Original notification

GENERAL INFORMATION

1 / Contact point reference n°:
2 / Notification type: / foodfood contact materialfeed
3 / Notification basis: / official control on the marketborder control - consignment detainedborder control - consignment releasedborder control - consignment under customsconsumer complaintcompany's own-checkfood poisoningofficial control in non-member country
4 / Notification classification: / alert notificationborder rejection notificationinformation notification for follow-upinformation notification for attention

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5 / Notifying country:
6 / Date of notification:
7 / Linked RASFF notification:

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8 / Product relation to the product notified in linked notification: / additional lotsdifferent varietyingredientprocessed productraw material
other/more info:

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9 / Information source:
10 / Countries flagged for
follow-up:
11 / Countries flagged for attention:

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12 / INFOSAN (to be) informed: / by notifying country
by Commission services
no / reason:

RISK

13 / Serious risk: / yes
no / motivate:
14 / Impact on: / human healthanimal healthenvironment

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15 / Number of persons affected:
16 / Type of illness/symptoms:
17 / Hazards observed:

PRODUCT:

18 / Product:

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19 / Product category: / a-l alcoholic beveragesanimal by-productsbivalve molluscs and products thereofcephalopods and products thereofcereals and bakery productscocoa and cocoa preparations, coffee and teacompound feedsconfectionerycrustaceans and products thereofdietetic foods, food supplements, fortified foodseggs and egg productsfats and oilsfeed additivesfeed materialsfeed premixturesfish and fish productsfood additives and flavouringsfood contact materialsfruits and vegetablesgastropodsherbs and spiceshoney and royal jellyices and dessertsm-z meat and meat products (other than poultry)milk and milk productsnatural mineral waternon-alcoholic beveragesnuts, nut products and seedsother food product / mixedpet foodpoultry meat and poultry meat productsprepared dishes and snackssoups, broths, sauces and condimentswater for human consumption (other)wine
other:

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20 / Product name(s) (on label):
21 / Product CN-code:
22 / Product description / Brand(s) / trade name(s):
23 / Product aspect (e.g. packaging):
24 / Barcode n°:
25 / Other labelling:

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26 / Unit weight/vol.: / unitsgkgmll
27 / Temperature: / ambientchilledfrozen

SAMPLING:

28 / Sampling dates: / / / / / /
29 / Sampling info:
30 / Sampling place: / BIP/point of entryconsignorconsumerfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragetransportwholesaler
other/name:

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31 / Analysis / Laboratory: / Name:
Street:
Locality:
Postal:
Country:
32 / Sample treatment / matrix:
33 / Analytical method(s):

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34 / Number of samples:
35 / Counter analysis: / noneongoingconfirmednot confirmed: / / / units%°C/kgµg/itemµg/kg - ppbµg/dm²µg/lBQ/kgCFU/gCFU/100gCFU/mlg/100gg/100g fatg/kgmg/kg - ppmmg/lmg/kg dry mattermg/dm²MPN/gMPN/100gpg WHO TEQ/gpresence/25gpresence/10gpresence/g

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36 / Hazards identified:

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37 / Analytical results: / / / / / / units%°C/kgµg/itemµg/kg - ppbµg/dm²µg/lBQ/kgCFU/gCFU/100gCFU/mlg/100gg/100g fatg/kgmg/kg - ppmmg/lmg/kg dry mattermg/dm²MPN/gMPN/100gpg WHO TEQ/gpresence/25gpresence/10gpresence/g
38 / Outcome of analysis:

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LEGISLATION

39 / EU legislation:
40 / National legislation:
41 / Other standard:
42 / Max. permitted level: / units%°C/kgBQ/kgµg/kg - ppbµg/dm²µg/lCFU/gCFU/100gCFU/mlg/100gg/kgmg/kg - ppmmg/lmg/kg dry mattermg/dm²MPN/gMPN/100gng/kg - pptpg/kgpg WHO TEQ/gpresence/25gpresence/10gpresence/g

PRODUCT TRACEABILITY:

43 / Distribution status: / distribution restricted to notifying countrydistribution to other member countriesdistribution to third countriesinformation on distribution not (yet) availableno distribution from notifying countryproduct (presumably) no longer on the marketproduct not (yet) placed on the marketproduct under customs control
44 / Consignment(s) / lot number(s): / / / /
45 / Country of origin:
46 / Public health certificate / Number(s): / / / /
47 / Date(s): / / / /
48 / CVED/CED number(s): / / / /
49 / Other document: / type: / number:
50 / Durability dates / Use-by date: / / / /
51 / Best before date: / / / /
52 / Sell-by date: / / / /
53 / Descrip-tion of the lot / Number of units: / / / /
54 / Total net weight/volume: / unitsgkglm³tonnes / unitsgkglm³tonnes / unitsgkglm³tonnes / unitsgkglm³tonnes
55 / operator typeconsignorexporterfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragesuppliertrader/brokertransporterwholesaler / Name: / -3-2-10+1+2+3
56 / Street + nr: / country:
57 / Postal + city: / approval / reg. number:
58 / Distribution to: country (region) / list
59 / operator typeconsignorexporterfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragesuppliertrader/brokertransporterwholesaler / Name: / -3-2-10+1+2+3
60 / Street + nr: / country:
61 / Postal + city: / approval / reg. number:
62 / Distribution to: country (region) / list
63 / operator typeconsignorexporterfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragesuppliertrader/brokertransporterwholesaler / Name: / -3-2-10+1+2+3
64 / Street + nr: / country:
65 / Postal + city: / approval / reg. number:
66 / Distribution to: country (region) / list
67 / operator typeconsignorexporterfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragesuppliertrader/brokertransporterwholesaler / Name: / -3-2-10+1+2+3
68 / Street + nr: / country:
69 / Postal + city: / approval / reg. number:
70 / Distribution to: country (region) / list
71 / operator typeconsignorexporterfarmerhoreca/cateringimportermanufacturerpacker/fillerproducerrecipient/consigneeretailerstoragesuppliertrader/brokertransporterwholesaler / Name: / -3-2-10+1+2+3
72 / Street + nr: / country:
73 / Postal + city: / approval / reg. number:
74 / Distribution to: country (region) / list

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MEASURES:

75 / Voluntary measures: / informing consignorinforming recipientsno action takenrecall from consumerswithdrawal from the market
acid treatmentblanchingdestructiondetained by operatorfreezingheat treatmentrelabellingreturn to consignorsortinguse in feeduse for other purpose than food/feed
Taken by: consignorimportermanufacturerproducerretailertrader/brokertransporterwholesaler
Contact person:
Additional info: / Information by:
internet: (hyperlink)
paper news media
TV
radio
information at retail point
informing clients
76 / Compulsory measures: / import not authorisedinforming consignorinforming recipientsno action takenrecall from consumersrelease to the marketwithdrawal from the market
acid treatmentblanchingdestructionfreezingheat treatmentmonitoring of the recall/withdrawalofficial detentionplaced under customs sealsre-dispatchrelabellingreturn to consignorseizuresortinguse in feeduse for other purpose than food/feed
Taken by: authoritiesborder postconsignorimportermanufacturerproducerretailertrader/brokertransporterwholesaler
reinforced checking
Contact person:
Additional info: / Information by:
internet: (hyperlink)
paper news media
TV
radio
information at retail point
informing clients
77 / Date of entry into force:
78 / Duration:

BORDER CONTROL:

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79 / Border post:
80 / Point of control:

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81 / Reason for inspection: / random targeted / detail:decision of border inspectorEU safeguard measureRegulation 669/2009reinforced checks

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82 / Point of departure:
83 / Country of dispatch:
84 / Country of destination:
85 / Consignee / Name:
86 / Address:

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87 / Transport: / air cargobulk shipcontainer shipcontainer feedertraintruck
other/more info:
88 / Container n°(s)/seal n°(s): / /
/
/
/

OTHER INFORMATION:

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89 / Organisation/ministry:
90 / Contact person:
91 / Additional information:

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92 / Attached documents:
(compressed format) / health certificate
CVED/CED
phytosanitary certificate
public warning / press release / Can be made available to third parties?[1]
analytical report
bills / delivery documents
pictures
risk assessment
other:
93 / What information will be made public?[2] / only RASFF portal / product identification / other:
94 / Reason:

numbers underlined: information that is required in all cases (should always be filled)

numbers highlighted: information that may be required in some cased (depending on the context)

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[1] Documents should not be made available to third parties unless the corresponding box is checked in this column.

[2]according to article 52(1) of Regulation (EC) No 178/2002