Appendix 1
United Kingdom
MODEL OF A CERTIFICATE OF A COMPONENT, SEPARATE TECHNICAL UNIT OR SYSTEM
Maximum format: A4 (210 × 297 mm)
CERTIFICATE ON CO2 EMISSIONS AND FUEL CONSUMPTION RELATED PROPERTIES OF AN ENGINE FAMILY
| Communication concerning:
| Administration stamp |
of a certificate on CO2 emission and fuel consumption related properties of an engine family in accordance with Commission Regulation (EU) 2017/2400.
Commission Regulation (EU) 2017/2400 as last amended by ….
Certification number:
Hash:
Reason for extension:
SECTION I
0.1.
Make (trade name of manufacturer):
0.2.
Type:
0.3.
Means of identification of type
0.3.1.
Location of the certification marking:
0.3.2
Method of affixing certification marking:
0.5.
Name and address of manufacturer:
0.6.
Name(s) and address(es) of assembly plant(s):
0.7.
Name and address of the manufacturer's representative (if any)
SECTION II
1.
Additional information (where applicable): see Addendum
2.
Approval authority responsible for carrying out the tests:
3.
Date of test report:
4.
Number of test report:
5.
Remarks (if any): see Addendum
6.
Place:
7.
Date:
8.
Signature:
Attachments:
Information package. Test report.