Application for registration of a compost, potting soil product, mulch material, substrate, of degradable pots or technical materials

Transcription

1 Will be filled automatically: Please fill in this form electronically and send it directly to by using the Send- Button at the end of the form. Sending the forms via letter post is not necessary. Please note: Entries in boes marked with an asterisk (*) are intended for publication. FiBL Projekte GmbH reserves the right to shorten and adjust these entries. 1. Applicant Company name * FiBL-customer ID Contact person Telephone 1.1 Informationen on producer / distributor The applicant is Producer of the product. Producers, who provide information on the recipe of their product for the registration of a trade product of another company, can proceed to fill in section 2. to 2.5, 3. and 4. Distributor, but not the producer of the product. Please fill in the directly following questions about the recipe and the producer. 1.2 Information on the product recipe The applicant has full knowledge of the entire recipe of the product. The applicant does not have full knowledge of the entire recipe of the product. Please fill in the directly following questions. already knows the product recipe under the following trade name: Trade name Company name The following company will provide with the entire product recipe for the evaluation. For this purpose, the company will fill in a product application form of its own. Company name Trade name FiBL-customer ID Trade name of the product at this company Street Postcode Place State Please fill in, if known. In said case no further address information must be given. Contact person for FiBL Telephone Homepage PO Bo Fa: Revision: 06/18 Page 1 of 6

2 2. Product Trade name * * Requested classification into FiBL-category (View PDF Classification of categories. FiBL Projekte GmbH reserves the right to adjust the classification.) Only relevant for category 1-30 Growing media and potting soils: Suitable as press potting soil Peat content Date of manufacture specified Yes No * % Yes No 2.1 Chemical parameters (according to VDLUFA) Concerning category 1-25 Mulching materials, pots, and technical material: Please do not make entries in this section Nutrient analysis, but continue with the subsequent section Composition of the product (view PDF Classification of categories ). Nutrient analysis for the category: 1-20 Composts and digestates Dry matter * % of FM K2O * % of DM Organic matter * % of DM CaO * % of DM N (total) * % of DM MgO * % of DM P2O5 * % of DM Salinity (KCl) * g/l FM ph value (in H2O-etract) * Nutrient analysis for the categories: 1-30 Growing media and potting soils 1-31 Additives for potting mies N (gesamt) * mg/l NH4-N * mg/l NO3-N * mg/l P2O5 * mg/l K2O * mg/l Salzgehalt (KCl) * g/l ph value (in CaCl2-etract) * 2.2 Content of heavy metals (Information concerning bio waste and green waste compost is mandatory) Cd: Cr: Cu: Zn: Cr (VI): Ni: PB: Others: PO Bo Fa: Revision: 06/18 Page 2 of 6

3 2.3 Composition of the product The complete indication of all components is obligatory. For etensive formulations, please enclose the full formulation including percentages as an appendi. Please note: Entries in boes marked with an asterisk (*) are intended for publication. FiBL Projekte GmbH reserves the right to shorten and adjust these entries. Fraction Sum must Components be 100% Manufacturer Original material * % * % * % * % oganic convent. % % % 1 Relevant für Sägemehl, Holzschnitt und Rindenprodukte. Das Holz wurde nach dem Einschlag nicht chemisch behandelt. RAL untreat. Added main and micro nutrient fertiliser Type and quantity Manufacturer Comment 2.4 Type and quantity of added and included other substances Micro organisms No Ja, folgende: Other additives No Ja, folgende: Urea-impregnated materials No Ja Quaternary ammonium compounds No Ja (Quats) Components with a particle size of < 0,3 µm (so-called nanoparticles) No Yes 2.5 Assurance statement about the absence of certain auiliaries and additives By sending this form I confirm, that no chemical-synthetic produced nitrogenous substances, such as ammonium, nitrate, nitrite, urea or amides (or their salts or derivates) were added to the above named product. This declaration includes all production stages, from etraction of raw materials and manufacturing to packaging the end product. PO Bo Fa: Revision: 06/18 Page 3 of 6

4 2.6 Vendor declaration about compliance with the ban on the use of genetic engineering according to Regulation (EC) No 834/2007 (organic farming) in its current version The sender assures that this product with the included components Component Assurance Not Last organism(s) capable of reproducing eists 1 relevant please tick off 2 please list the last organism capable of reproducing used in the production for all components contained in the product neither contains GMOs nor was produced from or by GMOs (terms mentioned in Articles 2 and 9 of the Regulation (EC) No 834/2007) and that no information eists which could suggest that this statement is inaccurate. The sender declares that the aforementioned product fulfils the requirements of Article 9 of Regulation (EC) No 834/2007 regarding the ban on the use of GMOs. The sender commits to inform, his/her customers and the relevant control body / control authority immediately if this confirmation is withdrawn or changed or if information becomes known that calls into question the accuracy of this confirmation. The sender authorizes the control body / control authority responsible for customer monitoring in terms of Article 2 of Regulation (EC) No 834/2007, or by authorized representatives to check the accuracy of this confirmation and, if necessary, take samples for analytical evidence. Furthermore, the sender agrees that this task may be assigned to an independent body, which will be nominated in written form by the control body. This assurance statement is valid until cancellation. The sender takes responsibility for the accuracy of this declaration. Place Date Name of the sender Company name PO Bo Fa: Revision: 06/18 Page 4 of 6

5 2.7 Comments / Additional information about the product for publication in the organic Input list (Entry is optional; ma. 150 characters; subject to shortenings, view PDF Eamples of presentation ) * 3. Listing One or multiple options can be ticked off. Hereby I apply for the evaluation and publication of the above named product in the Input list for organic agriculture in Germany, furthermore on the website of the EU-Input list and on the websites and/or in the lists of the subsequently mentioned organic associations (Standard). Evaluation of the conformity to the EU legislations further criteria by FiBL and different associations (currently Demeter, Demeter International, Ecovin, Gaea and Naturland) on the website of the EU-Input list. Evaluation of the conformity to the EU legislations on the website and in the lists of Demeter International / national Demeter associations. Evaluation of the conformity to the criteria of Demeter International and of national Demeter associations. Minimum standard: EU legislations I do not apply for publication, but provide information for the listing / publication of the trade product of the company. This application is free of charge for my company. By sending this form and with the indications concerning me and my company in section 4., I solely confirm the correct and entire completion of this form. 4. Confirmation of the applicant Entries in boes marked with an asterisk (*) are intended for publication (especially in an Input list for organic farming). The sender assures that the given information is correct and complete and commits to inform FiBL Projekte GmbH about every change immediately. Should the sender become aware of circumstances, which indicate that the affirmation in this period is not adhered to, he/she is bound to inform about the circumstances that make it possible that the information given here has become inaccurate. The sender assures everyone, that the above named product, registered by him-/ herself, is allowed to be used according to the intended purpose for which it is placed on the market and in the contet of organic farming. Furthermore, that it is in accordance with the Regulation (EC) 834/2007 and 889/2008 and general national legal requirements. The sender is bound to this assurance until withdrawn, but at least for the entire period of validity of the Input list for organic farming until In the case of electronic data transmission, this declaration is valid without a signature. The sending of the data is regarded as confirmation and assurance that the form has been filled in correctly and completely. It also is regarded as release for editing and publication. Place Date Name of the sender Company name PO Bo Fa: Revision: 06/18 Page 5 of 6

6 5. Compulsory documents Comments Copy of labels and recommendations for use Description of the manufacturing process (e.g. flow chart) End product specification Specification of the used raw materials Optional documents Certificate(s) of production methods of the used raw materials Analysis on organic harmful substances (Dioins, Furans and PCB) If necessary, safety data sheets of the used raw materials Other: Please note: Some fields of this form are obligatory. They should be bordered red (especially when working with an Adobe Reader). PO Bo Fa: Revision: 06/18 Page 6 of 6