Este modelo de certificado se puede encontrar en la pagina de FAO, este documento tiene algunas modificaciones. Pero es casi similar al utilizado al momento de exportar o importar algún producto forestal o alimenticio

1. Phytosanitary Certificate
Nº 33
Protection Organization of USDA UNITED STATE
TO: Plant Protection Organization(s) de SAG CHILE
I. Description of Consignment
Name and address of exporter:
North Pacific Seed, 21800 West Colorado Avenue, San Joaquin California United State
Declared name and address of consignee:
Micro Cervecería Marc Ltda, San Toribio Avenue Parcela N°5, Peñaflor Santiago Chile
Number and description of packages:
From NP001 – to NP008
Code Product 4123-05
Lupulus Humulus Free THC
Distinguishing marks:
Place of origin:
Colorado – San Joaquin
Declared means of conveyance:
Land And Maritime
Declared point of entry:
Valparaiso - Chile
Name of produce and quantity declared:
8.000 Kgs Lupulus Humulus Free THC
Botanical name of plants:
Humulus lupulus
This is to certify that the plants, plant products or other regulated articles described herein
have been inspected and/or tested according to appropriate official procedures and are
considered to be free from the quarantine pests specified by the importing contracting
party and to conform with the current phytosanitary requirements of the importing
contracting party, including those for regulated non-quarantine pests.
They are deemed to be practically free from other pests*

2. II. Additional Declaration
III. Disinfestation and/or Disinfection Treatment
Date 06-04-2016 Treatment Irradiated product Chemical (active ingredient) Not
Duration and temperature
30-12-2016 – 30° C
Concentration
Product is sealed in big bags
Additional information:
Place of issue:
Name of authorized office John Connor
Date 06-21-2016
__________________________________
(Signature)
No financial liability with respect to this certificate shall attach to USDA or to any of its
officers or representatives.