MINISTRY FOR PRIMARY INDUSTRIES CONTAINER LOG SHEET

AND APPLICATION FOR MPI RELEASE

NOTE* indicates
compulsory field

*Return Fax # or
Email address

*ATF code

AP: Accredited Person

MPI Ref: C20_ _/ is on a BACC; IE or ECI # is on a Customs Delivery Order

Enter either MPI ref # or the IE or ECI number

*MPI Ref #

C20__

Container #:

*IE or ECI #:

Or

*AP #:

*AP Surname:
Container Check (Tick a box)
*Contaminated:

Yes

No

*Seal Intact (Tick a box)

Yes

Internal:

Dirty

External:

Clean

Dirty

*Date unpacked / Devanned

No

/
Yes

*Wood Packaging:

Clean

No

ISPM Stamped:

Yes

Contaminated:

No

Contaminant Type

Yes

No

Action Taken

Insect

Seed

Animal

Plant Product

Fungus

Soil

Ants

Spiders

Other

Contamination Details:

Sprayed

Fumigated

Swept

Other

Details "Other" actions below:

DO NOT USE THIS FORM IF THE TOP FORM HAS BEEN USED AND SENT BEFORE USE A NEW FORM
Enter either MPI ref # or the IE or ECI number
*MPI Ref #

C20__

Container #:

*IE or ECI #:

Or

*AP #:

*AP Surname:
Container Check (Tick a box)
*Contaminated:

Yes

No

*Seal Intact (Tick a box)

Yes

Internal:

Dirty

Seed

Fungus
Soil
Contamination Details:

Yes

No

ISPM Stamped:

Yes

No

Contaminated:

Dirty

Yes

Action Taken
Animal

Plant Product

Ants

Spiders

Sprayed
Other

09 909 8556

Fumigated

Swept
Other
Details "Other" actions below:

Call 0800 809 966 if live animals are found (including snails, ants and flying insects).
Call 0800 222 018 for other container and facility related enquiries.
Fax form to MPI:

Clean

Contaminant Type
Insect

External:

*Date unpacked / Devanned

No

*Wood Packaging:

Clean

No