ÌÈÍÈÑÒÅÐÑÒÂÎ ÔÈÒÎÑÀÍÈÒÀÐÍÛÉ ÑÅÐÒÈÔÈÊÀÒ
ÑÅËÜÑÊÎÃÎ ÕÎÇßÉÑÒÂÀ PHYTOSANITARY CERTIFICATE
ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÈÐÀÖÈÈ N ______________
ÌÈÍÈÑÒÅÐÑÒÂÎ
ÔÈÒÎÑÀÍÈÒÀÐÍÛÉ ÑÅÐÒÈÔÈÊÀÒ
ÑÅËÜÑÊÎÃÎ ÕÎÇßÉÑÒÂÀ PHYTOSANITARY
CERTIFICATE
ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÈÐÀÖÈÈ N
______________
MINISTRY OF AGRICULTURE Îðãàíèçàöèÿ
ïî çàùèòå
OF THE ROSSIA
è êàðàíòèíó ðàñòåíèé (ñòðàíà)
Ãîñóäàðñòâåííàÿ èíñïåêöèÿ
ïî êàðàíòèíó àñòåíèé _______________________________
State Plant Quarantine ÎÏÈÑÀÍÈÅ ÃÐÓÇÀ To
Plant Protection Organization
Inspection of
(country)
DESCRIPTION
OF CONSIGNEMENT
Ýêñïîðòåð è åãî àäðåñ______________________________________________________________________
Name and address of exporter
Ïîëó÷àòåëü è åãî àäðåñ_____________________________________________________________________
Declared name and address of consignee
Êîëè÷åñòâî ìåñò è îïèñàíèå óïîêîâêè_________________________________________________________
Number and description of packages
Ìàðêèðîâêà (îòëè÷èòåëüíûå çíàêè)___________________________________________________________
Distinguishing marks
Ìåñòî ïðîèñõîæäåíèÿ______________________________________________________________________
Place of origin
Ñïîñîá òðàíñïîðòèðîâêè____________________________________________________________________
Declared means of conveyance
Ïóíêò ââîçà______________________________________________________________________________
Declared point of entry
Íàèìåíîâàíèå ïðîäóêöèè è åå êîëè÷åñòâî______________________________________________________
Name of produce and quantity declared
Áîòàíè÷åñêîå íàçâàíèå ðàñòåíèÿ_____________________________________________________________
Botanical name of plants
Íàñòîÿùèì óäîñòîâåðÿåòñÿ , ÷òî ðàñòåíèÿ èëè ðàñòèòåëüíàÿ
ïðîäóêöèÿ , îïèñàííàÿ âûøå, áûëè
îáñëåäîâàííû â ñîîòâåòñòâåííû ñ ñóùåñòâóþùèìè ìåòîäèêàìè è ïðàâèëàìè è
ïðèçíàíû ñâîáîäíûìè îò
êàðàíòèííûõ è äðóãèõ , ïðè÷èíÿþùèõ óùåðá âðåäèòåëåé è ÷òî îíè îòâå÷àþò
ôèòîñàíèòàðíûì ïðàâè-
ëàì ñòðàíû-èìïîðòåðà.
This is to certify thet the plants or plant products described
above have been inspected according
to appropriate procedures and are considered to conform
quarantine pests , and practically free from
other injurious pests; and that they are considered to conform
with the current phytosanitary regulati-
ons of the importing country.
ÎÁÅÇÇÀÐÀÆÈÂÀÍÈÅ
disinfestation
and ( or disinfection treatment)
Äàòà_________________________________ Ñïîñîá îáðàáîòêè____________________________________
Date Treatment
Õèìèêàò èåãî êîíöåíòðàöèÿ_________________________________________________________________
Chemical (active ingredient)
Ýêñïîçèöèÿ è òåìïåðàòóðà__________________________________________________________________
Chemical (active ingredient)
Äîïîëíèòåëüíàÿ èíôîðìàöèÿ________________________________________________________________
Additional information
Äîïîëíèòåëüíàÿ äåêëàðàöèÿ_________________________________________________________________
Additional declaration
________________________________________________________________________________________
Øòàìï îðãàíèçàöèè Ìåñòî
âûäà÷è_______________________________
Stamp of organization Place
of issue
Ôàìèëèÿ
Ãîñóäàðñòâåííîãî èíñïåêòîðà______________________________
Name of authorized
officer
Äàòà__________________________________Ïîäïèñü_______________________________
Date Signature