LE DUONGCASHEW
SAMPLE — NOT ISSUED
Related certificate service: Fumigation Certificate
Fumigation Information Statement — Le Duong Internal Form
Order and product information
- Form reference
- Completed after order review
- Issue date
- Completed after order review
- Buyer / consignee
- Completed after order review
- Contract / PI reference
- Completed after order review
- Product / grade
- Completed after order review
- Lot / batch
- Completed after order review
- Quantity
- Completed after order review
- Country of origin
- Completed after order review
Service-specific information
- Container number
- Completed after order review
- Seal number
- Completed after order review
- Commodity and quantity
- Completed after order review
- Treatment place
- Completed after order review
- Treatment date and time
- Completed after order review
- Fumigant
- Completed after order review
- Dosage
- Completed after order review
- Exposure duration
- Completed after order review
- Treatment temperature
- Completed after order review
- Ventilation / release note
- Completed after order review
- Internal conclusion
- Completed after order review
Review and release
- Prepared by
- Completed after order review
- Reviewed by
- Completed after order review
- Approved by
- Completed after order review
- Release status
- Completed after order review