1984 J 
SERVICE AND REGULATORY ANNOUNCEMENTS 
107 
Prescribed potato certificate 
(Model 3) 
Country of origin 
No. 
CERTIFICATE OF HEALTH AND ORIGIN FOR POTATOES 
(Valid 30 days from date of issue) 
The undersigned (full name and official title) certifies that the shipment of 
potatoes described below was inspected and: 
(1) Is free from the following-named diseases and pests, as well as from 
the eggs and larvae of such pests: Wart disease (Synchptrium endobioticum) ; 
powdery scab (Spongospora subterranea) ; Colorado potato beetle {{Dory- 
phora) Leptinotarsa decemlineata) ; potato tuber worm ( (Phthorimaea) Onori- 
moschema operculella) ; and the potato nematode (Heterodera schachtii rosto- 
cMensis) ; 
(2) Was grown in a locality free from the said diseases and pests and> at 
least 20 km from the nearest place where the wart disease has been determined, 
and 50 km from the nearest place where the Colorado beetle is known to 
occur ; 
(3) Was shipped in new, unused containers, without packing; 
(4) Was shipped in containers provided with seals in a railroad car bearing 
the inscription: (insert inscription) ; 
(5) All articles employed in packing (containing) the potatoes included in 
the shipment are free from the diseases and pests (including eggs and larvae) 
named in paragraph (1). 
DESCRIPTION OF SHIPMENT 
Weight of shipment 
Number and kind of containers 
Marks on containers 
Railroad car numbers 
Varietal names of potatoes 
Administrative district 
Name and address of shipper 
Name and address of consignee 
Date 
Signature 
[SEAL] 
Restrictions on the Importation of Plants and Plant Products 
phytosanitary certificate required with plants and plant products 
Article 2. The following-mentioned plant products may be imported through 
the customs offices authorized for that purpose on condition that each shipment 
is provided with two copies of a certificate issued by the plant protection 
service of the exporting country in accordance with the prescribed model 16. 
RESTRICTED PLANTS AND PLANT PRODUCTS 
(1) All shrubs and bushes, as well as their slips and cuttings; 
(2) Rooted ornamentals, their seedlings or cuttings; bulbs, tubers, and roots; 
(3) Fresh fruits: Apple, pear, plum, peach, apricot, sour and sweet cherry; 
(4) Fresh vegetables of all kinds, including their aerial and subterranean 
parts, but not including their seeds. This does not apply to potatoes, which 
fall under article 1 ; 
(5) Seeds of peas, beans, lentils, vetch, horsebeans, and field beans. 
POTATO WART CERTIFICATION REQUIRED FOR ROOTED PLANTS 
Article 3. It must appear from the certificates issued in accordance with 
the prescribed model 16 that the contents of the shipment and all articles 
serving as packing materials were inspected and found free from the dis- 
