ARAB REPUBLIC OF EGYPT ATOMIC ENERGY ESTABLISHMENT

DECLARATION "C"

Technical and Protection Information in Respect of Consignments of Group 2 Radioactive Substances on Vessels Transiting SC

(All items must be completed. If any of the items in this statement is not applicable, the letter "N.A." should be inserted).

Name of vessel .................... Nationality ....................
Master’s Name ....................    
Port of entry .................... Date of transit ....................
Port of loading .................... Port of destination ....................
  1. Regulation according to which the packing is prepared for transportation.
  2. Appropriate information related to the radioactive material:

    a) Material and group ...............................................
    b) Activity in M.C. per package ...............................................
    c) Physical and chemical state ...............................................
    d) Max. temp. at the surface of the
    package during transport    		 ...............................................
    e) Encapsulated state. ...............................................

     

  3. Required information on packages characteristics. (Similar packages with same contents should be mentioned together with indication of their marks and serial numbers) :

    a) Marks and serial number ..............................................
    b) Type of packing ..............................................
    c) Packing category ..............................................
    d) Dimensions in cm (indicate whether
    it is large radioactive source)    		 ..............................................
    e) Weight ..............................................

    a -
    b -
    c -
    d -
    e -
    f -
    g -

    a -
    b -
    c -
    d -
    e -
    f -
    g -

    a -
    b -
    c -
    d -
    e -
    f -
    g -

    a -
    b -
    c -
    d -
    e -
    f -
    g -

  4. Radiation level in mr equivalent per hr. at:
    a) External surface ...................................
    b) One metre from external surface ...................................
    c) Two metres from full load ...................................

     

  5. Precautions required on a routine basis.
  6. Precautions to be taken in case of accident.
  7. Number, date and competent Authority issuing the packing certificate.
  8. Stowage conditions of packages (where and how).
  9. Depth of screening by other cargo.
  10. Statement of presence of :
    a) External materials.
    b) Inflammable materials.
    c) Spontaneously inflammable materials.
    d) Corrosive materials.
    e) Oxidizing materials
    f) Compressed gases.
    g) Liquefied gases.
    h) Any other cargo.

    N.B. : For large radioactive sources, only items from 1 to 8 should be filled and forwarded to SCA before the vessel leaves her port of loading.

  11. The following certificate must be signed by the technical person responsible for these shipments and recognised by the Master of vessel on behalf of shipowner:

    "We the undersigned certify that the information given in 1 to 14 is surely correct and that the packing of radioactive materials and marking and labeling on the packages are in accordance with"

    ".................................................................."
    ".................................................................."


    - Date:.................. Signature

    - Stamp of vessel Master’s Signature