DECLARATION

SKETCH OR TECHNICAL REPORT OF COLD CONTROL

I,......................................................................Rut............................... owner or
lessee of the premises from........................................................... located
at...................................................Nº............ of the city of................................., I
DECLARE that the cooling system implemented in my premises, will consider the
following equipment(s):

YEAR OF
N° COOLING UNIT BRAND MODEL STORAGE CAPACITY MANUFACTUR
E

……………………………………
Name and signature of owner or
Legal representative

You must declare all the refrigeration units you have in the food facility for the conservation and/or
preservation of your raw materials and finished product. Examples of refrigeration units: Freezers,
Refrigerators, Refrigerated display cabinets, etc.
 DECLARATION
HEAT AND STEAM EXTRACTION SYSTEMS

I,...................................................................Rut.Nº..............................owner or
lessee of the premises................................................ located
at .................................... Nº............. of the city of..............................., I DECLARE
that my establishment has THE FOLLOWING HEAT, ODOR OR STEAM
ELIMINATION SYSTEMS:

 HEAT SOURCE gas firewood other

 FUEL USED gas wood fuel other

 HEATING SURFACE (M2 ) :

EXTRACTION SYSTEM

 Type of hood: metallic electric

 Extractor: wind electric

……………………………………
Name and signature of owner or
Legal representative

You must declare your fume and heat extraction systems (fume hood and exhaust fans), which you have in the
food facility, to maintain a dry environment at room temperature.