GREAT BRITAIN, CHANNEL ISLANDS AND ISLE OF MAN

Common Health Entry Document for Animals PART I: DESCRIPTION OF CONSIGNMENT

I.2. CHED Reference I.3. Local Reference I.1. Consignor/Exporter
CHEDA.GB.2024.4003917 24/12/043 Name YUME KOI JAPAN CO LTD

Address 866-1 NISHIUEHARA SERA- CHO, SERA-GUN, JAPAN,

I.4. Border Control Post/Control Point 000
/Control Unit Country Japan ISO Code JP
Heathrow Airport - HARC (animals)

I.5. Border Control Post/Control Point

/Control Unit code
GBLHR4A

I.6. Consignee/Importer I.7. Place of destination

Name DAVID BABER Name DAVID BABER

Address CHERRY LODGE BRISTOL ROAD, IRON ACTON Address CHERRY LODGE BRISTOL ROAD, IRON ACTON
BRISTOL, BS379TG BRISTOL, BS379TG
Country England ISO Code GB-ENG Country England ISO Code GB-ENG

I.8. Operator responsible for the consignment I.9. Accompanying documents

Name lisa daly Type Veterinary health certificate

Organisation JAMES CARGO SERVICES LIMITED Document reference 2024-119

Address Brook Business Centre Cowley, 3 Mill Road, Cowley, Date of issue 15.03.2024 +0000 GMT
Uxbridge, UB8 2FX
Country and place of issue Japan (JP)
Country United Kingdom of ISO Code GB
Great Britain and Name of Signatory
Northern Ireland
Commercial documentary
references

I.10. Prior notification

Date 19.03.2024 +0000 GMT Time 06:25:00 +0000 GMT

I.13. Means of transport I.11. Country of Origin ISO Code

Japan JP
Mode International transport document Identification
AIRPLANE 131-47383162 JL041
I.12. Region of Origin

I.15. Establishment of Origin

Name

Address

Approval Number

Country ISO Code

I.17. Container No/Seal No

I.18. Goods certified as

Pets

I.23. For internal market

I.27. Means of transport after BCP/storage I.28. Transporter

Mode International transport document Identification Name SOUTH WEST KOI / DAVID BABER
ROAD VEHICLE 131-47383162 PRIVATE Address CHERRY LODGE, BRISTOL ROAD, BRISTOL, BS37 9TG

Country England ISO Code GB-ENG

Approval number

I.29. Date of departure 19 March 2024 06:25:00 +0000 GMT

I.30. Journey log

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GREAT BRITAIN, CHANNEL ISLANDS AND ISLE OF MAN

I.31. Description of the goods

1. 03 FISH AND CRUSTACEANS, MOLLUSCS AND OTHER AQUATIC INVERTEBRATES
0301 Live fish
03011 Ornamental fish
03011100 Freshwater fish
Commodity Species Quantity Package count Country of Origin Includes unweaned animals
03011100 Common carp and Koi carp (Cyprinus carpio) 391 Units 14 Japan (JP)

I.32. Total number of packages I.33. Quantity

14 391 Units

I.34a. Identification details

Identification details Description

I.35. Declaration
I, the undersigned operator responsible for the consignment detailed above, certify that to the best of my knowledge and belief the statements made in Part I of this document
are true and complete, and I agree to comply with the requirements of retained Regulation 2017/625 on official controls, including payment for official controls, as well as for
re-dispatching consignments, quarantine or isolation of animals, or costs of euthanasia and disposal where necessary.

Date of signature Name of signatory Signature

18 March 2024 11:14:06 +0000 GMT lisa daly

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GREAT BRITAIN, CHANNEL ISLANDS AND ISLE OF MAN

Common Health Entry Document for Animals PART II: CONTROLS

II.1. Previous CHED II.2. CHED Reference II.24. Subsequent CHEDs
CHEDA.GB.2024.4003917

II.3. Documentary Check II.4. Identity Check Yes No

Satisfactory Not Satisfactory Satisfactory Not Satisfactory
Derogation

II.5. Physical Check Yes No II.6. Laboratory tests Yes No

Total number of animals checked 40 Test

Satisfactory Not Satisfactory Random Suspicion Emergency Measures

Derogation Results Pending Satisfactory Not Satisfactory

II.7. Welfare Check Yes No II.8. Impact on transport animals

Satisfactory Not Satisfactory Number of dead animals 1 % (Estimate)

Number of unfit animals 1 % (Estimate)

Number of birth or abortion 0

II.12. Acceptable for internal market

For controlled destination

II.20. Identification of BCP II.21. Certifying officer

BCP Heathrow Airport - Stamp I, the undersigned certifying officer, certify that the checks on the consignment have
HARC (animals) been carried out in accordance with EU retained law.
Unit number GBLHR4A
Full name Loreen Chan Signature
II.22. Inspection fees Date of 19 March 2024 10:25:16 +0000 GMT
signature

II.23. Customs Document Reference

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GREAT BRITAIN, CHANNEL ISLANDS AND ISLE OF MAN

Common Health Entry Document for Animals PART III: FOLLOW UP

III.1. Previous CHED III.2. CHED Reference III.24. Subsequent CHED
CHEDA.GB.2024.4003917

III.4 Details on re-dispatching

Country of destination ISO Code

Exit authority Code

Means of transport

Mode International transport document Identification

Date and time

III.5 Follow up

Local competent authority Second entry point

Arrival of consignment Yes No

Compliance of the consignment Yes No

III.6 Official Inspector

Full name Date of signature

Signature

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