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Methyl Bromide Fumigation Certificate: Company Letterhead

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212 views1 page

Methyl Bromide Fumigation Certificate: Company Letterhead

Uploaded by

casio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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COMPANY LETTERHEAD

(including address as it appears on the treatment providers list )

METHYL BROMIDE FUMIGATION CERTIFICATE


Registration
Certificate number:
number:
TARGET OF FUMIGATION DETAILS

Target of fumigation: Commodity Packing Both Commodity and Packing Container

Commodity:............................................................................................................................... Quantity:............................

Consignment link:.....................................................................................................................................................................

Country of origin:................................. Port of loading:............................... Country of destination:.................................


Name and address of exporter: Name and address of importer:

........................................................................................................... ........................................................................................................

........................................................................................................... ........................................................................................................

........................................................................................................... ........................................................................................................

TREATMENT DETAILS

Date fumigation completed: ........../........../...........................Place of fumigation:...................................................................

Department of Agriculture and Water Resources Exposure period (hrs):...............................................................


prescribed dose rate (g/m3):....................................................

Forecast minimum temp (°C):................................................ Applied dose rate (g/m3):..........................................................

How was the fumigation conducted? Un-sheeted Container Sheeted Container/s

Chamber Pressure Tested Container Sheeted Stack

Container number/s (where applicable):...................................................................................................................................

Does the target of the fumigation conform to the plastic wrapping, impervious
Yes No
surface and timber thickness requirements at the time of fumigation?

Ventilation Final TLV reading (ppm):.................... (not required for Stack or Permanent Chamber fumigations)
DECLARATION
By signing below, I, the accredited fumigator responsible, declare that these details are true and correct and the fumigation
has been carried out in accordance with all the requirements in the Methyl Bromide Fumigation Methodology.

ADDITIONAL DECLARATIONS
....................................................................................................................................................................................................................

....................................................................................................................................................................................................................

....................................................................................................................................................................................................................

.................................................................... ...................................................................
Signature Date

......................................................................... ...................................................................
Name of Accredited Fumigator Accreditation Number
Company stamp

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