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PREPARED FOR
OUR VALUABLE CLIENTS
SHIP YOUR SAMPLES TO:
Address: HRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1
ISSUE DATE
FEB, 2017
Your Global Biomarker Laboratory
SHIPPING CHECKLIST AND
FORMS
2
Samples centrifuged then aliquoted into 0.6 mL microcentrifuge tubes.
Please DO NOT Parafilm or tape sample tubes.
0.6 mL tubes labeled with a letter and consecutive numbers (ie.S1, S2, S3)
0.6 mL tubes placed in a secondary package (ie. rack, box).
Dry ice added (4-10 kg) AND a dry ice label filled out (UN 1845). Please Get this Label
from your shipping department or the courier.
Eve Tech order confirmation email placed between Styrofoam and Cardboard INSIDE
box (not in shipping pouch).
Addresses on outside of package (in case waybill is lost).
Species, sample type, and infectious nature described on Waybill and on other
documents requiring a commodity description.
Please fill out, print, and tape the provided label to the outside of your box provided
on page 5.
International shipping: Additional items to include in document pouch:
3 copies of commercial invoice.
Declaration of Biological Samples With Destination Control Statement for US Clients.
Additional Details Can Be Found on Our Website.
Shipping Check list
COMMERCIAL INVOICE
INTERNATIONAL AIR WAYBILL NO.
SHIPPER'S EXPORT REFERENCES (i.e., order no., invoice no.)
(NOTE: All shipments must be accompanied by aAir Waybill & three copies of CI.)
(Please complete in English print)
DATE OF EXPORTATION
COUNTRY OF EXPORT
REASON FOR EXPORT(e.g. personal gift, return for repair)
COUNTRY
OF ORIGIN
I DECLARE ALL THE INFORMATION CONTAINED IN THE INVOICE TO BE TRUE AND CORRECT.
SIGNATURE OF SHIPPER/EXPORTER
NAME (PLEASE PRINT) TITLE (PLEASE PRINT) DATE
MARKS/
NO'S.
NO. OF
PKGS
TYPE OF
PACKAGING
TOTALPKGS
HS CODE QTY. UNIT OF
MEASURE
WEIGHT
TOTALWEIGHT
UNIT
VALUE
CURRENCY
Payment Method
L/CT/TOthers
F.O.B.C & FC.I.F.
Check if applicable
TOTAL
VALUE
TOTALINVOICEVALUE
Check one
IMPORTER - IF OTHER THAN CONSIGNEE (complete name, address and telephone)
SHIPPER / EXPORTER (complete name, address, telephone, Business Registration No./ Customs / Tax ID No. e.g. GST / RFC / VAT / IN / EIN / ABN / SSN, or as locally required )
CONSIGNEE (complete name, address, telephone, Business Registration No./ Customs / Tax ID No. e.g. GST / RFC / VAT / IN / EIN / ABN / SSN, or as locally required)
FULL DESCRIPTIONOF GOODS
Please State Species.
Please State Sample Type.
e.g. pieces,units, set.
lb / kg currency
Ultimate Country of Destination
Please provide three copies of this Commercial Invoice.
4
Declaration of Biological Shipments Please Complete this Form to Assist Your Courier in allowing for timely clearance of Biological Shipments into Canada
Name:
Date:
Total No. Of Packages:
Consignee:
Reason for Export: Analysis of Samples for Research Purposes.
The Above Shipment Contains: Please Check all that Apply
Human
Infectious Non-Infectious
Blood Serum Plasma
Animal
The following species may require a Health Certificate and Import License, please check your country’s regulations.
Bovine Sheep Goat Rabbit Feline
Canine Primate PorcineChicken Horse
Description of Packaging:
Special Handling:
Destination Control Statement (US)
These samples were exported from the United States in accordance with the Export Administration Regulations.
Diversion contrary to the U.S. Law is prohibited.
Signature:Name Print:
Health Certificate Attached:
Yes NoImporter’s License or Permit #
Phone: E-mail:
Mouse Rat
Sample Type
Blood Serum Plasma Other (Bones, Tissue, organs, etc.)
Sample Type
Are Your Samples Infectious?
Other (Bones, Tissue, organs, etc.)
Blood Serum Plasma Other (Bones, Tissue, organs, etc.)
Sample Type
5
To: Brenda Elliott Eve Technologies Corp. HRIC 3A26 3330 Hospital Dr., N. W. Calgary, AB. Canada T2N 4N1
403-210-9351
From: Name:
Address:
***The commodity in this package are biological samples being sent for analysis***
Species:
Human Non-Human Primate Mouse Rat Pig Feline Canine Horse
Other
Sample Type:
Serum Plasma Cell / Tissue Culture Tissue Homogenate Urine
Broncho-alveolar Lavage (BAL) Cerebral Spinal Fluid (CSF) Synovial Fluid
Other
Non-Infectious Infectious (CAT. B)
*Samples are frozen. No commercial value. For research testing only.*
Shipping Label
Fill out, print, and tape to outside of box.
6
Dry Ice Label
Dry Ice UN1845
9If the address of the shipper and recipient is not durably marked on the package, print it above (DO NOT WRITE OR MARK ON THE CLASS 9 LABEL)
____ kg
Shipper Recipient
Dry ice wt only (2 lbs = 1 kg)
DO NOT W
RITE OR M
ARK BELOW
THIS LINE
DO NOT WRITE OR MARK BELOW
THIS LINE
106426 11/13 RRD
The above is an example Dry Ice label. Please get this label from your shipping
department or the courier. This label can be used if the previous mentioned options
are not available. Please ensure all fields are filled in. (Shipper, Recipient, and
Weight)
Exempt Species Labels
Exempt Human Specimens or Exempt Animal Specimens Label on outer packaging
(if samples are non infectious.)
QUESTIONS? LET US KNOW
Ship your Samples to Eve at the below address:
Eve Technologies CorporationHRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1
Mail & WebM: [email protected]: www.evetechnologies.com
Eve’s laboratory is located at the below
Eve Technologies CorporationHRIC 3A263330 Hospital Dr., N. W.Calgary, AB. Canada T2N 4N1
More detailed instructions can be found under resources at:
www.evetechnologies.com