ANNEX IADMINISTRATIVE DOCUMENTS FOR EC TYPE-APPROVAL OF VEHICLES WITH REGARD TO THEIR SPRAY SUPPRESSION SYSTEMS

PART 2

MODEL

(maximum format: A4 (210 × 297 mm))

EC TYPE-APPROVAL CERTIFICATE

Stamp of approval authority

Communication concerning:

  • EC type-approval7

  • extension of EC type-approval7

  • refusal of EC type-approval7

  • withdrawal of EC type-approval7

of a type of vehicle with regard to its spray suppression systems

with regard to Regulation (EU) No …/… as last amended by Regulation (EU) No …/…7

EC type-approval number:

Reason for extension:

Delete where not applicable.

SECTION I

0.1.

Make (trade name of manufacturer):

0.2.

Type:

0.2.1.

Commercial name(s) (if available):

0.3.

Means of identification of type, if marked on the vehicle8:

0.3.1.

Location of that marking:

0.4.

Category of vehicle9:

0.5.

Name and address of manufacturer:

0.8.

Name(s) and address(es) of assembly plant(s):

0.9.

Name and address of the manufacturer’s representative (if any):

SECTION II

1.

Additional information: see Addendum.

2.

Technical service 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:

9.

The index to the information package lodged with the approval authority, which may be obtained on request, is attached.