수출입화물목재포장재검역요령 [별지 제38호 서식]

CERTIFICATE OF (Heat or Fumigation) TREATMENT

Name of Treatment Company : _________________________

Issue No : ________________

This is to certify the Wooden Packing Material described below was treated in accordance with ISPM No.15

______________________________________________________________________________________________

DESCRIPTION OF CONSIGNMENT

Name and address of exporter : ______________________________________________________________

Declared name and address of consignee : ____________________________________________________

Place of origin : _____________________________________________________________________________

Destination : ________________________________________________________________________________

Name of Wooden Package and quantity : ____________________________________________________

_____________________________________________________________________________________________

This is to certify that the goods described above have been treated as follows

_____________________________________________________________________________________________

DESCRIPTION OF TREATMENT

Date : _____________                 Treatment : _____________________________________________

Chemical(active ingredient) : ________   Duration and temperature : ________________________________

Concentration : ________________      Additional information : _________________________________

Name and address of Treatment company  : ___________________________________________________

______________________________________________________________________________________________

Place of issue : _____________________________________________________________________

Name of treatment technician : ______________________________________________________

Date : _________________________        (Signature) ________________________

210mm×297mm(일반용지 60g/㎡(재활용품))