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2° edizione - Portale Sanità Abruzzo - Regione Abruzzo

2° edizione - Portale Sanità Abruzzo - Regione Abruzzo

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Prot. N. _____ / C<br />

345<br />

ALLEGATO A 13<br />

<strong>Regione</strong> <strong>Abruzzo</strong><br />

P.Iva_______________________-<br />

Dipartimento di Prevenzione – Servizi Veterinari<br />

“Igiene degli Allevamenti e delle Produzioni Zootecniche”<br />

@ asl____________________email.it<br />

ISPEZIONE SANITARIA VEICOLO TRASPORTO EQUIDI REGISTRATI PER TRASPORTO<br />

CONTO PROPRIO E SENZA FINALITA’ COMMERCIALI<br />

Data _________________________ Ore __________ Comune ________________________<br />

SOPRALLUOGO PRESSO: _____________________________________________________<br />

___________________________________________________________________________<br />

LEGALE RAPPRESENTANTE: __________________________________________________<br />

Nato a _____________________________________ il _______________________________<br />

Residente a _________________________________________________________________<br />

PRESENTI AL SOPRALLUOGO: _________________________________________________<br />

___________________________________________________________________________<br />

IN QUALITA’ DI: ____________________________________________________________<br />

AUTOMEZZO TIPO _______________ MARCA _______________TARGA________________<br />

AUTOMEZZO TIPO _______________ MARCA _______________TARGA________________<br />

AUTOMEZZO TIPO _______________ MARCA _______________TARGA________________<br />

Il/I veicolo/i<br />

ispezionato/i risulta/no :<br />

I/EMROFNOC ڤ<br />

I/EMROFNOC NON ڤ<br />

Alla normativa vigente in materia di protezione degli animali durante il trasporto - Regolamento (CE) 1/2005.<br />

Note \ Descrizione anomalie rilevate \ Provvedimenti assunti __________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________________________________________________________<br />

___________________________________________<br />

L‟INTERESSATO IL VETERINARIO DIRIGENTE

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