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    4.7.2.2 Supplier Declaration-OSA OCCP-QM 17.10.11

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    NSI Technical
    This document is a supplier declaration form for organic soil amendments. It requests information from suppliers to evaluate products' compliance with Philippine standards for organic soil amendments. The form collects company and product information, including raw materials used, processing methods, and any substances added during manufacturing. Suppliers must confirm raw materials are non-GMO and untreated, as well as describe decomposition processes for manures. The completed form is signed by a company representative to verify the accuracy of the information provided.

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    4.7.2.2 Supplier Declaration-OSA OCCP-QM 17.10.11

    Uploaded by

    NSI Technical
    26 views2 pages
    This document is a supplier declaration form for organic soil amendments. It requests information from suppliers to evaluate products' compliance with Philippine standards for organic soil amendments. The form collects company and product information, including raw materials used, processing methods, and any substances added during manufacturing. Suppliers must confirm raw materials are non-GMO and untreated, as well as describe decomposition processes for manures. The completed form is signed by a company representative to verify the accuracy of the information provided.

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    This document is a supplier declaration form for organic soil amendments. It requests information from suppliers to evaluate products' compliance with Philippine standards for organic soil amendments. The form collects company and product information, including raw materials used, processing methods, and any substances added during manufacturing. Suppliers must confirm raw materials are non-GMO and untreated, as well as describe decomposition processes for manures. The completed form is signed by a company representative to verify the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views2 pages

    4.7.2.2 Supplier Declaration-OSA OCCP-QM 17.10.11

    Uploaded by

    NSI Technical
    This document is a supplier declaration form for organic soil amendments. It requests information from suppliers to evaluate products' compliance with Philippine standards for organic soil amendments. The form collects company and product information, including raw materials used, processing methods, and any substances added during manufacturing. Suppliers must confirm raw materials are non-GMO and untreated, as well as describe decomposition processes for manures. The completed form is signed by a company representative to verify the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Doc.Ref.No.

    Supplier Declaration for Organic Soil Amendments Page 1 of 2


    4.7.2.2
    17.10.11 Form

    The supplier of the organic agricultural input is requested to declare all necessary
    information for the evaluation of the product’s compliance with the Philippine National
    Standards on Organic Soil Amendments (PNS/BAFS 183:2016)

    The following information should be provided and signed by a technical manager at the company
    manufacturing the soil amendment. Please complete one sheet for each product.

    Company Information
    Company Name      
    Person Providing this      
    Information
    Position in the Company      
    Address      
    Phone No. & Fax No.      
    Mobile No.      
    Email      
    Website      

    Product and Process Information


    Commercial name of the product to which this      
    declaration refers to:
    Raw materials used in the manufacture of the product:      
     Please confirm that raw materials and agents used      
    are not genetically engineered.
     Please confirm that raw materials of plant and animal      
    origin used have not been treated with synthetic
    chemicals, additives and are without chemical
    residues
     In case livestock/animal manure is used, how do you      
    ensure that it has undergone full decomposition?
    Please describe the process
     In case biodegradable market waste is used, please      
    confirm that it has undergone proper segregation and
    does not contain hazardous materials
     Is the product from mined origin? Please describe      
    source and extraction procedure
    Please declare any substance/agent used in the      
    manufacture of the product: surfactants, emulsifiers,
    anti-dusting, anti-caking, preservatives, chelating, pH
    stabiler etc. Provide the name of the substance/agent,
    CAS #* and purpose
     Is the product subject to chemical transformation?      
    Please describe the process
    Please declare other claims for the product: (i.e. odor      
    removal, etc)
    * CAS: Chemical Abstracts Service, see http://www.cas.org/

    The undersigned confirms that all information stated in this document are true and correct.

    Name and signature by company representative:      


    Date and Place:      

    FOR OCCP USE ONLY


    Approval Status: Approved by: Name and Signature
    Denied Approved Others-specify Date:
    Doc.Ref.No. Supplier Declaration for Organic Soil Amendments Page 2 of 2
    4.7.2.2
    17.10.11 Form

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