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Appendix VI On-board sewage treatment plants - Supplementary provisions and certificate models
PART III Type approval certificate (MODEL)
Section II
5.The undersigned hereby certifies the accuracy of the manufacturer information in the annexed information document for the above mentioned on-board sewage treatment plant in accordance with Annex VII of Directive 2006/87/EC and the validity of the annexed test results in relation to the on-board sewage treatment plant type. The sample(s) has (have) been selected by the manufacturer with the agreement of the competent authority and submitted by the manufacturer as the design type of the on-board sewage treatment plant:
The type approval is issued/extended/refused/withdrawn():
Place: …
Date: …
Signature: …
Appendices:
Information folder
Test results (see Annex 1)”