Republic of the Philippines
DEPARTMENT OF AGRICULTURE
Bureau of Plant Industry
Plant Quarantine Service
Quirino Ave, Maynila
DA BORDER
INSPECTOR'S
REPORT
(To be filled up by the bureau or Agency Service)
Date Received:
Application Control No.:
SECTION I: APPLICATION FOR IMPORT INSPECTION
BPI0420035P02B
FOR INSPECTION
Date
THE DIRECTOR
Applied:
Bureau of Plant Industry
Time
By
4/20/2015 [Link]M
Actual:
SIR / MADAM
I have the honor to apply for inspection of the cargo consignment, as described below :
A. IMPORTER/TRADER DETAILS
Business Name and Address of Consignee
MONDE NISSIN
23rd Flr. 6750 Bldg.,
CORPORATION
Ayala Ave., Makati
Business Name and Address of Consignor:
GENERAL STARCH
LIMITED
3539 NEW
RAMA IX ROAD
Tel. No. of Consignee:
7548113
SUANLUANG,
BANGKOK 10250
Business Name and Address of Broker:
964 F SAN
DENNIS D. MESARIO
ANDRES ST
B. TRANSPORT DETAILS
Name of Vessel
Voyage No. Registry No:
LEO OSAKA V.0009E
MOL0020-15
THAILAND
MANILA 1004
Tel. No. of Consignor:
(662)7322792
Tel. No. of Broker:
09189447435
Date of Arrival:
Total Value (FOB US$):
4/11/2015
13072
C. CARGO CONSIGNMENT DETAILS
Quantity and Unit
of Measure:
CommodityName
760 BAG
MODIFIED TAPIOCA STARCH
19,228.00 kgs
SPS/Phyto/VH Certificate Number: 4810781
D. INTERNATIONAL SPS CERTIFICATE NUMBER
SPS Import
Clearance
MONDA15041401
CommodityName
MODIFIED TAPIOCA
STARCH - STARFIRM 18
BrandName
ScientificName
Quantity and Unit
of Measure:
1,520BAG
Tolerance
Purpose
Processing
38,000kgs
Very truly yours,
(Applicant Signature over Printed Name)
Page 1 of 2
SECTION II: PRELIMINARY BORDER INSPECTION REPORT
Examination Area:
Designated
Examination Area
Marks
Others
______________________
Container Yard
No. of Containers
BOC Entry No.
Bill of Lading No
NIL
1
Production and Expiry Date
April 20, 2015
C85603
HDMUTHML0597492
Lot/Batch Size
FME NAME
FME NO.
April 20, 2015
Container Number/s
Shipping Line Seal Number/s
HDMU2665310
DA SEAL Number/s
HD214437
Documentary Checklist:
A. SPS Import Valid
Yes
No B. Invoice photocopy
[Link] SPSCertificate
[Link] of Lading, photocopy
(PC/VHC/HC , original
Yes
No
or orginal copy
Yes
No
Yes
C. BOC Import
Entry, original
No
Findings and Recommendation
For release
For temporary hold
Probihited
For treatment
For confiscation
Regulated
For further laboratory
For return
Misdeclared
For post-entry quarantine
For destruction
Others: ______________________________
Infested
Infected
For final inspection at 2nd point border control
Cleared for endorsment BOC:
Not Cleared for endorsment BOC:
Reason:______________________________
Remarks:
D. SAMPLING DETAILS
Specimen Collected by:
Date Collected:
Specimen Submitted by:
Date Submitted:
Specimen Received by:
Date Receive:
Charge Slip No:
Regulatory Fee:
OR No:
Issued On:
E. SIGNATORIES
Date Inspected:
DABI Stamp
Inspected:
PLANTS QUARANTINE SERVICE
Manila South Harbor
RELEASE AUTHORIZED
BPI Quarantine Officer
(Signature over Printed Name)
Conforme:
Date Signed:
Consignee / Authorized Office
(Signature over Printed Name)
Page 2 of 2
pending Final Border Inspection
Officer/ Inspector:
Date:
Code No.:
Yes
No