Seal of the competent authority
List No: …
For the period from: … to: …
The following information is supplied relating to on-board sewage treatment plant types and type approval numbers of on-board sewage treatment plants manufactured within the above period in accordance with the provisions of Directive 2006/87/EC:
Make (manufacturer’s company name): …
Manufacturer’s designation for the on-board sewage treatment plant type: …
…
Type approval number: …
Date of issue: …
Date of first issue (in the case of extensions): …
Serial number of the on-board sewage treatment plant:
| … 001 | … 001 | … 001 |
| … 002 | … 002 | … 002 |
| . | . | . |
| . | . | . |
| . | . | . |
| … m | … p | … q” |