 

# l EA.**R~glslranl 6~8')3**  

## XXX
UH3091, LrTHHJJ.l**/~ET~.L** :OA7TtRtes !',;cK£0**W"lT~** EQUIPHE;NT, 9, li {/ l FT!IF.RB011RO BOX ;.: l.OODO kg //

884749**1Zea474901~235015** Overpack Used

352-323-3500 (84893) 

# I ERR.,gis.tl'anl 84a!l3 UPS 49CFR



## XXX 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 49CFR884749 128847490\50247626 

# I ER Raglo.lr,.n\ 1148113**352~323-3500**
UN3090, L1THJUM METAL BATTERIES, 9, TI II 1 flBERBOf.RD BOX X 1.0000 tg G //

Signature on file

884749 IZS6474ii0150Z47628 

# I ERRegistrar>l B4SS3 352-323-3500

UIIJ090,**Ll'l'lilU!~** M£TAl. llATTBRn;s, 9, II // l FH:EIWOA.f\0 BOK X: 1.0000 kg. G If

884749**1ZB8474901502~7628** 

## I ER R,.glstrant 84893 OverpackUsed

352-323-3500

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 ER Registrant 8<1893 Overpack Used

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

XXX

UPS49CFR



## XXX

UPS 49 CFR



# XXX

UPS 49 CFR 884749 1Z81147490150247828 

### Do notfile. Discard



# I ER**Reg!stra~t** 

## '""' 352-323-3500

UNJ090, LtTIIlUM METAL B,O..TTERIES, 9, r! // 1 nBERBOI'..RD BOX X 1.0000 k9 G II

884749 tZ8!!47490150247628 

## I ERRf!j!lslranl**~"''** Overpack Used

352-323-3500**U~3090,** LITII1!1M M€TA1 BATTE:UES 1 9 1 U If l FlBEltBOI\RD BOX l< 1.0000 kq G //

884749 128847 490150247628 

## I ER Regis!fen! 

## "'"" Overpack Used

352-323-3500

!JN3090, LITIIIOM MET/IT, BATT£RU:S, 9, It Jf 1 F!BERBO;t,.IJ,D BOX X 1 .000(1 k9 G IJ Overpad< Used 

## XXX

UPS49 CFR



## XXX

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/t1 

# bt;

# S Io

# 4i

# L \D2 

# 5 

# i UPS or 

### DHL Trockrng #:
Proper shipping n2111e: 

### COr':- { A c 

## ,,I_ UN 10#: ;;) Cf;DD Hazard class : "J" 

### :; Quantity /Wei_ght: lbs 

# I

UPS Tracking#: 

# I

Proper shipping name : UN/D#:**~zard** class : or kg 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----------------------~** o Cargo Aircraft Only lbs or kg (check I mark applicable box) 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 '"'"'""""' 

# XXX CCN62343S

Signature on flle

074E30**1lJJ7~E301120563J517** 

# I E:RRegistranl CCN62:l.o135 8004249300**ur12~1~. (jl,~f\oir:-**  ;,ern,**~-.** rn 11 1 Flll!:RaOi\ltCJ BO:( l'::**~72.MOO** mL II 999 //

074E30 IZ074E300205633U 17 

# I ER Rcgislran! CCN62JoiJ$ 8004249300

ONa2'!, Ci\PR.OIC . 0 .ClD, !i, !tr // r orao:eteOI\!W Bm-;**~** 2?2.rrt;•,io mL fl 999 ,'/

074E30 1Z074EJ002065JlSI T 

## I ERRcgls\«>nt CCN62Joi3S 8004249300**Util~B29, C~F9.0lC**  I'.ClO, e, irt II 1 FIB£RBOARD BO:< X 212.000(1 mL // 999 II 

# XXX

UPS49CFR



## XXX

UPS49 CFR



## XXX

UPS49CFR 074E30 1liJ74E300205SJ3St7 

## I E:RReg.lolr.onl CCN62:>435 8004249300

UH2629. Chl'l\OTC "(;rtJ. G, :ill /I 1 flBE:RBOi\!1.0 !lOX K 272.Gll\10 1'1:.. II f>99 {/

074E30 IZOHE300205633S17 

## I ERR.,g\5\r.tftl CCN62J43£ 8004249300
Utl2B29, ChF!\OlC ACID, 6, ill ,'/ 1 fiBE:RBOARO BOX:< 212.00UO ml. II r-99 II

074E30 Wl74EJ0020S83JS11 

# I E:RRr>gistr.rlll CCN62:;.l3S 8004249300

0"1'121129, CAPROtC 1\CIO, 9, III II 1 E'lBEitllOr,RD SOX X :212.0000 mi. I I**~99** II 

### XXX

UPS 49CFR



# XXX

UP$49 CFR



# XXX

UPS 49CFR

## Oangsrc:us 

## Goods 

## I Hf\ZMP.T 

## Notification of 

## Pilot in 

## Command 

# NOPC**.~--­** 

### -.---------------------- 

# L /fTJPS 

# o;-DHL Trackhl-g #:

# ~~ 1

# ~i ,.,./ ·!**II~-'''-** . ., 

### uate 

## J//' ti!J 

### 1/ 

### J;•/r 1

. ' 

## ' i Flight No. 

# I I " ' 

### / 0 <(l 

### Emergency Conlee!# From Shipping Papers:· {not required for Qiy ice shipmenls, 172.604, C2) il 

### [I ,j

### -+----~-----~--~~~~--------~---------.~ 

## /I

# .~f~r~~

# :h::pmg name: /(,!'/ 

# _l. 1

# Loca~-~.:·.~- n

# ~**b.:~rd** aircraft

# (z:~:e

# or**:-~d):** 11,· 1r,c;_,;;: ·- ,__j**~'** 

# Jl**·~l....** .,r

,I

## :-;----;-;-ccc-~--:-----·-------------c----------~**.J~_-_'_·**_,_.---;c,_:---c;------------------------j! 

# l ir,I,_{Quantity 

### i Weight: 1 ,- f o ?assengarAircraft

## -~ 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- 

### 1Locetion 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 

### PassengerAircraft 

## 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