:熏蒸证明范本 免熏蒸证明
中华人民共和国出入境检验检疫
ENTRY-EXIT INSPECTION AND QUARANTINE
OF THE PEOPLE’S REPUBLIC OF CHINA
编号 No.:
熏蒸/消毒证书
FUMIGATION/DISINFECTION CERTIFICATE
发货人名称及地址
Name and Address of Consignor
收货人名称及地址
Name and Address of Consignee
品名
Description of Goods
产地
Place of Origin
报检数量/重量
Quantity/Weight Declared
标记及号码
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
日期
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
印章
Official Stamp
签证地点 Place of Issue
签证日期 Date of Issue
授权签字人 Authorized Officer
签 名 Signature
中华人民共和国出入境检验检疫机关及其官员或代表不承担本证书的任何财经责任。No financial liability with respect to this certificate shall attach to the
entry-exit inspection and quarantine authority of the P.R.of China or to any of its officers or representative.