Formulář č. 6
EXPORT - IMPORT NOTIFICATION
+-------------------------------------------+
| Correction to EIN No. |
| |
+----------------------------------------------------+--------------------+--------------------------+--------------------+----------------------+
| SHIPPER: | State code | RECEIVER: | State code |
| | | | |
| | | | |
| | | | |
+------------------+---------------------------------+--------------------+-----------------------------------------------+----------------------+
| SHIPMENT | By (transport): Number of packages: Total weight of shipment: |
| IDENTITY: | |
| | Consignation No. Net weight of compound: |
| | |
+------------------+-------------------------+----------------------------+--------------------------------------+-------------------------------+
| BATCH | BATCH NAME (No.) | Date of shipment: | Material description: | Number of items: |
| IDENTITY: | | | | |
| | | | | |
| | | | | |
+------------------+-------------------------+----------------------------+--------------------------------------+-------------------------------+
| SHIPPER'S DATA: (SF) | CONFIRMATION BY RECEIVING STATE: (RF) or (RF minus DI) |
| | |
+------+-----------+------------------+------+---------------------+------+-------+---------+---------------+----+-------------------------+-----+
| | /N/D/E/ | Weight, element | kg | Weight, fiss, | G | | /N/D/E/ | Weight, | kg | Weight, fiss, isotope | G |
| | P | | g | isotope | K | | P | element | g | | K |
| | T | | | | J | | T | | | | J |
+------+-----------+------------------+------+---------------------+------+-------+---------+---------------+----+-------------------------+-----+
| | | | | | | | | | | | |
+------+-----------+------------------+------+---------------------+------+-------+---------+---------------+----+-------------------------+-----+
| | | | | | | | | | | | |
+------+-----------+------------------+------+---------------------+------+-------+---------+---------------+----+-------------------------+-----+
| | | | | | | | | | | | |
+------+-----------+------------------+------+---------------------+------+-------+---------+---------------+----+-------------------------+-----+
| | | | | | | | | | | | |
+------+-----------+-------+----------+------+---------------------+------+-------+---------+--------+------+----+-------------------------+-----+
| Date: | Signature: | Date: | Signature: |
| | | | |
| | | | |
+--------------------------+----------------------------------------------+--------------------------+-------------------------------------------+
| Notes: | Notes: |
| | |
| | |
| | |
| | |
+-------------------------------------------------------------------------+----------------------------------------------------------------------+
Not required for power reactor fuel