EPA Form 3540-1 Pesticides Notice of Arrival

U.S. Customs and Border Protection (CBP) Regulations. 19 CFR 12.112(a) requires an importer or the importer's agent desiring to import pesticides or devices into the United States to submit, prior to arrival of the shipment in the United States, a Notice of Arrival of Pesticides and Devices on U.S. Environmental Protection Agency (EPA) Form 3540-1. In the alternative, the importer or the importer's agent may file an electronic alternative to the Notice of Arrival, with the filing of the entry documentation, via any CBP-authorized electronic interchange system.

Digital First

Verifiable

Standards Compliant

Analog Twin

Flexible Issuance

Workflows

EPA Form 3540-1 Pesticides Notice of Arrival

Issuer Organization

Issuer's Identifier

Name

Super Customs Brokerage Company

Street

123 Example

Locality

New York

State

NY

Postal Code

10012

Country

US

Claims

EPA Registration Number

69340-8

EPA Producer Establishment Number

001234CHC002

Brand Name of Pesticide Product or Pesticide Device

Off Mosquito Repellent

Active Ingredients and Percentage of Each

Deet - 15.3757%

Country of Origin

CN

Country of Packaging and Labeling

CN

Entry Number

SP3-34563756

Anticipated Entry Date

2017-11-04

Confidential Business Information Assertion

N/A

Remarks

N/A

Label

image

Customs Broker

Identifier

Organization Name

Super Customs Brokerage Company

Street

123 Example

Locality

New York

State

NY

Postal Code

10012

Country

US

Contact Point Name

John Smith

Email Address

Importer

Identifier

Organization Name

BUG SPRAY IMPORT COMPANY

Street

123 Example

Locality

Boston

State

MA

Postal Code

02105

Country

US

Contact Point Name

Jane Smith

Email Address

Shipper

Identifier

Organization Name

Superior Shipping Company

Street

123 Example

Locality

Boston

Postal Code

Country

PH

Contact Point Name

John Reyes

Email Address

Unit Size

Net Weight Value

10

Net Weight Unit

Oz

Quantity

Net Weight Value

1000

Net Weight Unit

Bottles

Total Net Weight

Net Weight Value

284.53

Net Weight Unit

kg

Port Of Entry

Un Locode

USEWR

Carrier

Street

123 Example

Locality

New York

State

NY

Postal Code

10012

Country

US

Email Address

Contact Point Name

John Reyes

Carrier Name

Maritime Industrial Shippers

Location of Goods for Examination after Importation

Location Name

Famous Storage and Warehouse

Street

123 Example

Locality

Newark

State

NJ

Postal Code

07310

Country

US

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