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ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION (Arizona)

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ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION
ADDENDUM - PHYTOSANITARY FIELD INSPECTION OF SEED CROP FOR EXPORT
APPLICANT NAME COUNTY
APPL. NO. CROP VARIETY
STOCK LOT NO. HARVEST LOT NO.
ADDITIONAL PESTS/DISEASES OF CONCERN
BY SIGNING BELOW AND ATTACHING THIS DOCUMENT TO THE APPLICATION LISTED ABOVE YOU ATTEST TO THE
ACCURACY OF THE INFORMATION PROVIDED AND ACKNOWLEDGE THE ADDITION OF THE ABOVE LISTED INSECTS,
WEEDS AND DISEASES TO YOUR PHYTOSANITARY FIELD INSPECTION REQUEST.
APPLICANT'S REPRESENTATIVE
REPRESENTATIVE'S SIGNATURE DATE
https:/agriculture.az.gov
ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION - 1688 W. ADAMS ST. - PHOENIX, AZ 85007 - (602) 542-0992
ADA PSD 4/8/2019 MVK1
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ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION (Arizona)

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Completed 20 July 2020

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