Box | Description |
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Part I – SupplierThis part of the document shall be filled by the food business operator dispatching a batch of live bivalve molluscs. |
I.1 | IMSOC reference numberThis is the unique alpha-numeric code assigned by the IMSOC |
I.2 | Internal reference numberThis box may be used by the dispatching food business operator to indicate an internal reference number. |
I.3 | SupplierIndicate the name and address (street, city and region/province/state, as appropriate), country and ISO country code of the establishment of origin. In the case of production areas, please indicate the area as authorised by the competent authorities (CAs). In the case of live pectinidae, marine gastropods or holothuroidea, indicate the location of the harvesting area.Where applicable, indicate the registration or approval number of the establishment. Indicate the activity (gatherer, purification centre, dispatch centre, auction hall or intermediary activities).Where the batch of live bivalve molluscs is sent from a purification centre/dispatch centre, or, in case of pectinidae, marine gastropods and Holothuroidea which are not filter feeders harvested outside classified production areas, from a fish auction, indicate the approval number and the address of the purification centre/dispatch centre or fish auction. |
I.4 | Receiving food business operatorIndicate the name and address (street, city and region/province/state, as appropriate), country and ISO country code of the establishment of destination. In the case of production or relaying areas please indicate the area as authorised by the CAs.Where applicable, indicate the registration or approval number of the establishment Indicate the activity (gatherer, purification centre, dispatch centre, processing establishment or intermediary activities). |
I.5 | Description of goodsIndicate as required, the Combined Nomenclature code or FAO 3-Alpha code, species, quantity, type of packaging (bags, bulk, etc.), batch, date of harvesting, date of starting and end of conditioning (when applicable), place of conditioning (indicate the classification of the production area and its location or the approval number of the establishment, when applicable), date of starting and end of re-immersion (when applicable), place of re-immersion (indicate the classification of the production area and its location or the approval number of the establishment when applicable), date of starting and end of grouping (when applicable), production area and its health status (classification of the production area when applicable). When LBMs have been harvested in accordance with Article 62(2) of the Implementing Regulation 2019/627 then this should be explicitly stated.When grouping of live bivalve molluscs is performed, the batch must refer to bivalves of the same species, harvested on the same day and coming from the same production area.Delete as appropriate |
I.6 | From relaying areaWhere the batch of live bivalve molluscs is sent from a relaying area, indicate the relaying area, as authorised by the CAs, and the duration of the relaying (date of starting and end). |
I.7 | From purification centre/dispatch centre or fish auctionWhere the batch of live bivalve molluscs is sent from a purification centre/dispatch centre, or, in case of pectinidae, marine gastropods and holothuroidea which are not filter feeders harvested outside classified production areas, from an auction hall, indicate the approval number and the address of the purification centre/dispatch centre or auction hall.If sent from a purification centre the duration of the purification and the dates on which the batch entered and left the purification centre. Delete as appropriate |
I.8 | From intermediary operatorIndicate the name and address (street, city and region/province/state, as appropriate), country and ISO country code of the intermediary operator.Where applicable, indicate the registration or approval number and the activity. |
1.9 | Declaration of the supplierInclude the date, name of the signatory and the signature. |
Part II – Receiving food business operatorThis part of the document shall be filled by the food business operator receiving a batch of live bivalve molluscs. |
II.1 | Internal reference number (receiving)This box may be used by the food business operator receiving the batch to indicate an internal reference number. |
II.2 | Declaration of the receiving food business operatorIndicate the date of arrival of the batch of live bivalve molluscs at the premises of the receiving food business operator. In the case of an intermediary operator without premises indicate the date of purchase of the batch.Include the name of the signatory and the signature. |