__________ Railroad
CAR CERTIFICATE
No. 1 ___ Station ______
20__.
I hereby certify that I have this day personally examined Car Number ___ and that the car is in condition for service and complies with the FRA Freight Car Safety Standards ( 49 CFR part 215 ) and with the requirements for freight cars used to transport explosives prescribed by the DOT Hazardous Materials Regulation ( 49 CFR part 174 ).
Qualified Person Designated Under 49 CFR 215.11
No. 2 ___ Station ______
20 __.
I have this day personally examined the above car and hereby certify that the explosives in or on this car, or in or on vehicles or in containers have been loaded and braced; that placards have been applied, according to the regulations prescribed by the Department of Transportation; and that the doors of cars so equipped fit or have been stripped so that sparks cannot enter.
Shipper or his authorized agent
Qualified Person Designated Under 49 CFR 215.11
No. 3 ___ Station ______
20 __.
I hereby certify that I have this day personally supervised the loading of the vehicles or containers on and their securement to the above car.
Shipper or railway employee inspecting loading and securement
Note 1: A shipper must decline to use a car not in proper condition.
Note 2: All certificates, where applicable, must be signed.
49 C.F.R. §174.104
For FEDERAL REGISTER citations affecting § 174.104, see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www.govinfo.gov.