PPQ - 518 Report of Violation

Domestic Quarantine Regulations

PPQ 518 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 numbers for these information collections are 0579-0088 and 0579-0102. The time required to complete these information collections 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


REPORT OF VIOLATION

SERIAL NO.

1. DATE VIOLATION DISCOVERED


2. VIOLATED - REG/COMPL. AGREEMENT

3. WHERE INTERCEPTED (City or Port, and State; also county if domestic)


4. ORIGIN OF ARTICLE (Include county, if domestic)

5. ARTICLE MOVED IN VIOLATION OF REGULATIONS


6. IDENTITY OF ARTICLE (Serial No., Waybill No., Description, etc.)

7. NAME AND BUSINESS ADDRESS OF VIOLATOR (Shipper, caterer, cleaner, garbage handler,

servicing agent, broker, ship's agent, etc. Identify which)

8. VIOLATOR HAD

COMPLIANCE

AGREEMENT?

YES

NO

Permit?

YES

NO

9. IF NO, WAS VIOLATOR AWARE OF REGULATION?

YES NO UNKNOWN

IF "YES,"HOW INFORMED AND WHEN?




10. NAME AND BUSINESS ADDRESS OF CARRIER

11. WAS CARRIER AWARE OF REGULATION?

YES NO UNKNOWN

IF "YES," HOW INFORMED AND WHEN?




12. IDENTITY OF CARRIER


13. NAME AND BUSINESS ADDRESS OF CONSIGNEE

PLANE AIRCRAFT NUMBER

FLIGHT NUMBER

SHIP FLAG

NAME

ROAD VEHICLE License No.

14. DISPOSITION OF PEST RISK (i.e., articles named in Item 5 were fumigated, destroyed, etc.)





15. REMARKS (Attach additional sheet, if needed)










16. VIOLATOR OR CARRIER'S STATEMENT OF VIOLATION (Attach additional sheet, if needed. Identify who gave statement.)







17. OFFICER'S STATEMENT: Must attach a detailed, signed, and dated statement. State how the action violated the regulations or compliance agreement cited in

Item 2. Describe fully the facts of the violation from discovery through disposition of pest risk including when, who, what, and where.

18. SIGNATURE OF INITIATING OFFICER


19. PRINTED NAME OF OFFICER AND WORK UNIT

20. DATE REPORT COMPLETED

21. OFFICER IN CHARGE COMMENTS (Attach additional sheet, if needed)



LIST PREVIOUS VIOLATIONS



RECOMMENDATIONS




22. SIGNATURE OF OFFICER IN CHARGE


23. PRINTED NAME OF OFFICER IN CHARGE AND WORK UNIT

24. DATE SIGNED

PPQ FORM 518 Previous editions are obsolete

SEP 2011

COPY DESIGNATIONS


PART 1 - IES STAFF


PART 2 - PORT DIRECTOR, PPQ


PART 3 - STATE PLANT HEALTH DIRECTOR, PPQ


PART 4 - ORIGINATING OFFICER

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Authorsmharris
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File Created2021-01-24

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