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  • Cg 4260 R Ev 6 04 Form

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APPLICATION AND PERMIT TO HANDLE HAZARDOUS MATERIALS U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-4260 (Rev. 6-04) (See Instructions on Page 2.) TO CAPTAIN OF THE PORT U.S. COAST GUARD.

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How to fill out the Cg 4260 R Ev 6 04 Form online

The Cg 4260 R Ev 6 04 Form is an application and permit to handle hazardous materials, required by the U.S. Coast Guard. This guide will provide you with detailed instructions to complete the form online, ensuring that you fill it out correctly and efficiently.

Follow the steps to complete the form accurately.

  1. Click the ‘Get Form’ button to access the Cg 4260 R Ev 6 04 Form and open it in the editor.
  2. Fill in the 'FROM' section with your name, business address, and zip code. Ensure all information is accurate to avoid processing delays.
  3. Indicate the hazard class or division relevant to the hazardous materials you intend to handle.
  4. Specify the cargo by its proper shipping name, as defined in 49 CFR 172.101.
  5. Complete the stowage section if applicable, noting that this is required for vessel-only operations.
  6. Provide the estimated weight in net tons of the hazardous materials being handled.
  7. Fill in the total for the vessel or barge involved in the operation.
  8. Enter the name and location of the waterfront facility where operations will take place.
  9. Complete the name, address, and zip code of the owner of the hazardous materials.
  10. Provide the name, address, and zip code of the agent or charterer involved in the operation.
  11. Indicate the dates and times of operation related to handling hazardous materials.
  12. Affirm your understanding of and compliance with current safety laws by signing and dating the form in the designated section.
  13. Once all fields are completed, review the form for accuracy, save your changes, and then download, print, or share the completed form as needed.

Take action now to fill out the Cg 4260 R Ev 6 04 Form online and ensure you meet all regulatory requirements.

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Cg 4260 R Ev 6 04 Form
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