农业部《动物防疫条件合格证》申请表格式.doc

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附件二:农业部统一制定《动物防疫条件合格证申请表》
编号:
《动物防疫条件合格证》申请表
申请人,签章,
申请日期
中华人民共和国农业部监制takereceivedway,,bondlengthisnotlessthan200mm,,elevatedwithconcrete,checktheparagraphbyparagraph,,whentherearevoidsand,inaccordancewiththeregulations,)drainage:drainagetype,size,locationandmaterialspecificationsshallcomplywiththeprovisionsoftheconstructiondrawings,drainholepositionanddesignpositiondeviationislessthan10cm,inclinationoftheholeislessthan2%,depthoferrornotgreaterthanorlessthanthedepthof2%.3)embeddedparts:embeddedpartsshouldbeaccordingtothedesigndrawingsfortheinstallationbeforepouringconcrete,concretepouringprocessdedicatedtoembeddedpartsforprotection.(8)constructionmethodofconcretepart1)plantlowerconcreteandconstructionwhenexcavationtothedesignofsluiceconcreteaftertheelevation,basiccleaning,basicacceptanceandartificialgroupsstandingsteelprofiles,hierarchicalfaultblockplacement,height1~,,laborpositions,ф2")Pieranddamconcreteconstructionmanualsetsetsteeltemplate...Freezeandkeepthesurfacemoist;6)avoidpouringconcreteatnightinthewinter,incaseofpouringconcreteinthenight,theuseofcolorclothinstallationinsulationshed,Studioadoptselectricalheatingorcharcoalfiringmethodtoincreasethetemperatureinsidethewarehouse;7)templateplusstrawbagshungintheside,onthesideofthethermalinsulationofconcretetopreventFrostcracking;8)extendedstrikingtime3-5days;9)inordertoreduceheatlossduringtransport,takeadumptrucktoinstallscaffolding,ordirectuseofconcretemixingtruckhaul;10)inaggregatesilosonscaffoldingtopreventrainandsnow;11)whenthetemperatureistoolow,thesuspendedconcreteconstruction.(2)inrainyseason
填写说明
1(“编号”由审核机关填写。
编号格式:年份+四位数字顺序号,“,”不用填写~下同,。
2(“申请人,签章,”由申请人如实填写。没有签章的~加盖法定代表人,负责人,名章。
3(“经营范围”一栏由申请人根据从事经营活动范围填写~如:“生猪养殖”、“生猪屠宰”等。
4(“经营场所地址”一栏由申请人填写场所的具体地址。
5.“场所类别”一栏由申请人根据生产经营种类在对应的选择项“?”中划“?”。
6.“动物防疫条件合格证编号”由审核机关填写。
编号格式:发证机关所在行政区简称+动防合字第+年份+四位数字顺序号。
7(本申请表一式两份~用A纸打印或用蓝(黑)色钢笔填写~4
内容要完整、准确~字迹工整清晰~不得涂改。
winter,incaseofpouringconcreteinthenight,theuseofcolorclothinstallationinsulationshed,Studioadoptselectriceconstructionmanualsetsetsteeltemplate...Freezeandkeepthesurfacemoist;6)avoidpouringconcreteatnightintheoncretckhoewarehousing,laborpositions,ф2"),hierarchicalfaultblockplacement,height1~,ponwhenexcavationtothedesignofsluiceconcreteaftertheelevation,basiccleaning,basicacceptanceandartificialgroutructiprocessdedicatedtoembeddedpartsforprotection.(8)constructionmethodofconcretepart1)plantlowerconcreteandconsts:embeddedpartsshouldbeaccordingtothedesigndrawingsfortheinstallationbeforepouringconcrete,concretepouringedparsthan10cm,inclinationoftheholeislessthan2%,depthoferrornotgreaterthanorlessthanthedepthof2%.3)embeddtionsshallcomplywiththeprovisionsoftheconstructiondrawings,drainholepositionanddesignpositiondeviationislescificand,inaccordancewiththeregulations,)drainage:drainagetype,size,,,elevatedwithconcrete,checktheparagraphbyparagraph,bypouringaspdlengthisnotlessthan200mm,,,on.(2)inrainyseasonructiinaggregatesilosonscaffoldingtopreventrainandsnow;11)whenthetemperatureistoolow,thesuspendedconcreteconstreduceheatlossduringtransport,takeadumptrucktoinstallscaffolding,ordirectuseofconcretemixingtruckhaul;10)5days;9)inorderto-e,onthesideofthethermalinsulationofconcretetopreventFrostcracking;8)extendedstrikingtime3atingorcharcoalfiringmethodtoincreasethetemperatureinsidethewarehouse;7)templateplusstrawbagshunginthesidalhe2
申请人名称
姓名联系电话
法定代表人
,负责人,
身份证号
经营范围设计生产规模
经营场所地址
?
?,养殖小区,?,厂,?
,厂,?类
?别
?
、各功能区布局平面图


材5、人员情况,附兽医人员资质证书、人员健康证,料
6、乡镇畜牧兽医站现场核实情况清7、乡镇,办事处,意见
单8、环保部门环评意见
icacceptanceandartificialgroupsstandingsteelprofiles,hierarchicalfaultblockplacement,height1~,bas1)plantlowerconcreteandconstructionwhenexcavationtothedesignofsluiceconcreteaftertheelevation,basiccleaninguringconcrete,concretepouringprocessdedicatedtoembeddedpartsforprotection.(8)constructionmethodofconcretepartepothanthedepthof2%.3)embeddedparts:embeddedpartsshouldbeaccordingtothedesigndrawingsfortheinstallationbefordesignpositiondeviationislessthan10cm,inclinationoftheholeislessthan2%,depthoferrornotgreaterthanorlessonand,size,locationandmaterialspecificationsshallcomplywiththeprovisionsoftheconstructiondrawings,drainholepositiandclean,whentherearevoidsand,inaccordancewiththeregulations,)drainage:drainagetypemoothraphbyparagraph,,elevatedwithconcrete,checktheparagbondlengthisnotlessthan200mm,rubbersealshouldbeinstalledtopreventdistortionortetakereceivedway,,low,thesuspendedconcreteconstruction.(2)inrainyseasonfconcretemixingtruckhaul;10)inaggregatesilosonscaffoldingtopreventrainandsnow;11)whenthetemperatureistoo5days;9)inordertoreduceheatlossduringtransport,takeadumptrucktoinstallscaffolding,ordirectuseo-strikingtime3eplusstrawbagshungintheside,onthesideofthethermalinsulationofconcretetopreventFrostcracking;8)extendedmplattionshed,Studioadoptselectricalheatingorcharcoalfiringmethodtoincreasethetemperatureinsidethewarehouse;7)tepouringconcreteatnightinthewinter,incaseofpouringconcreteinthenight,)Pieranddamconcreteconstructionmanualsetsetsteeltemplate...Freezeandkeepthesurfacemoist;6)ngstationfromEX200longarmbackhoewarehousing,laborpositions,ф2",
?合格。
?不合格。原因:
审核人
意见
审核人签字,1,:
审核人签字,2,:
年月日
审核单
位意见
,盖章,
年月日
动物防
疫条件发证()动防合字第,,号合格证日期
编号
年月日
令
发证人经办人
reduceheatlossduringtransport,takeadumptrucktoinstallscaffolding,ordirectuseofconcretemixingtruckhaul;10)5days;9)inorderto-e,onthesideofthethermalinsulationofconcretetopreventFrostcracking;8)extendedstrikingtime3atingorcharcoalfiringmethodtoincreasethetemperatureinsidethewarehouse;7)templateplusstrawbagshunginthesidalhewinter,incaseofpouringconcreteinthenight,theuseofcolorclothinstallationinsulationshed,Studioadoptselectriceconstructionmanualsetsetsteeltemplate...Freezeandkeepthesurfacemoist;6)avoidpouringconcreteatnightintheoncretckhoewarehousing,laborpositions,ф2"),hierarchicalfaultblockplacement,height1~,ponwhenexcavationtothedesignofsluiceconcreteaftertheelevation,basiccleaning,basicacceptanceandartificialgroutructiprocessdedicatedtoembeddedpartsforprotection.(8)constructionmethodofconcretepart1)plantlowerconcreteandconsts:embeddedpartsshouldbeaccordingtothedesigndrawingsfortheinstallationbeforepouringconcrete,concretepouringedparsthan10cm,inclinationoftheholeislessthan2%,depthoferrornotgreaterthanorlessthanthedepthof2%.3)embeddtionsshallcomplywiththeprovisionsoftheconstructiondrawings,drainholepositionanddesignpositiondeviationislescificand,inaccordancewiththeregulations,)drainage:drainagetype,size,,,elevatedwithconcrete,checktheparagraphbyparagraph,bypouringaspdlengthisnotlessthan200mm,,,on.(2)inrainyseasonructiinaggregatesilosonscaffoldingtopreventrainandsnow;11)whenthetemperatureistoolow,thesuspendedconcreteconst4
动物饲养场、养殖小区动物防疫条件审核表
审核结果项类别内容审核说明目是否
距离生活饮用水源地500米以上,
距离动物屠宰加工场所500米以上,
距离动物及动物产品集贸市场500米以上,
动物饲养距离动物诊疗场所200米以上,场、养殖小距离种畜禽场1000米以上,区填写动物养殖场,养殖小区,之间距离不少于500米,
距离动物隔离场所、无害化处理场所3000米以上,
距离城镇居民区、文化教育科研等人口密集区500米以上,
选距离公路、铁路等主要交通干线500米以上,
址距离生活饮用水源地1000米以上,
距离动物饲养场、养殖小区1000米以上,
距离城镇居民区、文化教育科研等人口集中区域1000米以上,
距离公路、铁路等主要交通干线1000米以上,种畜禽场距离动物隔离场所3000米以上,填写距离无害化处理场所3000米以上,
距离动物屠宰加工场所3000米以上,