Attestation of a Canadian Licensed Cold Store Warehouse for Temporary Storage of Russian Frozen Fish

This form contains fields to record the following information:

• The fish described below were received on [date] and have been stored at or below [temperature] Celcius.
• The product is being stored for [name of owner/responsible party].
• Product Description (include label information and quantity)
• Name of Cold Storage:
• Address:
• Contact:
• Telephone:
• E-mail:
• License #:
• I attest the above information is true. Receipt and Shipping records of frozen fish described in this attestation are available for review on request.
• Signature and Position of Cold Storage Representative
• Date