Company Letterhead
(MUST be issued by the packer or supplier of the goods, and MUST include the company’s name AND physical address. (必须由物品的包装员或供应商发布，并且必须包括公司名称和物理地址或邮递地址或者发电子邮件或者
(电话或电传包括国家前缀)
用
英语
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必须完成
FCL or LCL PACKING DECLARATION
[Boxes to be marked with an X in the appropriate place]
箱子 将标记用X在适当位置
Vessel Name: 船名字： ........................................ Voyage Number: 远航数字： ..........................................
Consignment identifier(s) or Numerical Link(s): 交托
标识
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符或数字链接：.......................................…………………..
PROHIBITED PACKAGING MATERIAL STATEMENT
(Prohibited packaging materials include straw, bamboo, peat, hay. chaff, used fruit and vegetable cartons, etc.) (被禁止的包装材料包括秸杆，竹子，泥煤，干草。 谷壳、用的水果和蔬菜纸盒等等)
Q1. Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document?
被禁止的包装材料或竹子产品使用了作为包装或衬板在本文包括的交托？
A1. YES 是 NO 否
TIMBER PACKAGING/DUNNAGE STATEMENT 木材包装/衬板声明
(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.) (木材包装或衬板包括： 条板箱、案件、板台、滑行和其他木材使用作为运输援助。)
Q2a. Has Timber packaging/dunnage been used in consignments covered by this document?
Q2a. 木材包装或衬板用于本文包括的交托？
A2a. YES 是 NO 否
ISPM 15 STATEMENT ISPM 15声明
Q2b. All timber packaging/dunnage used in the consignment has been treated and marked in compliance with ISPM 15?
Q2b. 用于交托或衬板的所有木材包装被对待了并且被标记了依从ISPM 15 ？
A2b. YES 是 NO 否
BARK STATEMENT 树皮声明
(This is also applicable to ISPM 15 compliant packaging/dunnage. Bark is the external natural layer covering trees and branches.) (这也是可适用的对ISPM 15服从包装或衬板。 树皮是外在自然层数覆盖物树和分支。)
Q3. Is all timber packaging/dunnage used in this consignment free from bark?
Q3. 所有木材用于这交托任意的包装或衬板从树皮？
A3. YES 是 NO否
CLEANLINESS DECLARATION (FOR FCL CONSIGNMENTS ONLY) 洁净声明(为仅充分的容器装载交托)
The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil. 本文包括的容器有或被清洗了并且是从动物解脱材料和植物来源和土壤。
Signed: 签字： .......................................……......... Date: 日期：......................................
(Company Representative) (公司代
表
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