‘REPUBLIK INDONESIA
MINI HERIES
‘KEMENTERIAN KELAUTAN DAN PERIKANAN
‘ATTACHMENT,
Health Attestation
This isto certify that:
1
‘The products have been caught, processed, packaged, stored and transported in fishing vessels,
transport fishing vessels, fishing and factory vessels, independent cold storages and
processing plants, which are registered in China recommended by the Competent Authority.
‘The products were produced, packed, stored, and transported under sanitary condition, which
were under the supervision of competent authority.
The products meet veterinary sanitary requirements and are fit for human consumption.
‘The aquaculture farm, processing plant, fish vessel, fish and factory vessel, transport vessel and
independent cold storage in the certificate have established effective food safety management
system according to the COVID-19 and food safety: guidance for businesses announced by
FAOIWHO, and enact all kinds of protective measures to ensure that the products are not
polluted by the Covid-19 virus.
The products and inner wall of the means of transport carrying these products were carried out
disinfection to prevent COVID-19 under the supervision of competent authority.
Zgent
Semarang, May 19, 2022
Ai
Dr. Titis Candra Dewi, $.Pi., M.Sc
FISH QUARANTINE AND
INSPECTION AGENCYFee 3
‘he Republic of Indonesia
ie 4 Ae 3
[Ministry of Marine Affairs and Fisheries
1275028 feomation of compact
WEIS NumRet: oemssam
MAHI Country of export
[AP Country of production: —
ES ‘Competent authority
8 GUNRTIE D BEFECTIN AGENCY FO)
‘NET Department of certificate
ECKL FEN QUARATRE AND RESECTION ACY FQN) SLAG
TARP fii Identification ofthe fishery products
Tid ZAK Commodity name:
ROTA
2 Scientific name:
er beans
29 Net Weight:
WHEELIE Number of packages: paren
asasoooncs
UL PRA Origin ofthe fishery products
HUE EE Country of origin of raw
materials:
IL Fisk Processing Type:
AEP 7s, Production Mode:
FEAL Aquacultured:
‘EFA Wit) Wild Caught: I
“EF ABEFEAR Character of productive water
FEAL Aquaculture area:
ei OR A A EA
Se Aquaculture farm name and registration
‘number approved by Country of origin of raw
materials
‘AIVRTEIB Catching area:
FAI Name of
Registration number and Flag
PTL
Fishing Vess
ofthe Vessel:
‘nae. HA AOA Name
of Fishing and Factory Vessel, Registration
umber and Flag ofthe Vessel
HEMI TAG AOA Name of
‘Transport Fishing Vessel, Registration number
and Flag ofthe Vessel
LAF BCL MET TS FT
fil Name of independent cold storage for raw
materials, Registration number and host |
country of the Storage |
JO1 ARYA MO SEAT VOLS, NDONESIA
JO KARYA MA SEAT V5, HDONESTA
(04 MOU SEAT V/OL2953, NOONE
AARC es. HEM EB |
Name of independent old storage for products, |
Registration mumber and host country of the
Storage |
PARAMORE
xsd
nt) | AHEM Name of Processing |
Plant & Registration number ofthe Plant:
ARYA MOO PUTA
“471138 Production Date
AEPPAIES} Lot No. of productsEH NumRet 70002 B 210023487
(8 Information of Transport, rae
‘RELA % Ae HUH Name and adress of | py a meanan
came ECREAI ncn rc en tno noe,
SEA FRE Name and address of
Consignee: {SEENaSBR, Randa Sows oxo econoney meuMIA. COMER,
“6 Pace of dispatch prodcton [a
AL Place of destination aaa
S291 FLARE Means of transport: rane
‘BSL Name of Vessel: SMITA a: 0104
AUS Flight Number: =
Seviz ii T. FLAG MA other transport means: oe
‘FS Container Number: omst72000
THE Seal Number: —
3838 1 Wi Date of departure: May 22,2022
fj Health Attestation, ae
HLT to ceri that
1. PEE MEME AE ee A AN A MD. SAGAN. AEN LANA Ye Me AMT Ale
High. IE, GA, AhfPAL-ZM. "The products have been caught, processed, packaged, stored and
transported in fishing vessels, transport fishing vessels, fishing and factory vessels. independent cold
Storages and processing plants, which are registered in China recommended by the Competent Authority
2. GPA IER AE DAE, (OM, HAAN, IELT AERA MME ‘The products were
produced, packed, stored, and transported under sanitary condition, which were under the supervision of
‘competent authority.
3. BGR ISN, AAP ELMAR MED, AREA SNA, Be AD
OIEHFFINREAE. The products were inspected and quarantined by competent authority and not found
any diseases, pathogenic microorganism, harmful substances and foreign substances regulated in the
PR.China and the diseases listed by China and OIE.
4, PESO LA ER, IE) ICCA. The products meet veterinary sanitary requirements
and are fit for human consumption.
S. HEB ARSRA IRS, INT, ASG. SAINT AON Set 8 HEA ee
HAART AL OE RUA Aah) CMR Bea AEE NEA ED REA RU he
ASD (eR. GRE INU LER He YORE Bh A BEA we AGH. The aquaculture farm,
processing plant, fish vessel, fsh and factory vessel, transport vessel andindependent cold storage in the
Centfieate have established effective food safety management system according to the COVID-19 and
food safety: guidance for businesses announced by FAO/WHO, and enact all kinds of protective
‘measures to ensure thatthe products are not polluted by the Covid-19 virus
6, AURIS TA ME A EAE MT a
4. ‘The products and inner wall of the means of transport carrying these products were carried out
disinfection to prevent COVID-19 under the supervision of competent authority
BRIE Place of issue RAW) Date of Issue
WH BRET Official Veterinary Signature
in ghata dew SPL se
ATO Introduction for filing
1. SEP" Bellet iD 9MELE FRAO CEL. Country of production is eer to the country
were the last cuter packing procedure ofthe product was completed
2. MT AURARKEE, Pou. Tt. abi AU. AR. Processing Type is refer to
Chilled, Frozen, Dried, Salted, Smoked, Canned.
3. SUDEP AGT YEE MEIC AAR. IT. QE. TE AA ei A
BI Paice aA (5TH) NM RMN LAM, AA A A
SLADE 2 AA DE AM ALSO Ek COA HS BRAN ae fos... The competent authority
ofthe exponting county fill inthe establishments information of country of origin of aw material, country
‘of production and country of cetfcaes involved inthe whole process of fishing, procesing, packaging,
Storage, transportation and expor, including the names and registration numbers of processing plats,
fishing vessels, fishing and factory vessels, transport fishing vessels and independent cold storage. The
establishments information involved in any of tg above links shall not be omited
4 AGE EAE AB} L440. any ofthe information required isnot applicable, then the blank
ea must be filed with ***,