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