ARAB REPUBLIC OF EGYPT ATOMIC ENERGY ESTABLISHMENT

DECLARATION "B"

Technical and Protection Information in Respect of Consignments of Group 1 Radioactive Substances on Vessels Transiting SC

(All items must be completed. If any of the items in this statement is not applicable, the letters "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. Regulations according to which the packing is prepared for transportation.
  2. Number of packages containing fissile materials, their marks and serial numbers.
  3. Required information on packages characteristics (Similar packages with the same contents should be mentioned together with indication of their marks and serial numbers) :

    a) Marks and serial number .
    b) Colour category.
    c) Dimensions in cms (indicate whether it is large radioactive source).
    d) Type of packing.
    e) Nature and quantity of the fissile materials present in M.C. each package.
    f) Class category.
    g) 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 or unexpected delay.
  7. Physical and chemical state of the fissile materials in the packages.
  8. Max. temperature at surface of the package during transport.
  9. Any information known about the following :
    a) Coolant inside the package.
    b) Neutron absorbing material within the package.
    c) Moderate or reflecting materials inside the package.
  10. Number, date and competent authority issuing the packing certificate .
  11. Stowage conditions of packages (where and how).
  12. Depth of screening by other cargo or bulkheads in metres,
  13. Statement of presence of :
    a) Explosive materials.
    b) Inflammable materials.
    c) Spontaneously inflammable materials.
    d) Corrosive materials.
    e) Oxidizing materials.
    f) Compressed gases
    g) Liquefied gases.
    h) Any other materials.
  14. The following certificate must be signed by the technical person responsible for these shipments and recognized by Master of vessel on behalf of the shipowner:

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

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


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

    - Stamp of vessel Master’s Signature


    N.B.: Items 1 to 12 should be filled and forwarded to the Suez Canal Authority beore the vessel leaves her port of loading.