Republic of the Philippines

DEPARTMENT OF AGRICULTURE DA BORDER

Bureau of Plant Industry INSPECTOR'S
PLANT QUARANTINE SERVICE
692 San Andres St. Malate, Manila REPORT
(To be filled up by the Bureau or Agency Service)
Date Received: Application Control No.:
02/06/2021 BPI210206001P02B

SECTION I: APPLICATION FOR IMPORT INSPECTION FOR INSPECTION

Date Time By
THE DIRECTOR Applied: 02/06/2021 02:33 PM
Bureau of Plant Industry Actual:

SIR / MADAM,
I have the honor to apply for inspection of the cargo consignment, as described below :
A. IMPORTER/TRADER DETAILS
Business Name and Address of Consignee : Tel. No. of Consignee :
ARVIN INTERNATIONAL MARKETING INC.
158 Suerte St. Pasay City 88433676

Business Name and Address of Consignor : Tel. No. of Consignor :

THANH TIN SERVICE AND TRADE
COMPANY LIMITED
000000
383 BACH DANG ST., WARD 9, SOC
TRANG CITY, VIETNAM
Business Name and Address of Broker : Tel. No. of Broker :
ANNETTE PATRICE BALABA BORMATE
2337 LEVERIZA ST BRGY 32 PASAY CITY
02-8243-3584
1300
PASAY CITY 1300

B. TRANSPORT DETAILS
Name of Vessel : Voyage No. Registry No : Date of Arrival : Total Value (FOB US$) : CO :
YM CREDIBILITY 003N YMT0005-21 2/6/2021 249600 VIET NAM

C. CARGO CONSIGNMENT DETAILS

Commodity Name Quantity and Unit of Measure:
10400.0 BAG
20X20 VIETNAMESE GLUTINOUS RICE 10% BROKEN 521508.0 KGS
520000.0 KGS

Phytosanitary/Veterinary Health Certificate: 006975/21/0201

D. INTERNATIONAL SPS CERTIFICATE NUMBER

SPS Import Clearance Commodity Name Brand Name Scientific Name Quantity and Unit of Measure: Tolerance Purpose
ICDABPI211906323 RICE (MILLED/VIETN 10400.0 BAG Commercial
AMESE GLUTINOUS 520000.0 KGS
RICE 10% BROKEN)

Very truly yours,

(Applicant Signature over Printed Name)

SECTION II: PRELIMINARY BORDER INSPECTION REPORT

A. CARGO CONSIGNMENT DETAILS

Examination Area: Designated Examination Area Container Yard Others _______________

Marks No. of Containers BOC Entry No. Bill of Lading No.

20X20 VIETNAMESE GLUTINOUS RICE 10% 20 C37928 I490404808
BROKEN
Production And Expiry Date Lot/Batch Size FME NAME FME No.
01/26/2021 01/26/2022 10400.0 BAG
 Container Number/s Shipping Line Seal Number/s DA SEAL Number/s Cold Storage Warehouse Accreditation
BMOU2790288 YMAI633096 LOT 2 BLOCK 8 MANILA HARBOUR CENTER
ROAD 10 VITAS TONDO MANILA

CAIU6537597 YMAI633157 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

CAIU6586992 YMAI633160 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

DFSU2900690 YMAI633098 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

FCIU4927486 YMAI633100 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

FCIU5002773 YMAI633159 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

FCIU6625269 YMAI633153 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

GLDU5146262 YMAI633154 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

MAGU2425539 YMAI633158 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

MAGU2431803 YMAI633094 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

MAGU2549632 YMAI633155 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

SEGU1689892 YMAI633152 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

SEGU3016545 YMAI633095 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

TEMU0749870 YMAI633092 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3327412 YMAI633093 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3357588 YMAI633091 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3447486 YMAI633156 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3463580 YMAI633097 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3621330 YMAI633151 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

YMLU3634656 YMAI633099 LOT 2 BLOCK 8 MANILA HARBOUR CENTER

ROAD 10 VITAS TONDO MANILA

B. INSPECTION DETAILS
Documentary Checklist:
A. SPS Import Valid Yes No B. Invoice Photocopy Yes No C. BOC Import Entry, Original Yes No
D. International SPS Certifiacte (PC/VHC/HC), Original Yes No E. Bill of Lading, Photocopy or Original Copy Yes No
Findings and Recommendation:
For release For temporary hold Prohibited Infested
For treatment For confiscation Regulated Infected
For further Laboratory For return Misdeclared Others:_________
For post-entry quarantine For destruction Thawed
For final inspection at 2nd point border control
Cleared for endorsement BOC Not cleared for endorsement BOC
 Reason:____________________
Remarks:

C. SAMPLING DETAILS
Specimen Collected by : Date Collected :

Specimen Submiited by : Date Submitted :

Specimen Received by : Date Received :

D. PAYMENT OF FEES
Charge Slip No : Regulatory Fee : OR No : Issued On :

E. SIGNATORIES
Inspected : DABI Stamp
Date Inspected :
PLANT QUARANTINE SERVICE

BPI Quarantine Officer Manila Intl Container Port

(Signature over Printed Name) RELEASE AUTHORIZED

Conforme : Pending Final Border Inspection
Date Signed :
Officer / Inspector :

Consignee / Authorized Office

Date : Code :BPI210206001P02B
(Signature over Printed Name)

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