orqa tomoni
Veterinariya-sanitariya ekspertiza natijasi
|
Bakteriologik tekshirish natijalari va trixinelloskopiya (tahlil natijasini raqami va sanasi)
|
ko‘rikdan o‘tkazilgan go‘sht va go‘sht mahsulotlaridan
|
Ko‘rikdan va ekspertizadan o‘tkazgan veterinariya vrachining imzosi
|
Aniqlangan kasallik nomi
|
Hodisa soni
|
yuborildi (kg)
|
Cheklovsiz chiqarildi (kg)
|
texnik qayta ishlovga va yo‘qotishga
|
Zararsizlantirishga va qayta ishlashga
| | | | | | | | | | | | | | | | | | | | | |
4-ilova Razmer A4
RESPUBLIKA UZBEKISTAN GOSUDARSTVENNIY VETERINARNIY NADZOR
|
Forma № 2
Vidayetsya veterinarnimi vrachami gosvetuchrejdeniy na produkti i prodovolstvennoye sirye jivotnogo proisxojdeniya
|
______________________
|
(subyekt
|
_________________________
|
Respubliki Uzbekistan)
|
______________________
|
(rayon, (gorod))
|
______________________
|
(naimenovaniye vetuchrejdeniya)
|
VETERINARNOYE SVIDETELSTVO №________
|
ot “__” ___________ 200 ___ g.
|
Ya, nijepodpisavshiysya veterinarniy vrach, vidal nastoyaщeye veterinarnoye svidetelstvo __________________________________________________________________________
|
(komu— naimenovaniye yuridicheskogo litsa ili F.I.O. fizicheskogo litsa)
|
___________________________________________________________________
|
v tom, chto ___________________________________________________________________
|
(naimenovaniye produksii)
|
v kolichestve ______________
|
_____________________
|
_____________________
|
(mest, shtuk, kg)
|
(upakovka)
|
(markirovka)
|
virabotannaya________________________________________________________________
|
(naimenovaniye predpriyatiya, F.I.O. vladelsa, adres) (data virabotki)
|
priznana godnoy dlya: __________________________________________________________
|
(realizatsiya bez ogranicheniy, s ogranicheniyem— ukazat prichini
|
___________________________________________________________________________
|
ili pererabotki soglasno pravilam vetsanekspertizi)
|
i napravlyayetsya ___________________________________________________________________________
|
(vid transporta, marshrut sledovaniya, usloviya perevozki)
|
v __________________________ po ____________________________________________
|
(naimenovaniye i adres poluchatelya) (naimenovaniye, № i data vidachi tovarno-transportnogo dokumenta)
|
Produksiya podvergnuta dopolnitelnim laboratornim issledovaniyam
|
________________________________________________________________
|
(naimenovaniye
|
___________________________________________________________________________
|
laboratorii, № ekspertizi i rezultati issledovaniya)
|
OSOBIE OTMETKI
|
___________________________________________________________________________
|
(ukazivayutsya epizootologicheskoye blagopoluchiye mestnosti, data i nomera razresheniy
|
___________________________________________________________________________
|
vishestoyaщego gosvetinspektora na vivoz produksii za predeli territorii, perechislyayutsya
|
№№kleym i dr.)
|
Transportnoye sredstvo ochiщeno i prodezinfitsirovano. Svidetelstvo pred’yavlyayetsya dlya kontrolya pri pogruzke, v puti sledovaniya i peredayetsya gruzopoluchatelyu. Otmetki organov gosvetnadzora ob osmotre pri pogruzke, vigruzke i v puti sledovaniya delayutsya na oborote. Kopii svidetelstva nedeystvitelni. Pri ustanovlenii narusheniy poryadka zapolneniya blanka svidetelstvo peredayetsya glavnomu gosvetinspektoru subyekta Respubliki Uzbekistan po mestu vidachi s ukazaniyem viyavlennix narusheniy.
|
___________________________________
| |
(familiya, imya, otchestvo vetvracha)
|
___________________________________
| |
(doljnost)
|
___________________________________
| |
(podpis)
|
RESPUBLIKA UZBEKISTAN GOSUDARSTVENNIY VETERINARNIY NADZOR
|
Forma № 2
Vidayetsya veterinarnimi vrachami gosvetuchrejdeniy na produkti i prodovolstvennoye sirye jivotnogo proisxojdeniya
|
___________________________________
|
(subyekt Respubliki Uzbekistan)
|
___________________________________
|
(rayon, (gorod))
|
___________________________________
|
(naimenovaniye vetuchrejdeniya)
|
KOREShOK VETERINARNOGO SVIDETELSTVA №___________
|
ot “__” ____________200 ___ g.
|
Ya, nijepodpisavshiysya veterinarniy vrach, vidal nastoyaщeye veterinarnoye svidetelstvo
|
___________________________________________________________________________
|
(komu— naimenovaniye yuridicheskogo litsa ili F.I.O. fizicheskogo litsa)
|
___________________________________________________________________________
|
___________________________________________________________________________
|
v tom, chto __________________________________________________________________
|
(naimenovaniye produksii)
|
v kolichestve _____________________ ___________________ ____________________
|
(mest, shtuk, kg)
|
(upakovka)
|
(markirovka)
|
virabotannaya ___________________________________________________________________________
|
(naimenovaniye predpriyatiya, F.I.O. vladelsa, adres)
|
___________________________________________________________________________
|
(data virabotki)
|
priznana godnoy dlya: ________________________________________________________
|
(realizatsiya bez ogranicheniy, s ogranicheniyem— ukazat prichini
|
___________________________________________________________________________
|
ili pererabotki soglasno pravilam vetsanekspertizi)
|
i napravlyayetsya
|
___________________________________________________________________________
|
(vid transporta, marshrut sledovaniya, usloviya perevozki)
|
v __________________________ po _________________________________
|
(naimenovaniye i adres poluchatelya) (naimenovaniye, № i data vidachi tovarno-transportnogo dokumenta
|
Produksiya podvergnuta dopolnitelnim laboratornim issledovaniyam
|
___________________________________________________________________________
|
(naimenovaniye laboratorii, № ekspertizi i rezultati issledovaniya)
|
OSOBIE OTMETKI
|
____________________________________________________ data i nomera razresheniy
|
(ukazivayutsya epizootologicheskoye blagopoluchiye mestnosti, vishestoyaщego gosvetinspektora
|
___________________________________________________________________________
|
na vivoz produksii za predeli territorii, perechislyayutsya №№ kleym i dr.)
|
Transportnoye sredstvo ochiщeno i prodezinfitsirovano. Svidetelstvo pred’yavlyayetsya dlya kontrolya pri pogruzke, v puti sledovaniya i peredayetsya gruzopoluchatelyu. Otmetki organov gosvetnadzora ob osmotre pri pogruzke, vigruzke i v puti sledovaniya delayutsya na oborote. Kopii svidetelstva nedeystvitelni. Pri ustanovlenii narusheniy poryadka zapolneniya blanka svidetelstvo peredayetsya glavnomu gosvetinspektoru subyekta Respubliki Uzbekistan po mestu vidachi s ukazaniyem viyavlennix narusheniy. Veterinarnoye svidetelstvo poluchil:
|
______________________
|
____________________________________________
|
(familiya, imya, otchestvo vetvracha)
|
(familiya, imya, otchestvo vetvracha)
|
______________________
|
____________________________________________
|
(doljnost)
|
(doljnost)
|
______________________
|
____________________________________________
|
(podpis)
|
(podpis)
|
6-ilova. № 23 Shakl
| |
Juft bet
| | | | | | | | | | |
T/r
|
Ekspertiza raqami
|
Xo‘jalik, tashkilot nomi, mahsulot egasining ismi, familiyasi
|
Manzil (viloyat, tuman, aholi punkti)
|
Vet. hujjatning raqami va berilgan sanasi
|
TANA
|
Ichki a’zolarining mavjudligi
|
Baliq, qisqichbaqa, kg
|
Tuxum dona
| | | | | | | | | | |
mol go‘shti kg
|
qo‘y go‘shti kg
|
cho‘chqa go‘shti kg
|
parranda go‘shti kg
|
boshqa hayvonlar go‘shti kg
| | | | | | | | | | |
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
| |
Toq bet
| | | | | | | | | | | | | | | |
Tekshirish natijalari
|
Alohida sharti bilan ruxsat etildi (mikdori
|
Musodara qilingan va utilga jo‘natilgan, (miqdori
|
Sotishga ruxsat etilmagan va egasiga qaytarib berilgan (miqdori)
|
Eslatma
| | | | | | | | | | | | | | |
Organoleptik (aniqlangan nuqsonlar)
|
Bakterioskopik
|
Trixinelloskopik
|
Bioximiyaviy reaksiyalar
|
Bakteriologik
| | | | | | | | | | | | | | |
rN
|
peroksidaza
|
mis kuporosi
|
formol
|
serovodorod
|
labora- toriyaga jo‘natilgan sanasi
|
Labaratoriyaga xulosasi, uning raqami va sanasi
| | | | | | | | | | | | | | |
14
|
15
|
16
|
17
|
18
|
19
|
20
|
21
|
22
|
23
|
24
|
25
|
26
|
27
|
7-ilova Razmer A4
Forma № 3
| |
Vidayetsya veterinarnimi vrachami gosvetuchrejdeniy na texnicheskoye sirye i korma
|
RESPUBLIKA UZBEKISTAN GOSUDARSTVENNIY VETERINARNIY NADZOR
| |
____________________________________
| |
(subyekt Respubliki Uzbekistan)
| |
____________________________________
| |
(rayon, (gorod))
| |
____________________________________
| |
(naimenovaniye vetuchrejdeniya)
| |
VETERINARNOYE SVIDETELSTVO №_________
|
ot “__” ___________ 200 ___ g.
|
Ya, nijepodpisavshiysya veterinarniy vrach, vidal nastoyaщeye veterinarnoye svidetelstvo
|
______________________________________________________________
|
(komu - naimenovaniye yuridicheskogo litsa ili F.I.O. fizicheskogo litsa)
|
tom, chto ___________________________________________________________________
|
(naimenovaniye produksii)
|
v kolichestve _____________
|
_________________
|
__________________
|
(mest, shtuk, kg)
|
(upakovka)
|
(markirovka)
|
__________________________________________________________________
|
(markirovka)
|
proisxojdeniye ______________________________________________________________
|
(boyenskoye, paloye, sbornoye, poluchennoye ot zdorovix ili bolnix jivotnix)
|
virabotano (zagotovleno) pod kontrolem gosvetslujbi _____________________________
|
(naimenovaniye predpriyatiya, f.i.o. vladelsa, adres)
|
i priznano godnim dlya:______________________________________________________
|
(realizatsii, pererabotki, ispolzovaniya bez ogranicheniy,
|
esli s ogranicheniyami — ukazat prichini i rejim)
|
i napravlyayetsya _____________________________________________________________
|
(vid transporta, marshrut sledovaniya)
|
v _________________________________________________________________________
|
(naimenovaniye i adres poluchatelya)
|
po_________________________________________________________________________
|
(naimenovaniye, № i data vidachi tovaro-transportnogo dokumenta)
|
Sirye (korma) podvergnuto ___________________________________________________
|
(dezinfeksii, moyke, konservatsii-ukazat metod i naimenovaniye
|
preparatov, issledovaniyam— naimenovaniye laboratorii, №, datu vidachi ekspertizi i rezultati issledovaniy)
|
OSOBIE OTMETKI
|
___________________________________________________________________________
|
(ukazivayutsya epizooticheskoye blagopoluchiye mestnosti, data i
|
nomer razresheniy
|
___________________________________________________________________________
|
vishestoyaщego gosvetinspektora na vivoz produksii za peredeli territorii,
|
___________________________________________________________________________
|
perechislyayutsya №№ kleym i dr.)
|
Transportnoye sredstvo ochiщeno i prodezinfitsirovano. Svidetelstvo pred’yavlyayetsya dlya kontrolya pri pogruzke, v puti sledovaniya i peredayetsya gruzopoluchatelyu. Otmetki organov gosvetnadzora ob osmotre pri pogruzke, vigruzke i v puti sledovaniya delayutsya na oborote. Kopii svidetelstva nedeystvitelni. Pri ustanovlenii narusheniy poryadka zapolneniya blanka svidetelstvo peredayetsya glavnomu gosvetinspektoru subyekta Respubliki Uzbekistan po mestu vidachi s ukazaniyem viyavlennix narusheniy.
|
_______________________________________________
|
(familiya, imya, otchestvo vetvracha)
|
____________________________________________
|
M.P.
|
(doljnost)
| |
_______________________________________________
| |
(podpis)
| |
№ 3
| |
Vidayetsya veterinarnimi vrachami gosvetuchrejdeniy na texnicheskoye sirye i korma
|
RESPUBLIKA UZBEKISTAN GOSUDARSTVENNIY VETERINARNIY NADZOR
| |
__________________________________
| |
(subyekt Respubliki Uzbekistan)
| |
__________________________________
| |
(rayon, (gorod))
| |
__________________________________
| |
(naimenovaniye vetuchrejdeniya)
| |
KOREShOK VETERINARNOGO SVIDETELSTVA №___________
|
ot “__” ____________200 ___ g.
|
Ya, nijepodpisavshiysya veterinarniy vrach, vidal nastoyaщeye veterinarnoye svidetelstvo
|
___________________________________________________________________________
|
(komu— naimenovaniye yuridicheskogo litsa ili F.I.O. fizicheskogo litsa)
|
___________________________________________________________________________
|
v tom, chto __________________________________________________________________
|
(naimenovaniye produksii)
|
v kolichestve ______________
|
___________________
|
__________________
|
(mest, shtuk, kg)
|
(upakovka)
|
(markirovka)
|
virabotannaya _______________________________________________________________
|
(naimenovaniye predpriyatiya, F.I.O. vladelsa, adres)
|
___________________________________________________________________________
|
(data virabotki)
|
priznana godnoy dlya: ________________________________________________________
|
(realizatsiya bez ogranicheniy, s ogranicheniyem— ukazat prichini
|
___________________________________________________________________________
|
ili pererabotki soglasno pravilam vetsanekspertizi)
|
i napravlyayetsya ______________________________________________________________
|
(vid transporta, marshrut sledovaniya, usloviya perevozki)
|
v __________________________ po _________________________________
|
(naimenovaniye i adres poluchatelya)(naimenovaniye, № i data vidachi tovarno-transportnogo dokumenta
|
___________________________________________________________________________
|
(naimenovaniye laboratorii, № ekspertizi i rezultati issledovaniya)
|
(dezinfeksii, moyke, konservatsii— ukazat metod i naimenovaniye preparatov,
|
___________________________________________________________________________
|
issledovaniyam— naimenovaniye laboratorii, №, datu vidachi ekspertizi i rezultati issledovaniy)
|
OSOBIE OTMETKI
|
___________________________________________________________________________
|
(ukazivayutsya epizooticheskoye blagopoluchiye mestnosti, data i nomer razresheniy
|
___________________________________________________________________________
|
vishestoyaщego gosvetinspektora na vivoz produksii za peredeli territorii,
|
__________________________________________________________________
|
perechislyayutsya №№ kleym i dr.)
|
Transportnoye sredstvo ochiщeno i prodezinfitsirovano. Svidetelstvo pred’yavlyayetsya dlya kontrolya pri pogruzke, v puti sledovaniya i peredayetsya gruzopoluchatelyu. Otmetki organov gosvetnadzora ob osmotre pri pogruzke, vigruzke i v puti sledovaniya delayutsya na oborote. Kopii svidetelstva nedeystvitelni. Pri ustanovlenii narusheniy poryadka zapolneniya blanka svidetelstvo peredayetsya glavnomu gosvetinspektoru subyekta Respubliki Uzbekistan po mestu vidachi s ukazaniyem viyavlennix narusheniy.
|
_______________________________________________
| |
(familiya, imya, otchestvo vetvracha)
| |
_______________________________________________
| |
M.P.
|
(doljnost)
| |
__________________________________________
| |
(podpis)
| |
8-ilova
GO‘ShTNI FIZIK-KIMYoVIY TEKShIRISh
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