InForms Ppq525a.wpf 525A Ppqform525a
User Manual: 525A
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The valid OMB control number for this information collection is 0579-0054. The time required to complete this information collection is estimated to average .5
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FORM APPROVED
OMB NO.
0579-0054
U.S. DEPARTMENT OF AGRICULTURE - ANIMAL AND PLANT HEALTH INSPECTION SERVICE - PLANT PROTECTION AND QUARANTINE
APPLICATION FOR PERMIT TO RECEIVE SOIL
INSTRUCTIONS: SEE ATTACHED INSTRUCTION SHEET
1. Origin of shipment(s)
Hawaii or Puerto Rico
Various foreign countries
One country (Specify)_______________________________
3. Method of packaging (Must be sturdy and leakproof; please describe.)
4. Port(s) of arrival desired (Specify) 5. Approximate date for arrival of first shipment
6. Quantity per shipment
6a. Will heat sterilization at the port of arrival interfere with intended use?
6b. If no, check preferred treatment and then go to #10.
NOTE: If you are importing over 3 lbs. of soil per shipment, or if you are importing 3 or less lbs. of soil per shipment and you answered "Yes" to
question 6a, then your facility must be inspected and approved to receive, handle, store, and dispose of the soil under the conditions of a compliance
agreement. Complete the rest of the form and submit it to the State Plant Health Director of the State of destination. Contact Permit Services at (301)
734-5519 or access the website at http://www.aphis.usda.gov/ppq/sphd/ for a list of State Plant Health Offices.
Steam Heat
Dry Heat
7. Intended use (Please provide specific information.)
Chemical or physical analysis _______________________________________________________________________________________
As a growing medium for plants _____________________________________________________________________________________
For the isolation and/or culture of Deoxyribonucleic Acid (DNA) or Ribonucleic Acid (RNA) _______________________________________
Other __________________________________________________________________________________________________________
8. Precautions to be used to prevent pest dissemination (Please describe)
9. Method of Final Disposition
NOTE: Please attach a detailed explanation if soil is to be moved or removed from the receiving facility without a sterilizing treatment.
Autoclaving Incineration Other _________________________________________
10. Name and address of receiving facility
Applicant's Phone ( ) Applicant's Fax ( )
11. Applicant's Name (type or print clearly)
12. Signature and Date
TO BE COMPLETED BY STATE AND FEDERAL REGULATORY OFFICIALS
Recommendation
Approve Disapprove Accept USDA
Decision
Conditions Recommended
Signature of State Official Title State Date
Signature of PPQ Official Title Work Unit Date
PPQ FORM 525A (JAN 2008)
No permit can be issued to move soil until an application has been received (7 CFR 330).
NOTE: If you intend to isolate and/or culture live organisms (such as fungal plant pathogens or nematodes) from the soil, then you must hold a valid
plant permit based on PPQ Form 526. PPQ Form 525A cannot be used for this purpose. To apply for a plant pest permit, see our website at
http://www.aphis.usda.gov/plant_health/permits/organism/index.shtml
Yes - Go to #7 No - Go to #6b
2. Method of Shipment
Mail Baggage Air Cargo
Sea Cargo Overland Other__________
over 3 lbs. (go to #7)
3 lbs. or less (go to #6a)
Print Form
Print Form
Print Form
Instructions for Completing Form 525A Application for Permit to Receive Soil
NOTE: If you intend to isolate and/or culture live organisms (such as fungal plant pathogens or nematodes) from the soil, then you must
hold a valid plant pest permit based on PPQ Form 526. PPQ Form 525A cannot be used for this purpose. To apply for a plant pest permit,
see our website at http://www.aphis.usda.gov/plant_health/permits/organism/index.shtml
Please TYPE or PRINT legibly. Complete every block except for blocks 4 and 5 which may be left blank if the information is
unknown.
1. Indicate the origin of the soil shipment. If you check “one country,” enter the name of the country on the line provided.
2. Indicate the method of shipment. If you want to hand-carry soil, check “Other” and enter on the line ‘hand carry.’ Hand carried
items must be approved with the port of entry before arrival.
3. Briefly describe the packaging being used (i.e., Tupperware, cooler, etc.).
4. Enter the city and State of the first port of arrival. If unknown leave blank
5. Enter the approximate or estimated date of arrival. If unknown leave blank.
6. Indicate the weight of soil per shipment. If 3 or less lbs., continue to block 6a. If more than 3 lbs., continue to block 7. 6a. If you
are importing 3 or less lbs. of soil per shipment, answer “Yes” or “No” if heat sterilization will interfere with the intended use. If
you answered “No” to 6a, the soil must be treated at a USDA Plant Inspection Station. Continue to block 6b. If you answered
“Yes” to question 6a, continue to block 7.
6b. indicate the preferred method of sterilization, and then skip to block 10.
7. Indicate all that apply. If you intend to isolate and/or culture live organisms (such as plant pathogens or nematodes) from the soil,
then you are using the wrong form. See the note at the top of this form for instructions for the PPQ Form 526. Selection of
‘Other’ includes landfill.
8. Enter a brief description of the precautions to be used to prevent pest dissemination. If no pests exist, enter “N/A.”
9. Indicate the method of final disposition. Selection of “Other” may include landfill. Please attach a detailed explanation if soil is
to be moved or removed from the receiving facility without a sterilizing treatment. All attachments must have a company name, a
contact name, and Form 525A typed or printed at the top of each page.
10. Enter the name, address, and phone number of the receiving facility. Enter the applicant’s telephone and facsimile numbers,
including the Area Code.
11. Enter the applicant’s name; this should be the person directly responsible for the soil received by the facility.
12. Enter signature of applicant and the date.
Do not enter information following block 12.
Forwarding Instructions:
- Note: If you are importing over 3 lbs. of soil per shipment, or if you are importing 3 or less lbs. of soil per shipment and you answered
"Yes" to question 6a, then your facility must be inspected and approved to receive, handle, store, and dispose of the soil under the
conditions of a compliance agreement. Complete the rest of the form and submit it to USDA/APHIS/PPQ/Permit Services, 4700 River
Road, Riverdale, MD 20737. You may Contact Permit Services at (301) 734-5519 or your state Plant Health Director: Access the website
at http://www.aphis.usda.gov/services/report_pest_disease/report_pest_disease.shtml for a list of State Plant Health Offices.
*Please Note:
APHIS IS IN THE PROCESS OF REVISING FORM OMB- PPQ FORM 525A (JAN 2008) THAT CURRENTLY DIRECTS
THE APPLICANT TO SUBMIT THEIR APPLICATION TO THE STATE PLANT HEALTH DIRECTOR OF YOUR STATE.
PLEASE DISREGARD THAT GUIDANCE. ALL PERMIT APPLICATIONS ARE NOW RECEIVED AT THE ADDRESS
ABOVE.
