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E-mail:[email protected].
eyn.M.fpyrueBcbKoro,
7, u. Kui'n,01601,rer. (044)200-0'l-92,
gov.ua,KoAeAPflOy 00012925
web:http://www.dsesu.
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T EP}ITABHA CAHI TAPH O-ENINEMI OTOru qHA CXY}ITEA YRPAIHA
STATESANITARYEPIDEMIOLOGICALSERVICEOF UKRAINE
CeprnQirar 3aopon'r Ha irunoproaaHy.qo€nponeficuroro CnisrosapncrBa
conqurHr.rnonyonirc, uo nupo6nnerucq a6o eignpaa.uaerr,cair Yrpailru
Health Certificate for the importation into the European Community of sunflower
oil originating in or consignedfrom Ukraine
Koa roeapy
ConsignmentCode
Cep'ruQirar J\b
CertificateNumber
l. Onuc roBapy
Descriptionof the consignment
Ha:aa ra xaparrep npolyrcqil:
Nameandnatureof theproduct:
Kinrxicru(y ni,nnoniaunx
o.ur,rHuurx)
:
units):
Quantity(in appropriate
Koa naprii Ta Aarar{oryBaHHr:
Batch identifier or date codins:
Bupo6neno
r
Producedin
(Ha:nara, nprzneo6xianocri.rr,ricuesHaxoAxeHrur
rr.rpo6uraurna)
(ldentityand,asappropriate.
the locationofthe productionestablishment)
2. Onlrc orpnMyBaqa BaHTar(y
Description of the consignee
Ha:sara KoHraKrHaiHtpopuauirivnop'repaa6o orpuuynaqaBaHTaxy:
Name and contact details of the importer or consignee:
3. Onuc nocraqaJrbHr{KaBaHTarcy
Description of the consignor
Ha-:ea ra KoHTaKTHaiu$opuauir
eKcnoprepa a6o nocraqa,qrHl4Ka BaHTaxy:
Name and contact details ofthe exporter or consignor:
4. Yruosu rpaucnopryBaHHs
Means of transportation
Kpaiua eignpaaur.rx
Country ofdispatch:
KpaiHanpu3HaqeHHr:
Country ofdestination
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KoHrpoflb3a reMneparypHr4M
pexr.rMoM:
@eguirernents,includingappropriatetemperaturecontrols:
3.
A.
CepruQirauir
Certification
rlAnlrcaBc.f,, racni4vylo, uo Buxre3a3HaqeHanaprir roBapy 6y;ra nporecroBaHa n la6oparopii
y eiAnoeilHoc'r'i3 noJIoxeHHtMI4,
BI4KJrareHr4Mra
y Perranenri Kouicii eC Is I l5ll200g. 11toBl43Haqa€
cllel.llzlrlbHlyMoBH perynonauua iunopry coHflIuHttKoBoioirii, uro eupo6lretcr
a6o nilnpaalrer],cr 3 Vr<paiHlr ysacriaox
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3apiDI(eHHtIuiHepa,ruulauMacJ'toM
ra uo, niar'rinre PiureHnqKorr,ricii200814331EK.Pely.nl'rarn nunpo$yeaHr csiA.{arl uo,
rilrricrs iuiuepalrHnx MaceJIHe flepeBl,Iuy€50 rur/c, a rarox rroKa3yrcTbSanruuuy r<i,rrnicrr nolriruor lriHepa.nlHux ilrace:r.
Pe:y,rrraru, rpzrepii et[errraaHocrira eirnoeiAHixpoMarorpaMr.r
rauux recris aoAarorbcrro aaHoroceprraQirirry.
I, the undersigned, declare that the above mentioned shipment has been tested in laboratory
in
accordancewith the provision laid down in CommissionRegulation(EC) No l15ll200g imposing spe.lat
go\,.*ing tne
import of sunflower oil originating in or consignedfrom Ukraine due to contaminationrisks by mineral oil"onaitiot's
and repeaiingDecision
20081433lEC.The test results show no presenceof mineral paraffin exceeding 50 mg/kg and are accompanied by the identified
fraction ofparaffin hydrocarbons.The results, the performance criteria and the relevant chromatogramsolthese tejts arejoined to
the current certifi cate.
HI4XIIC
3AificHeHos
Done at
Bia
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ilpe4claBHuKa
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Stamp and signatureof authorized representativeo1'State
SanitaryEpidemiologicalServiceof Ukraine
TepnropianuHufi
opraH[epxcaueniAcnyx6ra
Yrpainr,r
Institutionof StateSanitaryEpidemiological
Serviceof
Ukraine
[Iianrac
Sisnature
llocaAa
Post
llpisnraue ra iniuia,ru
Initials and sumame
rI.M.rIepHeHro
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