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Doc-8 - GGL 4a. Transaction Statement v1-4

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48 views3 pages

Doc-8 - GGL 4a. Transaction Statement v1-4

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shinshomalaysia
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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4a.

Transaction Statement

This statement is submitted by the GGL participant to the applicable GGL Certification Body
and confirms compliance with the applicable GGL standards.

Section 1. General and GHG data


General information
Name of product PKS
Previous TCs ○○○○○○
Mill of origin (voluntary-based field) New Energy Development Dumai
Product supplied from New Energy Development
Product supplied to Ishikari Bio Energy
Date on consignment ？
Date On board on Bill of or transport documents yyyy/mm/dd
Shipment / file number ？
Name of ship (if applicable) ○○○○〇
Buyer’s Reference Number ？
Gross mass in MT (load port) 10,000MT
Net mass in MT (discharge port) 10,000MT
Country of origin of biomass 1 Indonesia

GHG data (figures from Biograce-II)


g CO2/MJ biomass
CO2-eq Emissions for previous default value
part of the chain: ○○ ✘ actual value
g CO2/MJ biomass
CO2-eq Emissions for default value
cultivation (eec): - actual value
g CO2/MJ biomass
CO2-eq Emissions for default value
processing (ep): - actual value
g CO2/MJ biomass
CO2-eq Emissions for transport default value
(etd): 2.46 g/mj ✘ actual value
g CO2/MJ biomass
CO2-eq Emissions for fuel in default value
use (eu): - actual value
g CO2-eq/MJ
default value
✘ actual value
combination of disaggregated
Total in g CO2-eq/MJ ○○+2.46 g/mj default values and actual values

Covered by GGL scope certificate number ______________ I confirm that the information above is accurate, complete and
complies in full with all applicable GGL requirements and does not contain any materials prohibited by GGL. (Company name,
initials, surname & signature + stamp) (place and date)

1
when multiple countries, please state the MT % per country

4a. Transaction Statement v1-4 March 2020 Page 1 of 3


Section 2. Biomass categories information
Biomass Category MT % per % SDE+ SDE+ NTA
category Originate requirements requirements 8003:2017
from covered by covered by code /
endorsed the endorsed GGLS 5
3 descriptio
schemes1 scheme and n
by GGLS12
1. Prim. wood >500 GGL-Certified 2
yes
ha FMU no

GGL-Controlled yes
no

2. Prim. Risk GGL-Certified yes


wood
based no
<500 ha
FMU approach
applied?
yes GGL-Controlled yes
no3 no

3. Residues from GGL-Certified


nature/landscape

4. Residues from GGL-Certified


agriculture

5. Biogenic GGL-Certified 100% ？ ？ ？ ？


residues and waste

2
when < 100%, the remaining part should comply with the GGL-Controlled (claim).
3
if ‘no’ indicate the origin from endorsed schemes.
Indicate individual sustainability principles/criteria in the Netherlands.

4a. Transaction Statement v1-4 March 2020 Page 2 of 3


Section 3. To be filled out by the Certification Body (CB)

Unique Code:
Description of verification activities
Include CB certification and verification activities relevant to this statement.

Statement
The Certification Body has reviewed the documents and information submitted by the GGL Participant
relevant to this statement and has issued a Transaction Certificate as per GGLS4 requirements. This
statement is only valid is signed by a GGL accredited Certification Body.

(CB name, surname & signature + stamp)

Date of issue: dd-mm-yyyy

4a. Transaction Statement v1-4 March 2020 Page 3 of 3

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