熏蒸证明范本


熏蒸证明范本

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***国出入境检验检疫
ENTRY-EXIT INSPECTION AND QUARANTINE
OF THE PEOPLE’S REPUBLIC OF CHINA
编* No.:
熏蒸/消毒*
FUMIGATION/DISINFECTION CERTIFICATE
发货人名称及地址
Name and Address of Consi*or
*人名称及地址
Name and Address of Consi*ee
品名
Desc*ption of Goods
产地
Place of O*gin
报检数量/重量
Quantity/Weight Declared
标记及*码
Mark & No.
包装种类及数量
Number and Type of Packages
起运地
Place of Despatch
到达口岸
Port of Destination
运输工具
Means of Conveyance
杀虫和 / 或灭菌处理 DISINFESTATION AND/OR DISINFECTION TREATMENT
*期
Date
药剂及浓度
Chemical and Concentration
处理方法
Treatment
持续时间及温度
Duration and Temperature
附加声明 ADDITIONAL DECLARATION
*
Official Stamp
*地点 Place of Issue
**期 Date of Issue
授权签字人 Autho*zed Officer
【熏蒸证明范本】签 名 Si*ature
***国出入境检验检疫机关及其官员或代表不承担***任何财经责任 。No financial liability with respect to this certificate shall attach to the
entry-exit inspection and quarantine *tho*ty of the P.R.of China or to any of its officers or representative.

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