Please list all facilities that will be in the scope of the ISCC certification. Please fill out all information below. *All facilities will be assessed during the audit. Facility Name Type (Rendering, Purification, Oil extraction, Biofuel plant, etc.) Location (City, Province) Products Volume (metric tons) Ownership status (Owned by you, owned by partner, or owned by subcontractor) Attach Additional Pages if Necessary Section 4: Storage Locations / Warehouses Please list all warehouses that will be used to certified products *A sample of storage sites will be assessed during the audit. Name of Storage Site (if relevant) Type (tank farm, grain elevator, etc) Material Stored (Grains, Fats/Oils, Biofuel, etc.) Location Address of Storage Site GPS Coordinates (if available) Ownership status (Owned by you, rented to you, or owned and operated by subcontractor) Attach Additional Pages if Necessary Section 5: Sources of Waste Material (ONLY FILL THIS SECTION IF CERTIFYING WASTES/ RESIDUES) 5a: Points of Origin (Waste generation sites) Please list all sources of waste material GREATER THAN 10 METRIC TONS per month. *A sample of waste providers over 10MT/month will be assessed during the audit. Type (Industrial plant, commercial user, renderer, other?) Products (UCO, Animal fat, fatty acids, etc.) Average Volume Per Month In metric tons Location Address of Storage Site GPS Coordinates (if available) Independently Certified? Does the point of origin have its own ISCC certificate? (yes/no)
Attach Additional Pages if Necessary 5b: Collecting Points Please list any entities that collect material on your behalf Name of Company Products (UCO, Animal fat, acids, etc.) Location Address of Storage Site (or GPS) Contact Info Who holds the contracts with the Points of Origin? You or the Collecting Point? Does the Collector take legal possession of the product they collect? (yes/no) Section 6: Farms, Plantations or Estates (ONLY FILL THIS SECTION IF CERTIFYING AGRICULTURAL PRODUCTION) List all farms, plantations, or estates. PLEASE ONLY LIST FARMS THAT YOU WILL INCLUDE IN THE ISCC CERTIFICATION SCOPE *A sample of farms / plantations will be assessed during the audit. Large Farms/ Plantations (>2500 hectares) Number of Large Farms or Plantations Type of Farm (Corn, Palm Fruit, Canola, Sugarcane, Forestry, etc.) Location Approx. distance and driving time from Farm(s) to the Processing Facility? Ownership Is the farm(s) owned by the company, or is it independent? Date Established When was the farm/plantation established? (mon/year) Can use a date range if more than one farm. Medium Farms/ Plantations (500 - 2500 hectares) Number of Medium Size Farms or Plantations Type of Farm (Corn, Palm Fruit, Canola, Sugarcane, Forestry, etc.) Location Approx. distance and driving time from Farm(s) to the Processing Facility? Ownership Is the farm(s) owned by the company, or is it independent? Date Established When was the farm/plantation established? (mon/year) Can use a date range if more than one farm. Small Farms (<500 hectares)
Number of Small Farms Type of Farm (Corn, Palm Fruit, Canola, Sugarcane, Forestry, etc.) Location Approx. distance and driving time from Farm(s) to the Processing Facility? Ownership Is the farm(s) owned by the company, or is it independent? Date Established When were the farms established? (mon/year) Can use a date range if more than one farm. Section 7: Standards to be Applied What ISCC standard(s) do you want to be certified to? EU (for biofuels) PLUS (for food and feed) PLUS add-ons What greenhouse gas emissions reductions calculations are you planning on using? Calculated Values (required for non-EU corn or palm w/out methane capture) Default values (pre-determined emissions values listed in EU directive) Not sure Will you be requiring the Italian declaration? (To sell ISCC materials into the Italian market) Yes No Not sure Do you need consulting support? (If so, we can provide a list of vetted consultants who can help you prepare for certification.) Yes No Section 8: The following section is used to determine your ISCC fees. Depending on the of your certification, please fill out either Section 8a and/or 8b. A list of terms to help determine your scope is below: Conversion Unit: Biofuel Facility, or Oil mill (any facility that involves chemical changes to an input) Point of Origin: material to be certified was created on premises, i.e. restaurant, rendering facility, farm Trader: Only trades material Collecting collector of UCO or other waste materials Warehouse: Storage facility Logistic Center: a network organizer of warehouses 8a: If your company is a Conversion Unit or a Trader, please indicate Total Annual Turnover in Euros Please indicate the annual revenue level for the business unit in Euros. Level and Annual Revenue (Million Euro) Please Check 1 (0€ -0.6€) 2 (0.6€ - 3€) 3 (3€ - 15€) 4 (15€ - 30€) 5 (30€ - 60€) 6 (60€ - 150€)