(Health Certificate)

2552 ()

1 / 3 7 9 / .11.1 10 11 12 () 13

GAP

1 (Health Certificate)

(Health Certificate) .. 2552 .. 2507 ( 2) .. 2542 ( 3) .. 2552 .. 2552 .. 2552

.. 2552

.. 2552

GAP (Good Agricultural Practice: GAP)

GMP (Good Manufacturing Practice: GMP) .. 2507 ( 2) .. 2542

( 3) .. 2552 .. 2553 .. 2552 ( 2) .. 2552

.. 2552

2 ..

2553

.. 2553

.. 2547

3 /

.. 2553

1. 2.

- / .4 - / .5 . . www.doa.go.th/psco

3. . 4 . 5 . 3.1

6 1

1

3.2 1

3.3 (/) 30

3.4 () 1

3.5 GMP () 3.6 GAP () 3.7 ()

1 4.

4.1 .. /

4.2 / /

4 .. / ..

4.3

4.4 4.5

5. 2 30 3

6.

7

6.1 1

6.2 2 3 6.1 30

6.3 3 6 6.1

7.

5 GAP ()

..2553 / GAP / GMP

..11 ..11.1

6 /

.4 .5 . . www.doa.go.th/psco

. 4 . 5 .

/ .. / ..

2 30

1

4

7 ( .. 11-1)

1.

2. .. 2507 ( ..11) ( .. 11.1)

3. .. 11 .. 11.1 ( ) .11 .. 11 1 GAP 1 7

4. ( .. 11-1) (.) (.) 0-2579-6133 0-2579-6134 1 (.1) 0-5311-4121-5 0-5311-4126-7 2 (.2) 0-5531-1407 0-5531-1407 3 (.3) 0-4320-3504 0-4320-3500-1 4 (.4) 0-4520-2198 0-4520-2198 5 (.5) 0-5640-5070, 0-5640-5072-4 0-5640-5071, 0-5640-5074 6 (.6) 0-3939-7076 0-3943-4536 7 (.7) 0-7725-9445-6 0-7725-9447 8 (.8)

8 0-7444-5905-6 0-7421-8928

5. . ./ . 1-8 .. 11 .. 11.1

. ./ .1-8

6. 6.1 . ./

.1-8 ( ) .. 11 .. 11.1 . ./ .1-8

6.2 ..11 ..11.1 (Lab Sample Number) . ./.1-8

7.

7.1

. ./ .1-8 . . ./../.1-8

7.2 . ./ .1-8 7.1

8. 9. .. 11.1

1

9 ( .. 11-1)

.. 11 .. 11.1 ( 3)

. ./ .1-8

. ./ .1-8

.. 11 .. 11.1 ../ .1-8 7

. ./ .1-8 .. 11 ..11.1 . ./ .1-8

. ./.1-8

- . .1-8 - . /.. /.1-8 -

. ./ .1-8 . ./ .1-8

.. 11.1 1

. ./ .1-8

.. 11 ..11.1 . ./ .1-8

..11 ..11.1 ../.1-8

10 / .. 11.1

1. ( .. 11-1) / - ( Date of Expiry ) ( Shipment )

1.1 /

1.2 . ././ .1-8 This Certificate is issued to replace the certificate No.. Declaration . . ./../../.1-8

1.3 . ./ .1-8 / ()

1.4

2. .. 11.1 .. 2507 ( .. 12) .. 11 .. 11.1 .. 12 .. 11.1

11

1. 1.1

1.1.1 GAP GMP 30

1.1.2 GAP GAP GMP 14

1.2 2. ( 1) 3. ()

12

1.

2. .. 2507 ( ..11) ( .. 11.1) /

3. .. 11 .. 11.1 ( ) (.) (.) 1-8 7

4. 4.1 . ./ .1-8

.. 11 .. 11.1

4.2 .. 11 .. 11.1 (Lab Sample Number) .. . ./ .1-8

5. 6. .. 11.1

1

7. .. 11.1 .. 2507 ( .. 12) .. 11 .. 11.1 .. 12 .. 11.1

13 ()

.. 2507 ( ..11)

1. 2. 3. ( )

4.

GAP/Organic 5. .. 11

/ 6. .. 11

( .. 11.1)

1. 1 2.

2.1 2 (Name of plants) (Scientific name) (Weight) .. 11

2.2 Export details - (Manufacturer or Shipper) - (Consignee) - (Address) - (Shipment date) - (Lot no.) - (Registration no.)

2.3 Weight (Shipment) 2.4 Total Weight .. 11.1 2.5 ..11.1 2.6 (Signature of applicant)/

14 3. (Signature of authorized)

Export details

.. 2507 ( .. 12)

1. ..11.1 Consignee, Address, Shipment Date Weight () .. 12 ../ .1-8

2. 2.1 1 2.2 2 ..11.1

3. 3 4. ..12 . . 0-2579-6134 .1-8

( .. 11-1)

Page 1 of 2

..

Application for Health Certificate under the Plant Quarantine Act B.E. 2507 and Amended

.. To Director General of the Department of Agriculture Date Month Year

. Name and address of packer

Province Postal code Telephone Facsimile

. Packing house code Name and address of packing house

Province Postal code Telephone Facsimile

. Name and address of exporter

Province Postal code Telephone Facsimile Name and address of consignee See attachment Means of conveyance Date of exportation

. Wish to apply for Health Certificate of plants as follows:

Name of microorganisms or other harmful substances

Sample No.

Name of plants

(.) Weight (Kg)

() Value (Baht)

GAP/Organic Code of GAP/Organic farm

Signature of applicant

( )

.. Form P.Q. 11

Receipt No.

Date

Recipient

Page 2 of 2

. Herewith I have enclosed documentary evidence as follows:

A copy of the identification card or passport

()

A copy of the certificate of corporate registration and signatures authorized, issued within six months (In case of the applicant is a

corporation)

A copy of the identification card of person authorized sign for the corporate entity or passport

Application letter of authorized to submit the application for permit

Other

Documentary evidence is required only for the first time of exportation. Note Insert the check mark symbol into check block in front of the required text

.. Form P.Q. 11

Page 1 of 1

Attachment Sheet

Attached to Application Form for Health Certificate Health Certificate No. Date of issue Date of expiry Lab sample No. (.) Name of plants Scientific name Weight (Kg)

No. Export details Weight (kg)

1 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

2 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

3 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

4 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

5 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

6 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

7 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

8 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

9 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

10 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

Total weight (kg)

(This page only)

Signature of applicant Signature of authorized officer

( ) ( )

.. . Form P.Q. 11.1

Department of Agriculture

Ministry of Agriculture and Cooperatives, Bangkok, Thailand

Health Certificate

No.

1. GAP code of farm:

2. GMP code of packing house:

3. Laboratory number:

4. Laboratory sample number:

5. Shipment date:

6. Name and address of exporter:

7. Name and address of consignee:

8. Declared point of entry:

9. Declared means of conveyance:

10. Description of goods and weight:

Declaration

12. Date of issue:

11. Stamp of Organization:

13. Date of expiry:

14. Name and signature of authorized officer:

.. - Form P.Q. 11-1

Page 1 of 2

..

Application for Correction of Attachment Sheet of Health Certificate under the Plant Quarantine Act B.E. 2507 and Amended

.. To Director General of the Department of Agriculture Date Month Year

. Authority No. Name of applicant or authorized representative of exporter

Address

Province Postal code Telephone Facsimile

. Wish to apply for correction of Attachment Sheet of Health Certificate No.

Date of issue Date of expiry

Name of plants

Detail as follows See attachment

.. . No. from Form P.Q. 11.1

Page no.

(Previous details)

(Corrected details)

Signature of applicant

( ) . For official use only

Approved Not approved Reason

Signature of authorized officer

( )

.. Form P.Q. 12

Receipt No.

Date

Recipient

Page 2 of 2

. Herewith I have enclosed documentary evidence as follows:

A copy of the identification card or passport

()

A copy of the certificate of corporate registration and signatures authorized, issued within six months (In case of the applicant is a

corporation)

A copy of the identification card of person authorized sign for the corporate entity or passport

Application letter of authorized to submit the application for permit

Other

Note Insert the check mark symbol into check block in front of the required text

.. Form P.Q. 12

1

APHA. 2001. Compendium of Microbiological Examination of Foods. Chapter 2. Microorganism in Foods; Sampling microbiological analysis: Principles and specific applications The International Commission on Microbiological Specifications for Foods (ICMFS) of the International Association of Microbiology Societies. (Aseptic technique)

1. 2. 70% 3. 4. 5. 6. 12-15 7.

1. 70% 2. 3. 4. 5. 1-4

- -

- -

2

Weight of exported vegetables ( per lot )

Number of sample units taken

Lab sample weight (composite)

Number of test samples

< 50 kg 5 x 200 g 1000 g 1 50-500 kg 5 x 200 g 1000 g 1

501-2000 kg 10 x 200 g 1000 g 1 >2000 kg 15 x 200 g 1500 g 2

70 % (Container) (SO2)

12 ..2545

29 2547

1. 2. / 3. 4. 5. (Mask) 6. 7. 12-15

8.

1. 2. Codex Code of Practice

Lot ( : ) 100 5 101 300 7 301 500 9 501 1,000 10 1,001 15 12 .. 2545

3. 6 6 ( ) 2

4. 3 1 5. (. .1 .6)

6. .. .1/ .6

7. .. .1/ .6

GAP

: (Q)

/ GAP 01 GAP

(.)

(.)

(.)

( . 1-8)

(Q) (.)

(Q) (.)

Q

Q

1. 2. / 3.

1. / .2 .3 1.1 (.)

50 . 10900 (.) 0-2940-6464 0-2940-6470 (.) 0-2940-7440 0-2579-6134

1.2 1-8 (. 1-8) - . 1 . 170 . . . 50202 0-5311-4121-5 0-5311-4126-7

- . 2 . . . 65130 0-5531-1305 0-5531-1406

- . 3 . 0-4320-3502 0-4320-3501 - . 4 79 . . 34000 0-4520-2190

0-4520-2193 - . 5 . . . 17150 0-5640-5070

0-5641-3045 - . 6 . . . 22110 0-3939-7134 0-3945-8765 - . 7 ..125 . . 84000 0-7727-4120

0-7725-9447 - . 8 . . 0-7444-5095 0-7444-5907

2. . 3. () 4. 5. 6.

7.

(Food Safety) 8. 1 3

. 3

. 2

........................... .

.. ... .

GMP HACCP

............................ .............................

/ ..................... ( .2) ..

() (...) . . .. ... () (.) . .. .. ()

2552

..

()

. 2

1.

2.

3. /

/

4. ()

5.

6.

6.1 6.2 6.3 6.4 (Process Line) 6.5 (Quality Manual) 6.6 Hazard Analysis ( HACCP ) 6.7 HACCP Plan ( HACCP ) 6.8 6.9 6.10 () 6.11 () 6.12 () . 0-2940-6464, 0-2940-6362

2552

. 3

........................... .

.. ... .

GMP HACCP

............................ .............................

/ ..

() (...) . . .. ... () (.) . .. .. ()

2552

..

()

Page 1 of 2

..

Application for Health Certificate under the Plant Quarantine Act B.E. 2507 and Amended

24 .. 2552 To Director General of Department of Agriculture Date Month Year

. AGRICULTURE PRODUCTS CO.,LTD. 50 PAHOLYOTHIN RD. CHATUCHAK Name and address of packer

BANGKOK 10900 02-9400000 02-9400001 Province Postal code Telephone Facsimile

. 03-03-0113-0000-555 AGRICULTURE PRODUCTS CO.,LTD. Packing house code Name and address of packing house

50 PAHOLYOTHIN RD. CHATUCHAK BANGKOK 10900 02-9400000 02-9400001

Province Postal code Telephone Facsimile

. Name and address of exporter Address

Province Postal code Telephone Facsimile Name and address of consignee See attachment 1-14 2552 Means of conveyance Date of exportation

. Wish to apply for Health Certificate of plants or plant products as follows:

Name of microorganisms or order harmful substances

Sample No.

Name of plants or plant products

Weight

Value

GAP/Organic Code of GAP/Organic farm

1 Holy basil (Ocimum sanctum) 325 20,500 03-02-0000-0000-312

Signature of applicant

( )

.. Form P.Q. 11

Receipt No.

Date

Recipient

Page 2 of 2

Herewith I have enclosed documentary evidence as follows:

A copy of the identification card or passport

()

A copy of the certificate of corporate registration and signatures authorized, issued within six months (In case of the applicant is a

corporation)

A copy of the identification card of person authorized sign for the corporate entity or passport

Application letter of authorized to submit the application for permit

Other

Documentary evidence is required only for the first time of exportation. Note Insert the check mark symbol into check block in front of the required text

.. Form P.Q. 11

Page 1 of 1

Attachment Sheet

Attached to Application Form for Health Certificate 52/062776,52/062777 30 September 2009 14 October 2009 52/00325-001 Health Certificate No. Date of issue Date of expiry Lab sample No. Holy basil Ocimum sanctum (.) 110 Name of plants Scientific name Weight (Kg)

No. Export details Weight (kg)

1 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 25 Consignee: AAA IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx GERMANY Shipment date: 1 October 2009 Lot no.: HB-02022008 Registration no.: EU-09-999

2 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 10

Consignee: AAA IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx DENMARK

Shipment date: 2 October 2009 Lot no.: HB-02022009 Registration no.: EU-09-999

3 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 15

Consignee: BBB IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx GERMANY

Shipment date: 3 October 2009 Lot no.: HB-020220010 Registration no.: EU-09-999

4 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 10

Consignee: AAA IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx NETHERLAND

Shipment date: 4 October 2009 Lot no.: HB-020220011 Registration no.: EU-09-999

5 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 20

Consignee: CCC IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx ENGLAND

Shipment date: 5 October 2009 Lot no.: HB-020220012 Registration no.: EU-09-999

6 Manufacturer or Shipper: AGRICULTURE Address: 50 PRAHOLYOTHIN RD. CHATUCHAK 30

Consignee: AAA IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxxxxx NORWAY

Shipment date: 6 October 2009 Lot no.: HB-020220013 Registration no.: NW 08-007 7 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

8 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

9 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

10 Manufacturer or Shipper: Address:

Consignee: Address:

Shipment date: Lot no.: Registration no.:

Total weight (kg) 110

(This page only)

Signature of applicant Signature of authorized officer

( ) ( )

.. . Form P.Q. 11.1

Department of Agriculture

Ministry of Agriculture and Cooperatives, Bangkok, Thailand

Health Certificate

No. 52/062776

1. GAP code of farm: 03-02-0000-0000-312

2. GMP code of packing house: 03-03-0113-0000-555

3. Laboratory number:

LC01

4. Laboratory sample number:

52/00325-001

5. Shipment date: 1-14 October 2009

6. Name and address of exporter: AGRICULTURE PRODUCTS CO., LTD : 50 PRAHOLYOTHIN RD. CHATUCHAK BANGKOK 10900 THAILAND

7. Name and address of consignee:

AAA IMPORT CO., LTD xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx REGISTRATION NUMBER EU 09-999

8. Declared point of entry: GERMANY ENGLAND DENMARK NETHERLAND

9. Declared means of conveyance: AIR

10. Description of goods and weight: LOT NO/CODE Holy basil 110 KG 00052 (Ocimum sanctum)

Declaration IT IS HEREBY CERTIFIED THAT THE ABOVE MENTIONED PRODUCE IS UNDER CONTROLLED SYSTEM AND HAS MET THE

DEPARTMENTS NOTIFICATIONS ON Escherichia coli AND Salmonella spp. XXX Holy basil : Organophosphate group.Not Detectable Carbamate groupNot Detectable Pyrethroid groupNot Detectable Organophosphate group : DDVP, methamidophos, diazinon, chlorpyrifos, pirimiphos thyl, pirimiphos methyl, parathion, parathion methyl, mevinphos, malathion, profenofos, prothiofos, monocrotophos, dimethoate, omethoate, dicrotophos, phosalone, triazophos, fenitrothion, methidathion, ethion, EPN and azinphos ethyl Carbamate group : permethrin, cypermethrin, cyhalothrin, fenvalerate, cyfluthrin and deltamethrin Pyrethroid group : methomyl, carbaryl, BPMC(fenobucarb), carbofuran Others group : endosulfan

12. Date of issue: 30 September 2009

11. Stamp of Organization:

13. Date of expiry: 14 October 2009

14. Name and signature of authorized officer:

.. - Form P.Q. 11-1

Department of Agriculture

Ministry of Agriculture and Cooperatives, Bangkok, Thailand

Health Certificate

No. 52/062777

1. GAP code of farm: 03-02-0000-0000-312

2. GMP code of packing house: 03-03-0113-0000-555

3. Laboratory number:

LC01

4. Laboratory sample number:

52/00325-001

5. Shipment date: 6 October 2009

6. Name and address of exporter: AGRICULTURE PRODUCTS CO., LTD : 50 PRAHOLYOTHIN RD. CHATUCHAK BANGKOK 10900 THAILAND

7. Name and address of consignee:

AAA IMPORT CO., LTD xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx REGISTRATION NUMBER NW 08-007

8. Declared point of entry: NORWAY

9. Declared means of conveyance: AIR

10. Description of goods and weight: LOT NO/CODE Holy basil 30 KG 00051 (Ocimum sanctum)

Declaration IT IS HEREBY CERTIFIED THAT THE ABOVE MENTIONED PRODUCE IS UNDER CONTROLLED SYSTEM AND HAS MET THE

DEPARTMENTS NOTIFICATIONS ON Escherichia coli AND Salmonella spp. XXX Holy basil : Organophosphate group.Not Detectable Carbamate groupNot Detectable Pyrethroid groupNot Detectable Organophosphate group : DDVP, methamidophos, diazinon, chlorpyrifos, pirimiphos thyl, pirimiphos methyl, parathion, parathion methyl, mevinphos, malathion, profenofos, prothiofos, monocrotophos, dimethoate, omethoate, dicrotophos, phosalone, triazophos, fenitrothion, methidathion, ethion, EPN and azinphos ethyl Carbamate group : permethrin, cypermethrin, cyhalothrin, fenvalerate, cyfluthrin and deltamethrin Pyrethroid group : methomyl, carbaryl, BPMC(fenobucarb), carbofuran Others group : endosulfan

12. Date of issue: 30 September 2009

11. Stamp of Organization:

13. Date of expiry: 14 October 2009

14. Name and signature of authorized officer:

.. - Form P.Q. 11-1

Page 1 of 2

..

Application for Correction of Attachment Sheet of Health Certificate under the Plant Quarantine Act B.E. 2507 and Amended

6 .. 2552 To Director General of the Department of Agriculture Date Month Year

. AG-123 AGRICULTURE PRODUCTS CO., LTD Authority No. Name of applicant or authorized representative of exporter

50 PAHOLYOTHIN RD. CHATUCHAK Address

BANGKOK 10900 02-9400000 02-9400001 Province Postal code Telephone Facsimile

. Wish to apply for correction of Attachment Sheet of Health Certificate No.

30 September 2009 14 October 2009 Date of issue Date of expiry

Holy Basil Name of plants

Detail as follows See attachment

.. . No. from Form P.Q. 11.1

Page no.

(Previous details)

(Corrected details)

1

1/1 Consignee: AAA IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxx GERMANY Shipment Date: 5 Oct 2008 Weight (KG) 25

Consignee: 999 IMPORT CO., LTD Address: xxxxxxxxxxxxxxxxxxxxxxx AUSTRIA Shipment Date: 7 Oct 2008 Weight (KG) 25

Signature of applicant

( ) . For official use only

Approved Not approved Reason

Signature of authorized officer

( )

.. Form P.Q. 12

Receipt No.

Date

Recipient

Page 2 of 2

. Herewith I have enclosed documentary evidence as follows:

A copy of the identification card or passport

()

A copy of the certificate of corporate registration and signatures authorized, issued within six months (In case of the applicant is a

corporation)

A copy of the identification card of person authorized sign for the corporate entity or passport

Application letter of authorized to submit the application for permit

Other

Note Insert the check mark symbol into check block in front of the required text

.. Form P.Q. 12