Golden Nematode Program Manual - Phytosanitary Resources
Golden Nematode Program Manual - Phytosanitary Resources
Golden Nematode Program Manual - Phytosanitary Resources
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Appendix A: Forms and Worksheets<br />
PPQ Form 519, Compliance Agreement<br />
Purpose<br />
PPQ Form 519, Compliance Agreement, is completed by the PPQ Office/<br />
Plant Health Safeguarding Specialist for the area of coverage.<br />
Instructions<br />
Complete PPQ Form 519 as shown in Table A-1-25.<br />
TABLE A-1-25 Instructions for Completing PPQ Form 519, Compliance Agreement<br />
Block<br />
1 NAME AND ADDRESS OF PERSON OR FIRM LIST the name and address of the person or firm with whom<br />
the agreement is made<br />
2 LOCATION LIST the location of the land <br />
3 REGULATED ARTICLES LIST the name of the regulated article<br />
EXAMPLE<br />
Soil samples for analysis.<br />
4 APPLICABLE FEDERAL QUARANTINE(S) OR LIST “<strong>Golden</strong> <strong>Nematode</strong> 7CFR§301.85”<br />
REGULATIONS<br />
5 I/we agree to the following LIST the terms of the agreement<br />
6 SIGNATURE Person authorizing agreement SIGNS<br />
7 TITLE LIST your title <br />
8 DATE SIGNED LIST the date signed <br />
9 AGREEMENT NO. LIST the agreement number<br />
10 DATE OF AGREEMENT LIST the date the agreement is signed<br />
11 PPQ/CBP OFFICIAL LIST the name and title of the PPQ Official authorized to<br />
execute the agreement<br />
12 ADDRESS If the agreement is made in with the USDA in New York, then<br />
ENTER the following information:<br />
<br />
U.S. Department of Agriculture, APHIS<br />
Plant Protection and Quarantine<br />
8237 Kanona Road<br />
Avoca, NY 14809<br />
607/566-2212<br />
13 SIGNATURE PPQ Official SIGNS <br />
14 U.S. GOVERNMENT/STATE AGENCY OFFICIAL LIST the name and title of the agency official entering the<br />
agreement<br />
A-1-34 <strong>Golden</strong> <strong>Nematode</strong> <strong>Program</strong> <strong>Manual</strong> 07/2008-01<br />
PPQ