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    ISCC EU Self Declaration Waste Residues V104

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    M Zuhdi Aminulloh
    This document is a self-declaration form for wastes or residues to be used for biofuel production according to the Directive 2009/28/EC. It requires information about the origin of the wastes or residues, what types they are, and certifies that applicable regulations are being followed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ISCC EU Self Declaration Waste Residues V104

    Uploaded by

    M Zuhdi Aminulloh
    629 views1 page
    This document is a self-declaration form for wastes or residues to be used for biofuel production according to the Directive 2009/28/EC. It requires information about the origin of the wastes or residues, what types they are, and certifies that applicable regulations are being followed.

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    ISCC EU Self Declaration Waste Residues V104

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    This document is a self-declaration form for wastes or residues to be used for biofuel production according to the Directive 2009/28/EC. It requires information about the origin of the wastes or residues, what types they are, and certifies that applicable regulations are being followed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    629 views1 page

    ISCC EU Self Declaration Waste Residues V104

    Uploaded by

    M Zuhdi Aminulloh
    This document is a self-declaration form for wastes or residues to be used for biofuel production according to the Directive 2009/28/EC. It requires information about the origin of the wastes or residues, what types they are, and certifies that applicable regulations are being followed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Self-declaration on wastes or residues for biofuel production according to the Directive

    2009/28/EC

    Point of origin: ____________________________________________________________________

    Street address: ____________________________________________________________________

    Postcode, location: ____________________________________________________________________

    Country: ____________________________________________________________________

    Recipient: ____________________________________________________________________

    (Please tick the applicable boxes)


    1. The wastes or residues supplied consist only of biomass defined as the biodegradable fraction
    of products, waste and residues from biological origin from agriculture (including vegetal and
    animal substances), forestry and related industries including fisheries and aquaculture, as well
    as the biodegradable fraction of industrial and municipal waste.

    2. The wastes or residues supplied originate from agriculture, forestry, fisheries or aquacultures
    (tick the box for straw, for example, but not for crude glycerine or used cooking oil).

    If previous box ticked (e.g. for straw):


    The wastes or residues fulfill the land related sustainability requirements laid down in Art. 17
    (3) to (6) of the Directive 2009/28/EC.

    3. The delivery consists of the following wastes or residues*:

    ______________________________________________________________________________
    ______________________________________________________________________________
    List each waste or residue delivered. Identify each clearly, and give the waste codes (if applicable)
    according to the relevant national waste ordinance - if you are entitled to do so. In the case of animal
    by-products, the categories the waste belongs to must be stated in accordance with Regulation (EC)
    No. 1774/2002 and No. 1069/2009.

    4. Applicable regulations for marking and transport, including commercial documents, are met. If
    veterinary certificates exist, these are to be kept together with the commercial documents.

    5. The respective waste or residue is not mixed with biomass/waste of a different origin.

    6. Documentation of quantities delivered is available.

    Note: In signing this self-declaration, the signatory acknowledges that auditors from certification bodies,
    staff of certification schemes and inspectors from national bodies (if applicable) can examine whether the
    requirements are met as stated in this self-declaration.

    ___________________________ ___________________________
    Place, date Signature

    *In case used cooking oil (UCO) is delivered, it is mandatory to specify if the UCO is based on animal fats or vegeta-
    ble oils.

    Copyright ISCC System GmbH EU Version 1.04, Status 24.10.2013

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