Del I: Opplysninger om forsendelsen

Transkript

1 I.1. Avsender Sertifikat til bruk ved handel innenf Fellesskapet I.2. Sertifikatets referansenummer I.2.a. Lokalt referansenummer: I.3. Vedkommende sentrale myndighet Del I: Opplysninger om fsendelsen I.4. Vedkommende lokale myndighet Land I.5. Mottaker I.6. Nr. på tilhørende iginalsertifikat(er) Nr. på følgedokument(er) I.7. Fhandler Land I.8. Opprinnelsesland ISO-kode I.9. Opprinnelsesregion Kode I.10. Mottakerstat ISO-kode I.11. Bestemmelsesregion Kode I.12. Opprinnelsessted/fangststed I.13. Bestemmelsessted Driftsenhet Oppsamlingssentral Lokalene til en fhandler Driftsenhet Oppsamlingssentral Lokalene til en fhandler Godkjent gan Sædstasjon Godkjent akvakulturanlegg Godkjent gan Sædstasjon Godkjent akvakulturanlegg Embryogruppe Virksomhet Annet Embryogruppe Virksomhet Annet I.14. Lastested I.15. Avgangsdato og -klokkeslett I.16. Transptmiddel Fly Skip Jernbanevogn Veitranspt Annet Identifikasjon:: Nummer: I.21 Temperatur i produktene Omgivelses- Kjølt Fryst I.23. Containernummer/plombenummer I.17. Transptør I.20. Antall/mengde I.22. Antall kolli Medlemsstat I.25. Dyr sertifisert til / produkter sertifisert til: Kunstig reproduksjon I.26. Transitt gjennom tredjestat I.27. Transitt gjennom medlemsstater Utførselssted Innførselssted Kode GKS-nr. I.28. Ekspt Tredjestat Utførselssted I.30. Reiseplan Ja Nei ISO-kode Kode I.29. Fventet transpttid I.31. Identifikasjon av dyrene Art Rase [nw] Don identity Innsamlingsdato(er) [nw] Approval number of the centre Mengde nw 1/ 5

2 88/407 (2016/2008) Bovine semen D2 II. Helseinfmasjon II.a. Sertifikatets referansenummer II.b. Lokalt referansenummer: Del II: Attestering II.1. Animal Health Attestation I, the undersigned official veterinarian, hereby certify that: II.1.1. The semen described above was collected befe the date of 31 December 2004 on a semen collection centre which: (a) was approved under conditions laid down in Chapter I of Annex A to Directive 88/407/EEC; (b) was operated and supervised under conditions laid down in Chapter II of Annex A to Directive 88/407/EEC. II.1.2. At the time the semen described above was collected, all bovine animals at the semen collection centre: (a) came from herds and/ were bn to dams which satisfy the conditions of points 1(b) and (c) in Chapter I of Annex B to Directive 88/407/EEC; (b) have, within the 30 days preceding the quarantine isolation period, undergone, with negative results: - the tests referred to in points 1(d)(i), (ii) and (iii) of Chapter I of Annex B to Directive 88/407/EEC, and - a serum neutralization test ELISA test f infectious bovine rhinotracheitis/infectious pustular vulvovaginitis, and - a virus isolation test (fluescent antibody test immunoperoxidase test) f bovine viral diarrhoea, which in the case of an animal less than six months of age has been deferred until that age was reached; (c) have satisfied the quarantine isolation period of 30 days and have been subjected with the required negative results to the following health tests: - a serological test f brucellosis carried out in accdance with the procedure described in Annex C to Directive 64/432/EEC; - either an immunofluescent antibody test a culture test f Campylobacter fetus infection on a sample of preputial material artificial vagina washings,, in the case of a female animal, a vaginal mucus agglutination test; - a microscopic examination and culture test f Trichomonas foetus on a sample of preputial material artificial vagina washings, in case of a female animal a vaginal mucus agglutination test; (d) have undergone, at least once a year, with negative results, the routine tests referred to in points 1(a), (b) and (c) in Chapter II of Annex B to Directive 88/407/EEC. II.1.3. At the time the semen described above was collected, (a) all female bovine animals in the centre have undergone, at least once a year, a vaginal mucus agglutination test f Campylobacter fetus infection with negative results, and (b) all bulls used f semen production have undergone with negative result either an immunofluescent antibody test a culture test f Campylobacter fetus infection on a sample of preputial material artificial vagina washings carried out within 12 months pri to collection. II.1.4. The semen described above was collected from bulls standing in a semen collection centre in which: either [all bovine animals have not been vaccinated against infectious bovine rhinotracheitis and have undergone at least once a year with negative result a serum neutralisation test an ELISA test f infectious bovine rhinotracheitis/infectious pustular vulvovaginitis;] [bovine animals not vaccinated against infectious bovine rhinotracheitis have undergone, at least once a year, with negative result a serum neutralisation test ELISA test f infectious bovine rhinotracheitis/infectious pustular vulvovaginitis, and testing f infectious bovine rhinotracheitis is not carried out on bulls which have received a first vaccination against infectious bovine rhinotracheitis at the insemination centre after they have been tested with negative result in a serum neutralisation test ELISA test f infectious bovine rhinotracheitis/infectious pustular vulvovaginitis and which since the first vaccination have been regularly revaccinated with an interval of not me than six months;]. II.1.5. II The semen described above was collected from bulls which: either [have not been vaccinated against foot-and-mouth disease within 12 months pri to collection;] [have been vaccinated against foot-and-mouth disease less than 12 months and me than 30 days pri to collection, and 5% of doses of the semen from each collection, with a minimum of five straws, have been submitted to a virus isolation test f foot-and-mouth disease, carried out with negative results in the labaty ( )(2), situated in designated by the Member State of destination;] Notes Part I: II either [have not been vaccinated against infectious bovine rhinotracheitis,] [have been vaccinated against infectious bovine rhinotracheitis in accdance with point II.1.4,]. II.1.6. The semen described above was sted in approved conditions f a minimum period of 30 days immediately following collection(3).] II.1.7. The semen described above was sent to the place of loading in a sealed container and bearing the number detailed in Box I.23. Bluetongue exemption from exit ban: Semen in compliance with Article 8(a) 8(b) of Regulation (EC) No 1266/2007 Semen obtained from don animals which comply with (point (a), (b), (c), (d) (e), indicate as appropriate) of Annex III.B to Regulation (EC) No 1266/2007 II.2 (Semen, ova and/ embryos, indicate as appropriate) in compliance with (Article 7 7(2), indicate as appropriate) of Commission Implementing Decision (EU) 2016/2008 concerning animal health control measures relating to lumpy skin disease in certain Member States. Box I.12.: Box I.13.: Box I.23.: Box I.31.: Part II: place of igin shall crespond to the semen collection centre (as defined in Article 2(b) first indent of Directive 88/407/EEC) where the semen was collected. place of destination shall crespond to the semen collection stage centre (as defined in Article 2(b) of Directive 88/407/EEC), to the holding of semen destination. identification of container and seal number shall be indicated. don identity shall crespond to the official identification of the animal. date of collection shall be indicated in the following fmat: dd/mm/yyyy and shall be earlier than 31 December approval number of the centre shall crespond to the approval number of the semen centre indicated in Box I.12. where the semen was collected. (2) (3) Delete as appropriate. Name of the labaty. May be deleted f fresh semen. The colour of the stamp and signature must be different from that of the other particulars in the certificate. nw 2/ 5

3 88/407 (2016/2008) Bovine semen D2 II. Helseinfmasjon II.a. Sertifikatets referansenummer II.b. Lokalt referansenummer: Del II: Attestering Offentlig veterinær eller offentlig inspektør (med blokkbokstaver): Lokal veterinærenhet: Stempel Stilling og tittel: Den lokale veterinærenhetens nr.: Underskrift: nw 3/ 5

4 III.1. Kontrolldato Sertifikat til bruk ved handel innenf Fellesskapet III.2. Sertifikatets referansenummer: III.3. Dokumentkontroll:: Nei Ja EU-standard Tilleggsgarantier Nasjonale krav III.4. Identitetskontroll: Nei Ja III.5. Fysisk kontroll:: Nei Antall kontrollerte dyr III.6. Labatieundersøkelser:: Nei Ja Del III: Kontroll III.7. Dyrevelferdskontroll Nei Ja III.8. Brudd på dyrevelferdsbestemmelser: III.8.1. Ugyldig transpttillatelse III.8.2. Transptmidlet oppfyller ikke kravene III.8.3. F høy lastetetthet Gjennomsnittsplass III.8.4. Transpttid ikke overholdt III.8.5. Utilstrekkelig vanning og fôring III.8.6. Ufsvarlig behandling av dyrene [nw] III.8.7.Supplementary measures f the journeys of long duration III.8.8.Certificate of proficiency of the driver [nw] III.8.9.Data registered in the log book III Annet III.10. Konsekvenser av transpten på dyr(ene) Antall døde dyr:: Anslag: Antall uegnede dyr: Anslag: Antall dyr som har født eller abtert: III.11. Krigerende tiltak Prøvd f:: Stikkprøve Mistanke Resultater:: Feligger ennå ikke III.9. Brudd på helsebestemmelser III.9.1. Manglende/ugyldig sertifikat III.9.2. Ikke samsvar med dokumentene III.9.3. Ikke-godkjent land III.9.4. Ikke-godkjent region/sone III.9.5. Fbudt art III.9.6. Manglende tilleggsgarantier III.9.7. Ikke-godkjent driftsenhet III.9.8. Syke dyr eller mistanke om sykdom III.9.9. labatiefunn III Manglende eller ureglementert identifikasjon III Nasjonale krav ikke oppfylt III Feilaktig adresse på bestemmelsesstedet III Annet III.12. Oppfølging av karantene III Utsatt avgang III Overføring III Karantene III Slakting/avliving III Destruering av skrotter/produkter III Tilbakesending III Bearbeiding av produkter III Bruk av produkter til andre fmål Identifikasjon: III Slakting/avliving III Frigivelse III.13. Kontrollsted Virksomhet Driftsenhet Oppsamlingssentral Lokalene til en fhandler Godkjent gan Sædstasjon Havn Lufthavn Utførselssted Under transpt Annet III.14. Offentlig veterinær eller offentlig inspektør Lokal veterinærenhet (med blokkbokstaver): Stilling og tittel Den lokale veterinærenhetens nr. Underskrift: nw 4/ 5

5 [nw] PLANNING [nw] 1.1. ORGANISER name and address (a) (b) [nw] 1.2. Name of the person in charge of the journey [nw] 1.3. Telephone / Fax [nw] 2. TOTAL EXPECTED DURATION (hours / days) [nw] 3.1. Place and country of DEPARTURE [nw] 4.1. Place and country of DESTINATION [nw] 3.2. Date [nw] 3.3. Time [nw] 4.2. Date [nw] 4.3. Time [nw] 5.1. Species [nw] 5.2. Number of animals [nw] 5.3. Veterinary certificate(s) number(s) [nw] 5.4. Estimated total weight of the consignment (in kg) [nw] 5.5. Total space feseen f the consignment (in m²) [nw] 6. LIST OF FORESEEN RESTING, TRANSFER OR EXIT POINTS [nw] 6.1. Name of the places where animals are to be rested, transferred (including exit points) [nw] Date [nw] 6.2. Arrival [nw] Time [nw] 6.3. Length (in hours) [nw] 6.4. Transpter name and authisation N (if different from the ganiser) [nw] 6.5 identification [nw] 7. I, the ganiser, hereby declare that I am responsible f the ganisation of the above-mentioned journey and I have made suitable arrangements to safeguard the welfare of the animals throughout the journey in accdance with the provisions of Council Regulation 1/2005 [nw] 8. Signature of the ganiser [nw] (a) Organiser: see definition laid down in Article 2(q) of Council Regulation 1/2005 [nw] (b) If the ganiser is a transpter the authisation number shall be specified nw 5/ 5