第一部分：项目基本情况.doc

有机产品认证调查表 Questionnaire for Organic Product Certification （畜禽养殖） (Livestock and Poultry Breeding) 申请单位（公章） Name of Applicant (Company Seal) 法人/负责人（签字、盖章） Person in Charge (Name and Signature) 申请日期 年YYYY 月MM 日DD Date of Application 中绿华夏有机食品认证中心 China Organic Food Certification Center 地址：北京市海淀区学院南路59号 邮编：100081 Address: No.59 Xueyuan South Road, Haidian District, Beijing Postcode: 100081 官网： E-mail：cofcc@126.com Official website: E-mail: cofcc@126.com 注意事项 NOTES 1. 畜禽养殖初加工包括畜禽养殖、屠宰和畜禽产品（如蛋、乳等）收集后的简单清洁、分装等。其他涉及加工的产品企业均需另外填写《有机产品认证调查表（）》。 Primary processing shall be limited to livestock and poultry breeding and slaughtering, as well as post-collection cleaning and sub-packaging of livestock and poultry products (such as eggs and raw milk). As for products that involve processing, the applicant shall fill in the Questionnaire for Organic Product Certification (Organic Products Processing). 2. 本表无法人（负责人、内检员）签字和单位盖章均视为无效。 The questionnaire shall be, if without signature and seal of legal person (person in charge, internal inspector), deemed invalid. 3. 本表涂改后无单位确认章（或负责人签字）视为无效。 The questionnaire shall be, if without seal of confirmation (signature) after altered, deemed invalid. 4. 本表应打印或用钢笔、签字笔填写，字迹工整、清晰。 The questionnaire shall be printed or filled in black ink with regular script. 5. 本表在交付后不再受理补充修改说明材料。 After the submission of the questionnaire, materials for supplement, alteration, and explanation shall not be accepted. 6. 本表应认真、如实填写，所有适用栏目不得空缺，无法填写的注明原因。 The questionnaire shall be seriously and truthfully filled in without vacancy, and reasons given if vacancies occur. 第一部分 基本情况 Part I Basic Information 1. 生产企业与生产单元 Production Enterprise or Production Unit 生产单元（养殖场）名称 Name of production enterprise (producer) 经济类型（生产者） Ownership (producer) 国有State-owned 私营Private 个体Individual 股份制Joint-stock 其他Others 地址/邮编 Address/Postcode 负责人 Contact person 电话/手机 Tel/Mobile 2. 有机生产组织模式 Organizational Patterns for Organic Production 2