PPQ - 523 Emergency Action Notification

Domestic Quarantine Regulations

PPQ 523 SEP 2011

Domestic Quarantine (Private Sector)

OMB: 0579-0088

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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0088. The time required to complete this information collection is estimated to average 1.00 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB Approved

0579-0088

EXP XX/XXXX

U.S. DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

PLANT PROTECTION AND QUARANTINE


EMERGENCY ACTION NOTIFICATION

SERIAL NO.

1. PPQ LOCATION

2. DATE ISSUED

3. NAME AND QUANTITY OF ARTICLE(S)

4. LOCATION OF ARTICLES

5. DESTINATION OF ARTICLES

6. SHIPPER

7. NAME OF CARRIER

8. SHIPMENT ID NUMBER(S)

9. OWNER/CONSIGNEE OF ARTICLES

10. PORT OF LADING

11. DATE OF ARRIVAL


NAME


12. ID OF PEST(S), NOXIOUS WEEDS, OR ARTICLE(S)

ADDRESS


12a. PEST ID NO.

12b. DATE INTERCEPTED


13. COUNTRY OF ORIGIN

14. GROWER NUMBER

PHONE NUMBER


FAX NUMBER

15. FOREIGN CERTIFICATE NUMBER

SS NUMBER


TAX ID NUMBER

15a. PLACE ISSUED

15b. DATE


Under Sections 411, 412, and 414 of the Plant Protection Act (7 U.S.C. 7711, 7712, and 7714) and Sections 10404 through 10407 of the Animal Health Protection Act (7 U.S.C. 8303 through 8306), you are hereby notified, as owner or agent of the owner of said carrier, premises, and/or articles, to apply remedial measures for the pest(s), noxious weeds, and or article(s) specified in Item 12, in a manner satisfactory to and under the supervision of an Agriculture Officer. Remedial measures shall be in accordance with the action specified in Item 16 and shall be completed within the time specified in Item 17.


AFTER RECEIPT OF THIS NOTIFICATION, ARTICLES AND/OR CARRIERS HEREIN DESIGNATED MUST NOT BE MOVED EXCEPT AS DIRECTED BY AN AGRICULTURE OFFICER. THE LOCAL OFFICER MAY BE CONTACTED AT:

16. ACTION REQUIRED

TREATMENT



RE-EXPORTATION



DESTRUCTION



OTHER



Should the owner or owner's agent fail to comply with this order within the time specified below, USDA is authorized to recover from the owner or agent cost of any care, handling, application of remedial measures, disposal, or other action incurred in connection with the remedial action, destruction, or removal.

17. AFTER RECEIPT OF THIS NOTIFICATION, COMPLETE SPECIFIED ACTION

WITHIN (Specify No. Hours or No. Days):


18. SIGNATURE OF OFFICER:

ACKNOWLEDGMENT OF RECEIPT OF EMERGENCY ACTION NOTIFICATION

I hereby acknowledge receipt of the foregoing notification.

SIGNATURE AND TITLE

DATE AND TIME:

19. REVOCATION OF NOTIFICATION

ACTION TAKEN



SIGNATURE OF OFFICER


DATE:

PPQ FORM 523 Previous editions are obsolete

SEP 2011

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorsmharris
File Modified0000-00-00
File Created2021-02-01

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