Del I: Opplysninger om forsendelsen

Transkript

1 I.1. Avsender Sertifikat til bruk ved handel innenfor Fellesskapet I.2. Sertifikatets referansenummer I.2.a. Lokalt referansenummer: I.3. Vedkommende sentrale myndighet Del I: Opplysninger om forsendelsen I.4. Vedkommende lokale myndighet Land I.5. Mottaker I.6. Nr. på tilhørende originalsertifikat(er) Nr. på følgedokument(er) I.7. Forhandler Land I.8. Opprinnelsesland I.9. Opprinnelsesregion Kode I.10. Mottakerstat I.11. Bestemmelsesregion Kode I.12. Opprinnelsessted/fangststed I.13. Bestemmelsessted Driftsenhet Oppsamlingssentral Lokalene til en forhandler Driftsenhet Oppsamlingssentral Lokalene til en forhandler Godkjent organ Sædstasjon Godkjent akvakulturanlegg Godkjent organ Sædstasjon Godkjent akvakulturanlegg Embryogruppe Virksomhet Annet Embryogruppe Virksomhet Annet I.14. Lastested I.15. Avgangsdato og -klokkeslett I.16. Transportmiddel Fly Skip Jernbanevogn Veitransport Annet Identifikasjon:: Nummer: I.21 Temperatur i produktene Omgivelses- Kjølt Fryst I.23. Containernummer/plombenummer I.17. Transportør I.20. Antall/mengde I.22. Antall kolli I.25. Dyr sertifisert til / produkter sertifisert til: Kunstig reproduksjon I.26. Transitt gjennom tredjestat I.27. Transitt gjennom medlemsstater Utførselssted Kode Innførselssted GKS-nr. I.28. Eksport I.29. Forventet transporttid Utførselssted Kode I.30. Reiseplan Ja Nei I.31. Identifikasjon av dyrene Art Kategori [nw] Donor identity Innsamlingsdato(er) Mengde Type kolli nw 1/ 5

2 [nw] 2010/470 (2015/261) Equine ova and embryos Part A II. Helseinformasjon II.a. Sertifikatets referansenummer II.b. Lokalt referansenummer: Del II: Attestering I, the undersigned official veterinarian, hereby certify that: (1)either [II.1. the in vivo derived embryos/in vivo derived ova(1) described above were collected, processed and stored by an embryo collection team(2) approved and supervised in accordance with Chapter I(III)(1) of Annex D to Directive 92/65/EEC(3);] [II.1. the in vitro produced embryos/micromanipulated embryos(1) described above were produced, processed and stored by an embryo production team(2), approved and supervised in accordance with Chapter I(III) (1) and (2) of Annex D to Directive 92/65/EEC;] (1)either [II.2. the in vivo derived embryos described above meet the requirements of Chapter III(II)(1) of Annex D to Directive 92/65/EEC;] [II.2. the in vivo derived ova described above meet the requirements of Chapter III(II)(2) of Annex D to Directive 92/65/EEC;] [II.2. the in vitro produced embryos described above meet the requirements of Chapter III(II)(3) of Annex D to Directive 92/65/EEC;] [II.2. the micromanipulated embryos described above meet the requirements of Chapter III(II)(4) of Annex D to Directive 92/65/EEC;] II.3. the ova or embryos described above come from donor mares which: II.3.1. come from holdings fulfilling the conditions laid down in Article 4(5) of Directive 2009/156/EC(4) onto which only equidae satisfying the conditions laid down in Articles 4 and 5 or Articles 12 to 16 of Directive 2009/156/EC were admitted; II.3.2. meet the requirements of Chapter IV(4) of Annex D to Directive 92/65/EEC; II.3.3. were not used for natural breeding during a period of at least 30 days prior to the date of collection of the ova or embryos and between the date of the first sample referred to in points II and II and the date of the collection of the ova or embryos; II.3.4. underwent the tests, which meet at least the requirements of the relevant Chapter of the Manual of Diagnostic Tests and Vaccines for Terrestrial Animals of the OIE, carried out in a laboratory which is recognised by the competent authority and has the tests referred to hereinafter included in its accreditation in accordance with Article 12 of Regulation (EC) No 882/2004(5), as follows: II II (1)either (1)and/or (1)either II.5. for equine infectious anaemia (EIA), an agar-gel immuno-diffusion test (AGID or Coggins test) or an enzyme-linked immunosorbent assay (ELISA) with a negative result carried out on a blood samples taken on (6), being not less than 14 days following the date of commencement of the period referred to in point II.3.3, and the test was last carried out on a sample of blood taken on (6); being not more than 90 days prior to the date of the collection of the ova or embryos intended for trade; for contagious equine metritis (CEM), an agent identification test carried out with a negative result on at least two specimens (swabs) taken during the period referred to in point II.3.3 from at least the mucosal surfaces of the clitoral fossa and the clitoral sinuses of the donor mare; [II on two occasions with an interval of not less than 7 days on (6) and on (6), in the case of isolation of Taylorella equigenitalis after cultivation under microaerophilic conditions for a period of at least 7 days, set up within 24 hours after taking the specimens from the donor animal, or 48 hours where the specimens are kept cool during transport;] [II on one occasion on (6), in the case of the detection of genome of Taylorella equigenitalis by a polymerase chain reaction (PCR) or real-time PCR test, carried out within 48 hours after taking the specimens from the donor animal.] The samples referred to in points II and II were in no case taken earlier than 7 days (systemic treatment) or 21 days (local treatment) after antimicrobial treatment of the donor stallion and were placed in transport medium with activated charcoal, such as Amies medium, before dispatch to the laboratory; [II.4. the embryos described above were conceived as a result of artificial insemination of the donor mares with semen which was collected, processed, stored and transported under conditions which comply with the requirements of Chapters I(I), II(I) and III(I) of Annex D to Directive 92/65/EEC;] [II.4. the embryos described above were conceived as a result of in vitro fertilisation of ova complying with the conditions set out in point 2 of Chapter III(II) of Annex D to Directive 92/65/EEC with semen which was collected, processed, stored and transported under conditions which comply with the requirements of Chapters I(I), II(I) and III(I) of Annex D to Directive 92/65/EEC;] [II.4. the ova have not been in contact with semen of the equine species;] the ova or embryos described above were sent to the place of loading in a sealed container in accordance with point 6 of Chapter III(II) of Annex D to Directive 92/65/EEC and bearing the number detailed in Box I.23. Notes Part I: Box I.12.: Box I.13.: Box I.23.: Box I.31.: Part II: (1) (2) (3) (4) (5) (6) The place of origin shall correspond to the embryo collection team or embryo production team of ova/embryos collection/production. The place of destination shall correspond to the embryo collection team, embryo production team or to the holding of ova/embryos destination. The identification of container and seal number shall be indicated. the category: specify if: in vivo derived embryos, in vivo derived ova, in vitro produced embryos or micromanipulated embryos. The donor identity shall correspond to the official identification of the animal. The date of collection shall be indicated in the following format: dd/mm/yyyy. Delete as appropriate. Only approved embryo collection or production teams listed in accordance with Article 11(4) of Directive 92/65/EEC on the Commission website: OJ L 268, , p. 54. OJ L 192, , p. 1. OJ L 165, , p. 1. Insert date. The colour of the stamp and signature must be different from that of the other particulars in the certificate. nw 2/ 5

3 [nw] 2010/470 (2015/261) Equine ova and embryos Part A II. Helseinformasjon 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 innenfor 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. Laboratorieundersøkelser:: Nei Ja Del III: Kontroll III.7. Dyrevelferdskontroll Nei Ja III.8. Brudd på dyrevelferdsbestemmelser: III.8.1. Ugyldig transporttillatelse III.8.2. Transportmidlet oppfyller ikke kravene III.8.3. For høy lastetetthet Gjennomsnittsplass III.8.4. Transporttid ikke overholdt III.8.5. Utilstrekkelig vanning og fôring III.8.6. Uforsvarlig behandling av dyrene [nw] III.8.7.Supplementary measures for 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 transporten på dyr(ene) Antall døde dyr:: Anslag: Antall uegnede dyr: Anslag: Antall dyr som har født eller abortert: III.11. Korrigerende tiltak Prøvd for:: Stikkprøve Mistanke Resultater:: Foreligger 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. Forbudt art III.9.6. Manglende tilleggsgarantier III.9.7. Ikke-godkjent driftsenhet III.9.8. Syke dyr eller mistanke om sykdom III.9.9. laboratoriefunn 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 formål Identifikasjon: III Slakting/avliving III Frigivelse III.13. Kontrollsted Virksomhet Driftsenhet Oppsamlingssentral Lokalene til en forhandler Godkjent organ Sædstasjon Havn Lufthavn Utførselssted Under transport 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 foreseen for 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, or transferred (including exit points) [nw] Date [nw] 6.2. Arrival [nw] Time [nw] 6.3. Length (in hours) [nw] 6.4. Transporter name and authorisation N (if different from the organiser) [nw] 6.5 identification [nw] 7. I, the organiser, hereby declare that I am responsible for the organisation of the above-mentioned journey and I have made suitable arrangements to safeguard the welfare of the animals throughout the journey in accordance with the provisions of Council Regulation 1/2005 [nw] 8. Signature of the organiser [nw] (a) Organiser: see definition laid down in Article 2(q) of Council Regulation 1/2005 [nw] (b) If the organiser is a transporter the authorisation number shall be specified nw 5/ 5