様式第五の二の改正条文および船舶検疫証明書フォーム
令和7年9月17日|p.5
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様式第五の二を次のように改める。
様式第五の二(第七条、第九条の二関係)
5令和7年9月17日水曜日官報(局外第208号)
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SHIP SANTTATION CONTROL EXEMPTION CERTIFICATESHIP SANTTATION CONTROL CERTIFICATE
Port of.
Date:.
This Certificate records the inspection and 1) exemption from control or 2) control measures applied
Name of ship or inland navigation vessel
At the time of inspection the holds were unladen/laden with
Name and address of inspecting officer
Ship Sanitation Control Exemption Certificate
Flag
tonnes of
Registration/IMO No.
cargo
Ship Sanitation Control Certificate
Areas, Isystems, and servicesl inspected
Galley
Pantry
Stores
Hold(s)/cargo
Quarters:
- crew
- officers
- passengers
- deck
Potable water
Sewage
Ballast tanks
Solid and medical waste
Standing water
Engine room
Medical facilities
Other areas specified see attached
Note areas not applicable, by marking
N/A.
Evidence found1
No evidence found. Ship/vessel is exempted from control measures.
Signature
Quarantine Officer concerned
Sample results2
Documents reviewed
Control measures applied
Re-inspection date
Name..
Control measures indicated were applied on the Date.
Chief of Quarantine Station
Comments regarding conditions found
Quarantine Station
Whiserimenmatitaing wing the colical ther porthers postrolite postroliga to the nolin the nal gother
(b) Information concerning any human cases (to be included in the Ship Declaration of Health).
Plobinsmistionial keporit, withiating con insephatecevididition of onratrationdplom cy the monderind