Appendix 1: Sample Bill of Lading
Bill of Lading
Shipper:
ABC Company, Inc.
1234 John Smith Rd
Raleigh, NC 27617
RQ, UN 3332, Radioactive Material, Special Form, NON FISSILE
OR FISSILE
EXCEPTED, 7
Type “A” Package, Containing:
Cs-137, 0.37 GBq (10 mCi)
Am-241:Be, 1.85 GBq (50 mCi)
Radioactive Yellow II Label, TI=0.4
******EMERGENCY CONTACT******
1-800-535-5053
Shipper
________________________________________________
(Signature)