rtimberusedasashippingaid)Q2aHassolidtimberpackaging/dunnagebeenusedinconsignmentscoveredbythisdocument?A2aYESNO×TREATMENTCERTIFICATION(ONLYIFTIMBER/DUNNAGEISDECLAREDINQUESTION2)Q3Alltimberpackaging/dunnageusedintheconsignmenthasbeen(PleaseIndicatebelow)pliancewithDepartmentofAgricultureandWaterResourcestreatmentrequirements(panyingtreatmentcertificate)OrNottreatedCONTAINERCLEANLINESSSTATEMENT(forFCL/Xconsignmentsonly-statementtoberemovedfromdocumentwhennotrelevant)Thecontainer(s)coveredbythisdocumenthas/havebeencleanedandis/arefreefrommaterialofanimaland/orplantoriginandsoil.Signed:............................................................?Printedname:.............................................. (Companyrepresentative)Dateofissue:.......................................... (DD/MM/YYYY)