Appendix to ANNEX III X1 F1

United Kingdom

MODEL DOCUMENT TO ACCOMPANY RAW MATERIAL DESTINED FOR THE PRODUCTION OF GELATINE OR COLLAGEN INTENDED FOR HUMAN CONSUMPTION

Number of the commercial document: …

Identification of raw material

Nature of the raw material: …

Animal species: …

Type of packaging: …

Number of packages: …

Net weight (kg): …

II.

Origin of raw material

Type, name, address and approval/registration/special authorisation number of the establishment of origin:

…

Name and address of the consignor ^f1 : …

III.

Destination of raw material

Type, name, address and approval/registration/special authorisation number of the production establishment of destination:

…

Name and address of the consignee ^f2 : …

IV.

Means of transport: …

Done at …, on …

…

(Signature of the operator of the establishment of origin or its representatives)

Annotations

F1: Substituted by Commission Regulation (EC) No 1243/2007 of 24 October 2007 amending Annex III to Regulation (EC) No 853/2004 of the European Parliament and the Council laying down specific hygiene rules for food of animal origin (Text with EEA relevance).

X1: Substituted by Corrigendum to Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29 April 2004 laying down specific hygiene rules for food of animal origin (Official Journal of the European Union L 139 of 30 April 2004).