Company Name:
Manager:
Postal Address:
Tel: / Fax: / Email:
2. INFORMATION ABOUT PRODUCT INGREDIENTS
àPlease duplicate the following tables for each product listed in our request and include all active and inert ingredients as well as all auxiliaries for each product.
Product name:
Chemical name / CAS Number[1] / Function: active ingredient; inert ingredient; fertility; inoculant; microbial; mineral; color; pH adjuster; etc. / Synthetic[2], Nonsynthetic[3] / % Final product
Important note: Genetically Modified Microorganisms (GMO) may not be used at any stage in products used as pesticides. Please kindly sign the attached GMO declaration in case your product(s) contains possible GMO risk ingredients.
The manufacturer herewith confirms the correctness and completeness of above information. Additionally, the manufacturer confirms that the IMO approval/logo will not be used in the labels/HR material of the product(s).Place, date / Signee /
Signature, Company Stamp
Note: this technical information i strictly confidential and is valid until 3 years after the date of signature.
2
[1] Chemical Abstracts Service (CAS) is a division of the American Chemical Society which produces the Chemical Abstracts, an index of the scientific literature in chemistry and related fields. http://www.cas.org
[2] Synthetic. A substance that is formulated or manufactured by a chemical process or by a process that chemically changes a substance extracted from naturally occurring plant, animal, or mineral sources, except that such term shall not apply to substances created by naturally occurring biological processes.
[3] Nonsynthetic (natural). A substance that is derived from mineral, plant, or animal matter and does not undergo a synthetic process as defined in section 6502(21) of the Act (7 U.S.C. 6502(21)). For the purposes of this part, nonsynthetic is used as a synonym for natural as the term is used in the Act.