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1 - Phytosanitary Resources

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Forms<br />

Table A-2 Instructions for Completing PPQ Form 523, Emergency Action<br />

Notification<br />

Block<br />

Instructions<br />

1 COLLECTION NUMBER ENTER the name and location of the nearest<br />

PPQ office<br />

2 DATE ENTER the date of the collection<br />

3 PPQ LOCATION ENTER the host scientific name and cultivar<br />

4 LOCATION OF ARTICLES ENTER the location of the article (premise<br />

location, pier, dock, container yard, hold space,<br />

etc.)<br />

6 SHIPPER ENTER the plant material source if known<br />

7 NAME OF CARRIER LEAVE blank unless that information is known<br />

8 SHIPMENT ID NO. LEAVE blank unless that information is known<br />

12 ID OF PEST To place plant material on a property on “Hold”,<br />

enter “suspect PEST NAME”; the authority under<br />

which actions are taken is The Plant Protection<br />

Act of 2000, Statute 7 USC 7701-7758<br />

16 ACTION REQUIRED ENTER the action required<br />

6/2011 Tomato Leafminer A-9<br />

Emergency and Domestic Programs

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