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.