̲ͲÑÒÅÐÑÒÂÎ ÀÃÐÀÐÍί ÏÎ˲ÒÈÊÈ ÒÀ ÏÐÎÄÎÂÎËÜÑÒÂÀ ÓÊÐÀ¯ÍÈ
ÍÀÊÀÇ
11.09.2015 |
ì. Êè¿â |
N 354 |
Çàðåºñòðîâàíî â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè
28 âåðåñíÿ 2015 ð. çà N 1154/27599
Ïðî çàòâåðäæåííÿ ôîðìè ïðîòîêîëó ïðî ïðàâîïîðóøåííÿ ó ñôåð³ áåçïå÷íîñò³ òà îêðåìèõ ïîêàçíèê³â ÿêîñò³ õàð÷îâèõ ïðîäóêò³â
³äïîâ³äíî äî ÷àñòèíè ÷åòâåðòî¿ ñòàòò³ 65 Çàêîíó Óêðà¿íè "Ïðî îñíîâí³ ïðèíöèïè òà âèìîãè äî áåçïå÷íîñò³ òà ÿêîñò³ õàð÷îâèõ ïðîäóêò³â"
ÍÀÊÀÇÓÞ:
1. Çàòâåðäèòè ôîðìó ïðîòîêîëó ïðî ïðàâîïîðóøåííÿ ó ñôåð³ áåçïå÷íîñò³ òà îêðåìèõ ïîêàçíèê³â ÿêîñò³ õàð÷îâèõ ïðîäóêò³â, ùî äîäàºòüñÿ.
2. Äåïàðòàìåíòó òâàðèííèöòâà çàáåçïå÷èòè ó âñòàíîâëåíîìó ïîðÿäêó ïîäàííÿ öüîãî íàêàçó íà äåðæàâíó ðåºñòðàö³þ äî ̳í³ñòåðñòâà þñòèö³¿ Óêðà¿íè.
3. Öåé íàêàç íàáèðຠ÷èííîñò³ ç äíÿ éîãî îô³ö³éíîãî îïóáë³êóâàííÿ.
4. Êîíòðîëü çà âèêîíàííÿì íàêàçó ïîêëàñòè íà ïåðøîãî çàñòóïíèêà ̳í³ñòðà Êðàñíîïîëüñüêîãî ß. Â.
̳í³ñòð |
Î. Ì. Ïàâëåíêî |
ÏÎÃÎÄÆÅÍÎ: |
|
Ò. â. î. Ãîëîâè Äåðæàâíî¿ |
Î. Ì. ̳ðîøí³÷åíêî |
Ãîëîâà |
Ñ. Ãëóùåíêî |
Çàñòóïíèê Ãîëîâè |
Î. Ì. Âåðæèõîâñüêèé |
̳í³ñòð |
Î. Êâ³òàøâ³ë³ |
ÇÀÒÂÅÐÄÆÅÍÎ
Íàêàç ̳í³ñòåðñòâà àãðàðíî¿ ïîë³òèêè òà ïðîäîâîëüñòâà Óêðà¿íè
11 âåðåñíÿ 2015 ðîêó N 354
Çàðåºñòðîâàíî
â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè
28 âåðåñíÿ 2015 ð. çà N 1154/27599
_____________________________________________________________________________________
(íàéìåíóâàííÿ öåíòðàëüíîãî îðãàíó âèêîíàâ÷î¿ âëàäè, ùî ðåàë³çóº äåðæàâíó ïîë³òèêó ó ñôåð³ áåçïå÷íîñò³ òà
îêðåìèõ ïîêàçíèê³â ÿêîñò³ õàð÷îâèõ ïðîäóêò³â, òà éîãî ðåêâ³çèòè)
ÏÐÎÒÎÊÎË
ïðî ïðàâîïîðóøåííÿ ó ñôåð³ áåçïå÷íîñò³ òà îêðåìèõ ïîêàçíèê³â ÿêîñò³ õàð÷îâèõ ïðîäóêò³â
"___" ____________ 20__ ðîêó |
________________________ |
³äîìîñò³ ïðî îñîáó, ÿêà ñêëàëà ïðîòîêîë: Ïð³çâèùå, ³ì'ÿ òà ïî áàòüêîâ³: ____________________________________________________________ Ïîñàäà: ______________________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ³äîìîñò³ ïðî îïåðàòîðà ðèíêó, ùîäî ÿêîãî ñêëàäàºòüñÿ ïðîòîêîë: Íàéìåíóâàííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ (äëÿ ô³çè÷íî¿ îñîáè - ï³äïðèºìöÿ): __________________________________________________________________________ ²äåíòèô³êàö³éíèé êîä (äëÿ þðèäè÷íî¿ îñîáè) àáî ðåºñòðàö³éíèé íîìåð îáë³êîâî¿ êàðòêè ïëàòíèêà ïîäàòê³â (äëÿ ô³çè÷íî¿ îñîáè - ï³äïðèºìöÿ) ÷è ñåð³ÿ òà íîìåð ïàñïîðòà (äëÿ ô³çè÷íèõ îñ³á - ï³äïðèºìö³â, ÿê³ ÷åðåç ñâî¿ ðåë³ã³éí³ ïåðåêîíàííÿ â³äìîâèëèñü â³ä ïðèéíÿòòÿ òàêîãî íîìåðà): ______ ̳ñöåçíàõîäæåííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ì³ñöå ïðîæèâàííÿ (äëÿ ô³çè÷íî¿ îñîáè - ï³äïðèºìöÿ): _____________________________________________________________________________________ Óïîâíîâàæåíà îñîáà (ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³, ðåºñòðàö³éíèé íîìåð îáë³êîâî¿ êàðòêè ïëàòíèêà ïîäàòê³â ÷è ñåð³ÿ òà íîìåð ïàñïîðòà (äëÿ îñ³á, ÿê³ ÷åðåç ñâî¿ ðåë³ã³éí³ ïåðåêîíàííÿ â³äìîâèëèñü â³ä ïðèéíÿòòÿ òàêîãî íîìåðà) òà ðåêâ³çèòè äîêóìåíòà, ùî ï³äòâåðäæóº ¿¿ ïîâíîâàæåííÿ): _____________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ²íôîðìàö³ÿ ïðî ïðàâîïîðóøåííÿ: ̳ñöå â÷èíåííÿ ïðàâîïîðóøåííÿ: ________________________________________________________ Äàòà òà ÷àñ â÷èíåííÿ ïðàâîïîðóøåííÿ: ___________________________________________________ Ñóòü ïðàâîïîðóøåííÿ: _________________________________________________________________ Íîðìàòèâíî-ïðàâîâèé àêò, ÿêèé ïåðåäáà÷ຠâ³äïîâ³äàëüí³ñòü çà â÷èíåíå ïðàâîïîðóøåííÿ: Çàêîí Óêðà¿íè "Ïðî îñíîâí³ ïðèíöèïè òà âèìîãè äî áåçïå÷íîñò³ òà ÿêîñò³ õàð÷îâèõ ïðîäóêò³â" (ñòàòòÿ 64). ²íôîðìàö³ÿ ïðî ñâ³äê³â ïðàâîïîðóøåííÿ (ÿêùî âîíè º): 1. Ïð³çâèùå, ³ì'ÿ òà ïî áàòüêîâ³: __________________________________________________________ ̳ñöå ïðîæèâàííÿ: ____________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: _____________________________________________ 2. Ïð³çâèùå, ³ì'ÿ òà ïî áàòüêîâ³: __________________________________________________________ ̳ñöå ïðîæèâàííÿ: ____________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: _____________________________________________ 3. Ïð³çâèùå, ³ì'ÿ òà ïî áàòüêîâ³: __________________________________________________________ ̳ñöå ïðîæèâàííÿ: ____________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: ____________________________________________ ²íôîðìàö³ÿ ïðî ïîòåðï³ëèõ (ÿêùî âîíè º): 1. Íàéìåíóâàííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ ²äåíòèô³êàö³éíèé êîä (äëÿ þðèäè÷íî¿ îñîáè) àáî ðåºñòðàö³éíèé íîìåð îáë³êîâî¿ êàðòêè ïëàòíèêà ïîäàòê³â (äëÿ ô³çè÷íî¿ îñîáè) ÷è ñåð³ÿ òà íîìåð ïàñïîðòà (äëÿ ô³çè÷íèõ îñ³á, ÿê³ ÷åðåç ñâî¿ ðåë³ã³éí³ ïåðåêîíàííÿ â³äìîâèëèñü â³ä ïðèéíÿòòÿ òàêîãî íîìåðà): _____________________________________ ̳ñöåçíàõîäæåííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ì³ñöå ïðîæèâàííÿ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: _____________________________________________ 2. Íàéìåíóâàííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ ²äåíòèô³êàö³éíèé êîä (äëÿ þðèäè÷íî¿ îñîáè) àáî ðåºñòðàö³éíèé íîìåð îáë³êîâî¿ êàðòêè ïëàòíèêà ïîäàòê³â (äëÿ ô³çè÷íî¿ îñîáè) ÷è ñåð³ÿ òà íîìåð ïàñïîðòà (äëÿ ô³çè÷íèõ îñ³á, ÿê³ ÷åðåç ñâî¿ ðåë³ã³éí³ ïåðåêîíàííÿ â³äìîâèëèñü â³ä ïðèéíÿòòÿ òàêîãî íîìåðà): _____________________________________ ̳ñöåçíàõîäæåííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ì³ñöå ïðîæèâàííÿ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: _____________________________________________ 3. Íàéìåíóâàííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ ²äåíòèô³êàö³éíèé êîä (äëÿ þðèäè÷íî¿ îñîáè) àáî ðåºñòðàö³éíèé íîìåð îáë³êîâî¿ êàðòêè ïëàòíèêà ïîäàòê³â (äëÿ ô³çè÷íî¿ îñîáè) ÷è ñåð³ÿ òà íîìåð ïàñïîðòà (äëÿ ô³çè÷íèõ îñ³á, ÿê³ ÷åðåç ñâî¿ ðåë³ã³éí³ ïåðåêîíàííÿ â³äìîâèëèñü â³ä ïðèéíÿòòÿ òàêîãî íîìåðà): _____________________________________ ̳ñöåçíàõîäæåííÿ (äëÿ þðèäè÷íî¿ îñîáè) àáî ì³ñöå ïðîæèâàííÿ (äëÿ ô³çè÷íî¿ îñîáè): _____________________________________________________________________________________ Íîìåð çàñîáó çâ'ÿçêó: ___________________________________________________________________ ϳäïèñ: _____________________________________________ ²íôîðìàö³ÿ ïðî øêîäó, çàâäàíó ïðàâîïîðóøåííÿì: ______________________________________ Ïîÿñíåííÿ îñîáè, ÿêà ïðèòÿãàºòüñÿ äî â³äïîâ³äàëüíîñò³, òà/àáî çàïèñ ïðî òå, ùî ¿¿ ïîÿñíåííÿ ³ çàóâàæåííÿ ùîäî çì³ñòó ïðîòîêîëó äîäàþòüñÿ äî íüîãî: __________________________________ ²íø³ â³äîìîñò³, íåîáõ³äí³ äëÿ âèð³øåííÿ ñïðàâè: _________________________________________ ϳäïèñ îñîáè, ÿêà ñêëàëà ïðîòîêîë: ____________________________________________________ Ì. Ï. dz çì³ñòîì ïðîòîêîëó îçíàéîìëåíèé/îçíàéîìëåíà "___" ____________ 20__ ðîêó. Îïåðàòîð ðèíêó àáî óïîâíîâàæåíà íèì îñîáà: _____________________________________________ ϳäïèñ îñîáè, ÿêà ñêëàëà ïðîòîêîë, ùî ï³äòâåðäæóº â³äìîâó îïåðàòîðà ðèíêó àáî óïîâíîâàæåíî¿ íèì îñîáè â³ä ï³äïèñàííÿ ïðîòîêîëó: __________________________________________________________ Ìîòèâè â³äìîâè â³ä ï³äïèñàííÿ ïðîòîêîëó: ________________________________________________ Äðóãèé ïðèì³ðíèê ïðîòîêîëó ïðî ïðàâîïîðóøåííÿ îòðèìàâ _____________________________________________________________________________________ Ïðèì³òêà. Ó ðàç³ â³äìîâè îïåðàòîðà ðèíêó àáî óïîâíîâàæåíî¿ íèì îñîáè â³ä îòðèìàííÿ ïðèì³ðíèêà ïðîòîêîëó îñòàíí³é ïîâèíåí áóòè íàä³ñëàíèé îïåðàòîðó ðèíêó ðåêîìåíäîâàíèì ïîøòîâèì â³äïðàâëåííÿì ç ïîâ³äîìëåííÿì ïðî âðó÷åííÿ. |
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