| Collector | Balslev, H. |
| Number | 10058 |
| Collected with | N. Sutjaritjai, V. Chamchumroon, W. & S. Eiserhardt, P. Sumanon, P. Panyadee, P. Kladwong & B. Pakinamhang |
| Country | Thailand |
| Subpart | Chiang Mai |
| County | |
| Locality | Chiang Dao district. Doi Chiang Dao Wildlife Sanctuary, road to Denyakat Ranger Station. Dipterocarp forest. |
| Coordinates | 19° 20' 42.47'' N 98° 52' 7.68'' E |
| Minimum elevation (m) | 1075 |
| Maximum elevation (m) | 1075 |
| Start date | 2019/12/21 |
| End date | 2019/12/21 |
| Family | Theaceae |
| Identification | Camellia sinensis var. assamica (J.W.Mast.) Kitam. |
| Determined by | |
| Identification qualifier | |
| Field notes | Tree, 10 meter tall. |
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