Radioactive Material Shipments Page

Shipper

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Shipment Tracking Number

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Date of Entry to Oregon

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Carrier Name

Commodity UN/NA Number

Commodity Description

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Destination Facility

Destination City

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Destination State/Province

Other Destination Facility

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Origin Facility

Origin City

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Origin State/Province

Other Origin Facility

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Port of Entry

Other Port of Entry

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Have you registered this shipment at another Oregon port of entry ?

NoYes

Secondary Port of Entry

Other Port of Entry

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Is the shipment leaving Oregon?

NoYes

Port of Exit

Other Port of Exit

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