# 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 CO 2 EMISSIONS AND FUEL CONSUMPTION RELATED PROPERTIES OF A TYRE FAMILY
‘delete as appropriate’
Communication concerning:
granting
extension
refusal
withdrawal
Administration stamp
of a certificate on CO 2 emission and fuel consumption related properties of a tyre family in accordance with Commission Regulation (EU) 2017/2400, as last amended by S.I. …. / ….
Certification number: …
Hash: …
Reason for extension: …
1.
Manufacturer's name and address: …
2.
If applicable, name and address of manufacturer's representative: …
3.
Brand name/trade mark: …
4.
Tyre type description: …
(a)Manufacturer's name …
(b)Brand name or trade mark
(c)Tyre class (in accordance with Regulation (EC) No 661/2009) …
(d)Tyre-size designation …
(e)Tyre structure (diagonal (bias-ply); radial) …
(f)Category of use (normal tyre, snow tyre, special use tyre) …
(g)Speed category (categories) …
(h)Load-capacity index (indices) …
(i)Trade description/commercial name …
(j)Declared tyre rolling resistance coefficient …
5.
Tyre identification code(s) and technology(ies) used to provide identification code(s), if applicable:
Technology:
Code:
…
…
6.
Technical Service and, where appropriate, test laboratory approved for purposes of approval or of verification of conformity tests: …
7.
Declared values:
7.1.declared rolling resistance level of the tyre (in N/kN rounded to the first decimal place, in accordance with ISO 80000-1 Appendix B, section B.3, rule B ( example 1 ))
Cr , … [N/kN]
7.2.tyre test load in accordance with Regulation (EC) No 1222/2009 Annex I part A (85 % of single load, or 85 % of maximum load capacity for single application specified in applicable tyre standards manuals if not marked on tyre.)
F ZTYRE … [N]
7.3.Alignment equation: …
8.
Any remarks: …
9.
Place: …
10.
Date: …
11.
Signature: …
12.
Annexed to this communication are: …

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