TECHNICAL/CHEMICAL AND BIOENERGY APPLICATIONS
INFORMATIVE QUESTIONNAIRE
SECTION 1. MARK SYSTEM AND SERVICE REQUIRED
ITALIAN NATIONAL SYSTEM (DM23012012) ISCC-EU ISCC-PLUS 2BSvs (STD 01) 2BSvs (STD 02)CERTIFICATION RENEWAL EXTENSION: SCOPE SITE
GROUP CERTIFICATION ? No Yes (Mark group type in the box below)
Group of companies belong to category “Agricultural production)
Fill in this form for Central Office and provide an attachment related to every member of Group with all information required in the box AGRICULTURAL PRODUCTION, specifying, in case of DM 23012012, if members group are located in UE and if they receive economic supports under COUNCIL REGULATION 2009/73 / EC, or under COUNCIL REGULATION EC 1698/2005- EAFRD or if are farms with the environmental management system in accordance with COUNCIL REGULATION 1221/2009 / EC.
Group of economic operators producers of biogas (to be delivered to upgrading plant for biomethane production) and of economic operators that deliver raw materials to anaerobic digestion plant
Fill in this form for Group Coordinator (manager of biogas plant) and provide an attachment with information required by the form on the basis activity performed for each economic operator/farm of Group
SECTION 2. FILL THE FOLLOWING FIELDS INDICATING THE DATA CONCERNING THE ORGANISATION FOR WHICH APPLY THE CERTIFICATION
Registered name:VAT registration number or Taxe Code or Business registration No:
Legal head office(Address – Post code – City –Country):
Phone N.: / Website:
Legal representative:
Contact person: / Role:
email: / Phone N.:
SECTION 3. MARK THE BOX RELATED TO THE ACTIVITY TO BE CERTIFIED AND PROVIDE ALL INFORMATION REQUIRED
AGRICULTURAL PRODUCTION (single farm/plantation)PRODUCT/S: / ARABLE LAND AREA: LOWER THAN/EQUAL A 100 HA
HIGHER THAN 100 HA
LAND USE BEFORE REQUEST OF CERTIFICATION:
LAND NOT CULTIVATED LAND CULTIVATED / DISTANCE FROM HIGH BIODIVERSITY AREA/HIGH STOCKS OF CARBON LAND/PEATLAND: HIGHER THAN 2 KM
LOWER THAN 2 KM
ARE PRESENT BOTH SUSTAINABLE CROPS AND NO-SUSTAINABLE CROPS? YES NO / TURNOVER (€/YEAR):
FIRST GATHERING POINT (FOR BIOMASS GROWN/HARVESTED ON FARMS/PLANTATIONS)
PRODUCT/S: / QUANTITYCOLLECTED (t/YEAR):
No OF FARMERS PROVIDING BIOMASS TO ORGANISATION: Attach List of Farmers (names and address)
POINT OF ORIGIN OF WASTE(restaurants, canteens, municipal waste separation areas, economic operator that produce waste in their process belong to this category)
WASTE: / GEOGRAPHICAL ORIGIN OF WASTE: UE EXTRA UE
QAUNTITY OF WASTE: 0-1.000 t/year 1.000-6.000 t/year 6.000-10.000 t/year PLUS THAN 10.000 t/year
FOR DM23012012 SCHEME INDICATE, REFERRING TO A PERIOD NOT SUPERIOR TO YEAR, FINANCIAL PENALTY REPORTED, IF ANY
(PART 4, TITLE VI, PARAGRAPH I LEGISLATIVE DECREE 152 /2006 smi) YES, FINANCIAL PENALTY NO, NO FINANCIAL PENALTY
POINT OF ORIGIN OF RESIDUES
RESIDUES: / GEOGRAPHICAL ORIGIN OF RESIDUES: UE EXTRA UE
QUANTITY OF RESIDUES: 0-5.000 t/year 5.000-10.000 t/year 10.000-30.000 t/year PLUS THAN 30.000 t/year
FOR DM23012012 SCHEME INDICATE, REFERRING TO A PERIOD NOT SUPERIOR TO YEAR, FINANCIAL PENALTY REPORTED, IF ANY
(PART 4, TITLE VI, PARAGRAPH I LEGISLATIVE DECREE 152 /2006 smi) YES, FINANCIAL PENALTY NO, NO FINANCIAL PENALTY
COLLECTING POINT OF WASTE/RESIDUES
WASTE/RESIDUES COLLECTED: / QUANTITY COLLECTED (t/year):
N. POINTS OF ORIGIN PROVIDING MORE THAN 10 METRIC TONS OF WASTE/RESIDUES PER MONTH:
N. DEPENDENT COLLECTING POINTS THAT COLLECT ON BEHALF OF ORGANISATION:
CONVERSION UNIT (in the following box mark the pertinent activity)
OIL MILL REFINERY ORGANISATION AUTHORIZED TO TREATMENT OF UCO - USED COOKING OILS
BIODIESEL/BIOLIQUID PLANT OTHER (SPECIFY)
PRODUCT OBTAINED: / TURNOVER (€/YEAR):
ANNUAL PRODUCTION: 0-100.000 t/year 100.00-200.000 t/year 200.000-400.000 t/year PLUS THAN400.000 t/year
For ITALIAN NATIONAL SYSTEM MARK GEOGRAPHICAL ORIGIN:
INTERMEDIATE PRODUCTS FROM EXTRA EU
INTERMEDIATE PRODUCTS FROM ITALY OR FROM OTHER COUNTRIES IN EU – RAW MATERIAL FROM EXTRA EU
RAW MATERIAL FROM FROM EU RECEIVING DIRECT ECONOMIC SUPPORT UNDER COUNCIL REGULATION 2009/73 / EC, OR UNDER COUNCIL REGULATION EC 1698/2005- EAFRD OR FROM FARMS WITH THE ENVIRONMENTAL MANAGEMENT SYSTEM IN ACCORDANCE WITH COUNCIL REGULATION 1221/2009 / EC
RAW MATERIAL FROM EU IN CASES OTHER THAN IN PREVIOUS CASE
WASTE/RESIDUES FROM EXTRA EU
WASTE/RESIDUES FROM ITALY OR FROM OTHER COUNTRIES EU
INTERMEDIATE PRODUCTS FROM EXTRA EU PRODUCED BY WASTE/RESIDUES
INTERMEDIATE PRODUCTS FROM ITALY OR FROM OTHER COUNTRIES EU PRODUCED BY WASTE/RESIDUES
STORAGE TRADING
PRODUCT: / TURNOVER (€/YEAR):
QUANTITY: 0-100.000 t/year 100.00-200.000 t/year 200.000-400.000 t/year PLUS THAN 400.000 t/year
No OF EXTERNAL WAREHOUSES USED BY ORGANISATION: Attach List of Warehouses (names and address and specify if they
are covered by a certification)
For ITALIAN NATIONAL SYSTEM MARK GEOGRAPHICAL ORIGIN OF PRODUCT:
INTERMEDIATE PRODUCTS, FINAL PRODUCTS FROM EXTRA EU
INTERMEDIATE PRODUCTS, FINAL PRODUCTS FROM ITALY OR FROM OTHER COUNTRIES IN EU – RAW MATERIAL FROM EXTRA EU
RAW MATERIAL FROM FROM EU RECEIVING DIRECT ECONOMIC SUPPORT UNDER COUNCIL REGULATION 2009/73 / EC, OR UNDER COUNCIL REGULATION EC 1698/2005- EAFRD OR FROM FARMS WITH THE ENVIRONMENTAL MANAGEMENT SYSTEM IN ACCORDANCE WITH COUNCIL REGULATION 1221/2009 / EC
RAW MATERIAL FROM EU IN CASES OTHER THAN IN PREVIOUS CASES
WASTE/RESIDUES FROM EXTRA EU
WASTE/RESIDUES FROM ITALY OF FROM OTHER COUNTRIES IN EU
FINAL PRODUCT OBTAINED FROM WASTE/RESIDUES FROM EXTRA EU
BIOGAS PLANTS FOR BIOMETHANE PRODUCTION/BIOMETHANE PRODUCTION PLANT
TURNOVER (€/YEAR):
PRODUCT QUANTITY OBTAINED/YEAR: 0 – 2.500.000 Nmc BIOGAS/ biomethan yearly 2.500.000-3.000.000 Nmc BIOGAS/ biomethan yearly
3.000.000-5.000.000 Nmc BIOGAS/ biomethan yearly
raw material: Organic Fraction of Municipal Solid Waste DEDICATED RESIDUES AND CULTIVATION LIVESTOCK WASTEWATER
For ITALIAN NATIONAL SYSTEM MARK GEOGRAPHICAL ORIGIN OF RAW MATERIAL:
RAW MATERIALS FROM FARMS BELONG TO GROUP OF ECONOMIC OPERATORS PRODUCERS BIOGAS, TO BE DELIVERED TO UPGRADING PLANT FOR BIOMETHANE PRODUCTION
RAW MATERIAL FROM EU OTHER THAN IN PREVIOUS CASE
RAW MATERIAL FROM EXTRA EU
SECTION 4. ADDITIONAL INFORMATION ON OPERATIVE SITES, DIFFERENT FROM HEADOFFICE, INVOLVED IN THE CERTIFICATION
List all operative sites involved in the certification, different from headoffice. Attachment, if necessary. N.A.Registered name - site type / Address/GEO Coordinates / Activity perfomed
SECTION 5. IN THE SECTION BELOW PROVIDE TECHNICAL INFORMATION REQUIRED
METODOLOGY USED FOR THE CALCULATION OF GHG EMISSIONS: :Actual Values Combination actual values and default values Default Values
FOR ITALIAN NATIONAL SYSTEM NO NON CONFORMITIES (NC) IN A PREVIOUS CERTIFICATION CYCLE (REFERRING TO A PERIOD NON SUPERIOR TO 5 YEAR): N.A No NC Less than 4 NC without suspension
More than 4 NC without suspension 1 WITHDRAWAL or 1 Major NC with suspension
Did a consultancy company help implement the sustainability system? YES NO
Name of this company/consultant ([1]):
Any certification already obtained? YES NO / If YES, provide standards/schemes/systems:
If YES, name of certification body (optional): / If YES, is the certificate still valid? YES NO
In relation to Italian legislative decree 196/03 concerning the handling of personal data, I declare that I have read the information contained in the document “General contract conditions governing system, product and personnel certification” available on the website
Whereas, as indicated in the above-mentioned document, my personal data may be used to receive commercial communications by electronic means (e-mail, fax, SMS or MMS or other) to these communications being sent I consent I do not consent
Place and Date Nome – Role – Signature
Form: BIOC_IQ_EN (10-2015)
([1])The name of the consultancy company enables RINA to avoid possible conflict of interest between certification activities and the activities of the associated companies