d epartment of primary industries, parks, water and environment biosecurity tasmania biosecurity operations branch 13 st johns avenue

D epartment of Primary Industries, Parks, Water and Environment
Biosecurity Tasmania
BIOSECURITY OPERATIONS BRANCH
13 St Johns Avenue NEW TOWN TAS 7008
[email protected]
Application for declaration of an Approved Quarantine Place
Plant Quarantine Act 1997 Section 70
Section A – Business Details
============================
Business Name (Trading Name)
Entity Name – as registered with Australian Business Register (if
different)
ACN or ABN
Alternative trading names of business
Parent company (if applicable)
Address of proposed approved place
Phone number
Fax
Mobile
E-mail address
Postal address (if different from above)
Section B – Proposed Business Activities
----------------------------------------
Proposed Import(s)
Proposed Export(s)
Proposed Treatment(s)
Category / Categories of Approved Place (1-8)
Capacity of storage in m2 at proposed approved place
Premises security details
Proposed storage, transport and disposal methods for biosecurity waste
(if applicable). (Please attach additional information if necessary).
Washbay dimensions in metres (if applicable)
Record keeping system [electronic / manual]
AQP Operations Manual Completed and up to date (Yes/No/In Progress)
Section C – Business Contact Details
------------------------------------
Name in full (*Manager/Director/Senior Executive) & contact phone
number. (Please print clearly)
Name in full of “Responsible Person” (if different from above) &
contact phone number. (Please print clearly)
This application must be signed by the director, manager or senior
executive of the business
I declare as the applicant that;
1) I have read, understand and will undertake to comply the conditions
of approval and associated requirements and procedures described in
the relevant Approved Quarantine Places Criteria; and
2) To this end I will also ensure that all relevant staff members of
the company described above understand and execute their
responsibilities in this regard.
Signature……………………………………Date….../…./….
*Manager/Director/Senior Executive
Section D – To be completed by Biosecurity Tasmania
*This place is / is not suitable for approval under the Plant
Quarantine Act 1997 (to be completed by Senior Biosecurity Inspector)
Name of Inspecting Biosecurity Tasmania Officer
Signature
Date
Name of Senior Biosecurity Inspector / Officer
Signature
Date
*Strike out whichever is not applicable.
Biosecurity Tasmania Approved Quarantine Place application form

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