# Commission Regulation (EU) 2017/2400 of 12 December 2017 implementing Regulation (EC) No 595/2009 of the European Parliament and of the Council as regards the determination of the CO2 emissions and fuel consumption of heavy-duty vehicles and amending Directive 2007/46/EC of the European Parliament and of the Council and Commission Regulation (EU) No 582/2011 (Text with EEA relevance), Appendix 1

Extent: E+W+S+N.I.

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:
granting (1)
extension (1)
refusal (1)
withdrawal (1)
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.

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Source: https://www.legislation.gov.uk/eur/2017/2400/annex/V/appendix/1.1 (the official version)
Page: https://openlegislation.uk/eu-regulation-2017-2400/annex-V/appendix-1.1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.