# 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 AXLE FAMILY
Delete where not applicable (there are cases where nothing needs to be deleted when more than one entry is applicable)
Communication concerning:
granting
extension
refusal
withdrawal
Administration stamp
of a certificate on CO2 emission and fuel consumption related properties of an axle family in accordance with Commission Regulation (EU) 2017/2400 as it has effect in domestic law, as last amended by S.I. …./…..
...
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, if marked on the axle
0.3.1
Location of the marking:
0.4
Name and address of manufacturer:
0.5
In the case of components and separate technical units, location and method of affixing of the GB certification mark:
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:
1..Information document
2..Test report

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Source: https://www.legislation.gov.uk/eur/2017/2400/annex/VII/appendix/1 (the official version)
Page: https://openlegislation.uk/eu-regulation-2017-2400/annex-VII/appendix-1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.