Supplier Questionnare - Section C GMO (2) (1)

Supplier Quality Questionnaire Supplier Questionnare - Section C GMO Page 1 of 3 C. Traceability of Ingredients Potentially Derived from GMO In order to comply with current EU legislation on the labelling of foodstuffs containing genetically modified organisms (GMO) and to trace raw materials that have potentially been derived from GMO crops please complete the following questionnaire. In case the questionnaire covers more than one product, please use a separate form C for each product. Material Brand Name Chemical Name (if applicable) Product Code                   1. Raw Material Origin Soya / Maize / Rice / Cotton Seed / Sugar Beet / Rape seed / Sunflower 1.1 Is the product supplied to us derived from maize grains, rice grains, soy beans, cotton seeds, sunflower seeds, rape seeds or sugar beet? Yes FORMCHECKBOX No FORMCHECKBOX 1.2 In any case, please indicate plant species from which the raw material is derived       1.3 Is the maize grain, rice grain, soy bean, cotton seed, sunflower seed, rape seed or sugar beet from a non GM crop? Yes FORMCHECKBOX No FORMCHECKBOX 1.4 Areas / countries of origin e.g. Europe?       1-5 Does the product supplied to us contain DNA or protein from a GM crop? Yes FORMCHECKBOX No FORMCHECKBOX 2. Pre-Processing Information 2.1 Is the crop (maize grain / rice grain / soy bean / cotton seed / sunflower seed / rape seed / sugar beet) PCR tested prior to processing? Yes FORMCHECKBOX No FORMCHECKBOX 2.2 Frequency of sampling PCR testing a) All incoming batches       b) Representative sampling technique       2.3 Is an independent laboratory used for PCR test? Yes FORMCHECKBOX No FORMCHECKBOX 3. Transportation and Storage 3.1 Are the maize grain / rice grain / soy bean / cotton seed / sunflower seed / rape seed / sugar beet segregated (GM / non GM) during transportation to factory (designated vessels / Lorries)? Yes FORMCHECKBOX No FORMCHECKBOX 3.3 Is the raw material stored in designated tanks / silos prior to processing? Yes FORMCHECKBOX No FORMCHECKBOX 3.2 Describe the procedures taken to avoid cross contamination between GM / Non GM material       4. Processing 4.1 After initial processing is the crude material (oil, slurry, etc…) PCR tested? Yes FORMCHECKBOX No FORMCHECKBOX 4.3 Is a dedicated processing line used for GM / non GM material? Yes FORMCHECKBOX 4.2 If no, describe the measures taken to avoid cross contamination (e.g. cleaning procedures)       5. Quality Control and Management Procedures 5.1 Is batch traceability back to origin of seed Yes FORMCHECKBOX No FORMCHECKBOX a) In place Yes FORMCHECKBOX No FORMCHECKBOX b) Documented Yes FORMCHECKBOX No FORMCHECKBOX c) If no, please comment?       d) If yes, provide relevant documentation Ref:       5.2 Is PCR testing for GM carried out on the final product? Yes FORMCHECKBOX No FORMCHECKBOX 5.3 Please indicate frequency of test a) Each batch       b) Representative sampling technique (state) method       5.4 Are PCR analysis results available for each batch of this product (supplied or to be supplied)? Yes FORMCHECKBOX No FORMCHECKBOX 5.5 Are designated barrels / drums, tankers, Lorries used for transportation of the final product? Yes FORMCHECKBOX No FORMCHECKBOX 5.6 Please provide a complete traceability exercise back to the crop origin i.e. seeds for one batch (if Soy / Maize / Rice / Cotton / Rape / Sunflower / Beet is used) Ref:       5.7 Please provide a statement on the GMO / non GMO status of the raw material supplied to us Ref: