PPQ-250 Aircraft Clearance or Safeguard Order

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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE

1. AIRCRAFT NO.

2. TRIP/FLIGHT NO.

3. NAME OF CARRIER

5. PLACE OF DEPARTURE (U.S.)

4. FOREIGN ORIGIN (When applicable)

AIRCRAFT CLEARANCE
OR
SAFEGUARD ORDER

FORM APPROVED
OMB NO.
0579-0094

6. DESTINATION AIRPORT OR AIR BASE (U.S.)

THE ABOVE AIRCRAFT HAS BEEN INSPECTED AND 7.

COMPLETELY CLEARED (Including all baggage, personal effects,
stores, garbage, and cargo.)

8.

PARTIALLY CLEARED (Exceptions and safeguard conditions noted in
item 11 below.)

9. SIGNATURE OF PLANT PROTECTION AND QUARANTINE OFFICER

10. DATE

14. FINAL DISPOSITION ACTION

11. EXCEPTIONS AND SAFEGUARD CONDITIONS

15. SIGNATURE OF PLANT PROTECTION AND
QUARANTINE OFFICER

16. DATE

AFTER FINAL DISPOSITION ACTION RETURN TO:
17. NAME AND ADDRESS OF ORIGINATING OFFICE
I agree to see the conditions in item 11 are carried out.
12. SIGNATURE OF AIRCRAFT COMMANDER

PPQ FORM 250
(FEB 2007)

13. DATE

(Previous editions may be used)