MULTIMODAL DANGEROUS GOODS FORM

This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, chapter VII, regulation 54,
MARPOL 79/78, Annex III, regulation 4.
1. Shipper/Consignor/Sender 2 Transport document number
MINERA YANACOCHA S.R.L. 64550300 - HLCULI3230328322
RUC: 20137291313 3 Page 1 of 4 Shipper’s reference
AV. LA PAZ NRO. 1049 INT. 401 (PISO 4) pages
MIRAFLORES - LIMA - PERU / TEL: 2152600 5 Freight forwarder’s reference
RUC: 20137291313
6 Consignee 7 Carrier (to be completed by the carrier
KOREA ZINC CO. LTD.
139, IJIN-RO, ONSAN-EUP, ULJU-GUN, ULSAN, SHIPPER’S DECLARATION
REPUBLICA DE COREA, TELF: +82 -2-519-3459 I hereby declare that the contents of this consignment are fully and accurately described below by the
Proper Shipping Name, and are classfied, packaged, marked and labeled/placarded and are in all
respects in proper condition for transport according to the
applicalbe international and national governmental regulations.
8 This shipment is within the limitations prescribed for: 9 Additional handing information
(Delete non-applicable EMERGENCY PHONE : 51 1951732185 CHRISTOPHER CALDERON
PASSENGER AND CARGO AIRCRAFT
CARGO AIRCRAFT ONLY
10 Vessel/flight No. and 11 Port/Place of loading
date: SEASPAN CALLAO, PERU
BELIEF - Voy. No:
2309W -ETD 31/03
12 Port/Place of discharge 13 Destination
BUSAN, SOUTH KOREA BUSAN, SOUTH KOREA
14 Shipping marks No. and kind of packages,description of goods Gross mass Net mass Cube (m3)

05 x 40 HC/ FINE CARBON COMPOUNDS OF GOLD, 79,340 KG 77, 019 Kg

20 BIG BAG per UN 3077 ENVIRONMENTALLY HAZARDOUS
container /13H3 SUBSTANCE, SOLID, N.O.S. (PROCESSED CARBON),
CLASS 9, PG III, MARINE POLLUTANT HS CODE: 28.43.30.00.00
EMS-NUMBER : F-AS-F
ENVIRONMENTALLY HAZARDOUS SUBSTANCE, SOLID, N.O.S.
(MERCURY)
AGGREGATION STATE : SOLID
UN-NUMBER : 3077
IMO-CLASS : 9
EMS-NUMBER : F-AS-F
PACKING GROUP : 3
MARINE POLLUTANT
EMERGENCY PHONE : 51 1987820562
15 Container 16 Seal Number (s) 17 18 Tare mass (kg) 19 Total gross mass (incluiding tare)
identification No./ Container/vehicle & (kg)
vehicle registration No. type 05X40HC
UACU5357385 003BA019467-HLG2631856 3,970 19,950
GCXU5170620 003BA019452-HLG2631910 3,700 21,260
CAIU4471443 003BA019472-HLG2633608 3,700 19,810
FFAU2867230 003BA019465-HLG2631909 3,700 18,520
HLBU3374061 003BA019428-HLG2631853 3,900 18,770

CONTAINER/VEHICLE PACKING CERTIFICATE 21 RECEIVING ORGANIZATION RECEIPT

I hereby declare that the goods described above have been
packed/loaded into the container/vehicle identified above in Received the above number of packages/containers/trailers in apparent good order
accordance with the applicable provisions.* and condition, unless stated hereon: RECEIVING ORGANIZATION REMARKS:
MUST BE COMPLETED AND SIGNED FOR ALL
CONTAINER/VEHICLE LOADS BY PERSON
RESPONSIBLE FOR PACKING/LOADING
20 Name of company Haulier’s name 22 Name of company (OF SHIPPER PREPARING THIS
MINERA YANACOCHA S.R.L NOTE)
Vehicle reg.no.
Name /status of declarant Signature and date Name/stautus of declarant
Christopher Calderon
Place and date Place and date
23/03/2023
Singnature of declarant DRIVER’S SIGNATURE Signature of declarant

DANGEROUS GOODS:
You must specify : Proper Shipping Name, hazard class, UN No., packing group, (where assigned) marine pollutant and observe the mandatory requirements under
applicable national and international government regulations. For the purpose of the IMDG Code see 5.4.1.1
* For the purpose of the IMDG Code, see 5.4.2