企业

Company

名称

Name

地址

Address

长运娱乐 确认，对于我司          （产品名称）的生产，我公司有如下声明：

We confirm to declare the following for the           (Product description) manufactured by our company:

原材料构成组合描述：                                (示例：聚酯 / 油墨 / 粘合剂 / 镀铝聚酯 / 粘合剂 / 聚乙烯）

Description of compositions of raw materials:                         (examples: polyester / printing ink / adhesive / VMPET / polyethylene)

1  与食品接触的应用范围

1 Applied range of contact with food

适用食品类型                                                     （适合与该材料接触的食品类型，如适合所有类型的食品, 或是适合以下分类中的其中一项或几项）：

Applicable food types                                                     (types of food that is suitable to contact with this materials; for example, all, one or several of the following types)

l  干的食品

l  Dry food

l  干的或非脂类食品

l  Dry or non-lipid food

l  湿的或水状的食品

l  Wet or aquiform food

l  脂类食品

l  Lipid food

l  特殊食品 (如酸性，含酒精)

l  Special food (for example, acid, including alcohol)

l  冷冻食品 (带包装进行冷冻解冻或不带包装进行冷冻或解冻)

l  Frozen food (frozen or unfrozen with or without packages)

l  带包装进行二次加热 (最高温度 ºC)

l  Reheating with packages (maximum temperature ºC)

适用温度：       （温度范围 ºC）

Applicable temperature         (temperature range ºC)

2  遵从的法律法规/标准﹝必须满足国家卫生标准，如还满足欧盟或美国FDA标准，请明示如下﹞

2 Laws, regulations/standards applicable (must conform the national hygienic standards; when the EU or FDA standards are met, please indicate expressly below )

a) 国标

a) National standards

长运娱乐 确认，长运娱乐 生产的        （产品名称）符合          （请填国家标准）

We confirm that the          (product description) manufactured by us meet the          (Please fill in the national standards)

b) 欧盟

b) EU

长运娱乐 确认，长运娱乐 生产的         （产品名称）符合          （如框架法规1935/2004和委员会良好行为规范法规2023/2006。）

We confirm that the          (product description) manufactured by us meet the          (For example, the framework regulation 1935/2004 and EC Good Manufacturing Practice 2023/2006 )

c) FDA

长运娱乐 确认，长运娱乐 生产的       （产品名称）符合            （如符合FDA CR**** ）

We confirm that the          (product description) manufactured by us meet the          (For example, FDA CR**** )

(请根据组成成分分别阐述：)

(Please state respectively by the constituents)

组分                 符合                                           

The constituent              conforms to                                

组分                 符合                                           

The constituent              conforms to                                

组分                 符合                                           

The constituent              conforms to                                

【示例1】：塑料:符合欧共体指令2002/72(包含修正版)

[Example 1]: Plastic: conforms to EC directive 2002/72 (including its revisions)

【示例2】：印刷油墨符合EuPIA (即，CEPE中心试验与测试研究所)的《印刷油墨及相关产品的排除清单》，2007年10月第5次修正版。

[Example 2]: Printing oil conforms to EuPIA (namely Exclusion List of Printing Oil and Relevant Products by CEPE Central Experiment and Test Institute, 5^th revision in October 2007)

如果未在欧盟控制水平，可遵守任何一个成员国的法律，如德国BFR建议，荷兰食品药品法和法国1227文件。（备注：参考文本须指明）

If they don’t reach EU control level, they may follow the laws of any member state, such as BFR recommendation, Dutch Food & Medicines Act and French No. 1227 Document). (Remark: the reference text shall be indicated)

符合非法规性质的文件（如欧洲委员会决议，中心试验与测验研究所的排除清单）。（备注：参考文本须指明）

Compliance with non-regulation document (such as the EC resolutions, Exclusion List by the Central Experiment and Test Institute). (Remark: the reference text shall be indicated)