
Article 1 
Member States shall use the questionnaire set out in the Annex as a basis for forwarding the information to be provided on an annual basis in accordance with Articles 11(1) and 12(1) of Directive 96l62fEC and the following provisions:

— Articles 3(1), (3) and (4), 4(1), 5(1), (2), (4) and (5), 6, 7(1), (2) and (3), and 9(6) of Directive 1999/30/EC,
— Articles 3(1), 4, and 5(1), (2), (3) and (5) of Directive 2000/69/EC and
— Articles 3(1) and (2), 4(1) and (2), 5, 9 (1) and (3), and 10 (1)(a) and (2)(b) of Directive 2002/3/EC.
Article 2 
Decision 2001/839/EC is hereby repealed.
Article 3 
This Decision is addressed to the Member States.
Done at Brussels, 29 April 2004.
For the Commission
Margot WALLSTRÖM
Member of the Commission
ANNEX
MEMBER STATE: ...
CONTACT ADDRESS: ...
REFERENCE YEAR: ...
COMPILATION DATE: ...
The following forms distinguish between items that are legally required to report and items that are voluntary to report for the Member State. Voluntary items are printed in italic.
Many of the forms below contain and indefinite number of rows or columns to be filled in. In the form description, the number of empty rows or columns to be filled in is then limited to three and a dashed borderline indicates that the form should be extended as needed.
In addition to the forms, which are to be filled in by the Member State, some tables are also provided. The tables provide information such as fixed codes that are not to be changed by the Member State.

Form 1 Contact body and address
Form 2 Delimitation of zones and agglomerations
Form 3 Stations and measuring methods used for assessment under 1999/30/EC and 2000/69/EC
Form 4 Stations used for assessment of ozone, including nitrogen dioxide and nitrogen oxides in relation to ozone
Form 5 Stations and measuring methods used for the assessment of recommended volatile organic compounds
Form 6 Stations and measurement methods used for the assessment of other ozone precursor substances
Form 7 Methods used to sample and measure PM10 and PM2,5 and ozone precursor substances: optional additional codes to be defined by the Member State
Form 8 List of zones and agglomerations where levels exceed or do not exceed limit values or limit values plus margin of tolerance
Form 9 List of zones and agglomerations where levels exceed or do not exceed target values or long term objectives for ozone
Form 10 List of zones and agglomerations where levels exceed or do not exceed upper assessment thresholds or lower assessment thresholds, including information on the application of supplementary assessment methods
Form 11 Individual exceedences of limit values and limit values plus the margin of tolerance
Form 12 Reasons for individual exceedences: optional additional codes to be defined by the Member State
Form 13 Individual exceedences of ozone thresholds
Form 14 Exceedence of ozone target values
Form 15 Annual statistics of ozone
Form 16 Annual average concentrations of ozone precursor substances
Form 17 Monitoring data on 10 minutes mean SO2 levels
Form 18 Monitoring data on 24hr mean PM2,5 levels
Form 19 Tabular results of and methods used for supplementary assessment
Form 20 List of references to supplementary assessment methods referred to in Form 19
Form 21 Exceedence of limit values for SO2 due to natural sources
Form 22 Natural SO2 sources: optional additional codes to be defined by Member State
Form 23 Exceedence of limit values of PM10 due to natural events
Form 24 Exceedence of limit values of PM10 due to winter sanding
Form 25 Consultations on transboundary pollution
Form 26 Exceedences of limit values laid down in Directives 80/779/EEC, 82/884/EEC and 85/203/EEC
Form 27 Reasons for exceedences of limit values laid down in Directives 80/779/EEC, 82/884/EEC and 85/203/EEC: optional additional codes to be defined by the Member State
Table 1 Methods used to sample and measure PM10 and PM2,5 and ozone precursor substances: standard codes
Table 2 Reasons for individual exceedences: standard codes
Table 3 Statistical parameters to be used in concentration maps
Table 4 Natural SO2 sources: standard codes
Table 5 Natural events causing limit value exceedences for PM10: standard codesThe Member State is asked to fill in the contact body, and if possible, the contact person at national level, that the Commission may approach on details regarding this questionnaire if needed. (1) The Member State should give not only the zone name, but also a unique zone code.
 (2) The Member State should indicate the pollutant(s) to which the zone applies using the codes: ‘S’ for SO2, ‘N’ for NO2/NOX, ‘P’ for PM10, ‘L’ for lead, ‘B’ for benzene, ‘C’ for carbon monoxide and ‘O’ for ozone, separated by a semicolon, or ‘A’ if the zone applies to all these pollutants. If zones have been separately defined for health, ecosystem and vegetation protection, the Member State should use the following codes: ‘SH’ for SO2 health protection, ‘SE’ for SO2 ecosystem protection, ‘NH’ for NO2 health protection, ‘NV’ for NOX vegetation protection.
 (3) It should be indicated whether the zone is an agglomeration (code: ‘ag’) or not (code: ‘nonag’).
 (4) Optionally, the Member States may add the area and population size of the zone for further processing of the data at European level.
 (5) For further processing, the Member State is requested to fill in the zone borders in a standard format (polygons, using the geographical coordinates according to ISO 6709: geographical longitude and latitude). The Member State is requested to provide separately a map of the zones (as an electronic file or on paper) to facilitate the correct interpretation of the zone data. The Member State must provide at least either the zone borders in Form 2 or a map.
 (1) In Form 3 and other forms in this questionnaire, ‘Eol station code’ refers to the code that is used for the exchange of data under the Exchange of Information Decision 97/101/EC. ‘Local station code’ is the code used within the Member State or region.
 (2) The Member State is requested to identify in the third column the zone(s) applying to ozone in which the station is located. If more than one zone is concerned, the codes should be separated by a semicolon.
 (3) The Member State is requested to use the columns headed by ‘SO2’‘NO2’‘NOX’, ‘Lead’, ‘Benzene’ and ‘CO’ for indicating whether the measurement is used for assessment under Directive 1999/30/EC or 2000/69/EC respectively, ticking with ‘y’ if used and leaving the cell empty if not used. It should be noted that ticking NOX implies that the station is sited at a location where the limit value for vegetation applies. If the station is in the immediate vicinity of specific sources of lead as referred to in Annex IV to Directive 1999/30/EC, the Member State is requested to tick with ‘SS’ instead of ‘y’.
 (4) The Member State should use the columns headed by ‘PM10’ and ‘PM2,5’ for indicating whether the measurement is used for assessment under Directive 1999/30/EC and indicate at the same time which measurement method is used. If the measurement is used for assessment under the Directive, the Member State should fill in the measuring method code (see Note 5); if the measurement is not used for assessment under the Directive, the cell should be left empty. For PM2,5 levels formal assessment under Article 6 of Directive 96/62/EC is not required.
 (5) The measurement method code for PM10 and PM2,5 can be indicated by one of the standard codes provided by this questionnaire (see Table 1) or a code defined by the Member State that refers to a separate list of methods described by the Member State (see Form 7). The description defined by the Member State may also be a reference to a separate document added to the questionnaire. If the measurement method has been changed during the year, the Member State is requested to fill in both method codes: first the method that was used for the longest time in the year, followed by the other one, separated by a semicolon.
 (6) When the measurement method for PM10 or PM2,5 is not the reference method, respectively the provisional reference method, set out in Directive 1999/30/EC, Annex IX, the Member State is requested to fill in the correction factor by which the measured concentrations have been multiplied to obtain the concentrations reported in this questionnaire or to fill in the corresponding correction equation. If a correction equation has been applied, a free format can be used in which the measured concentration should be denoted by ‘CM’ and the reported concentration by ‘CR’, preferably using the format CR = f(CM). If the results of the method have been demonstrated to be equivalent without the application of a correction, the Member State is requested to indicate this by entering the value ‘1’ for the correction factor or equation.
 (7) ‘Function of station’ indicates whether the station is sited at a location where (a) the limit values for health, the SO2 limit value for ecosystems and the NOX limit value for vegetation apply (code ‘HEV’), (b) only the limit values for health and the SO2 limit value for ecosystems apply (code ‘HE’), (c) only the limit value for health and the NOX limit value for vegetation apply (code ‘HV’) or (d) only the limit values for health apply (code ‘H’).
 (1) The Member State is requested to identify in the third column the zone in which the station is located.
 (2) The Member State should use the columns headed by ‘O3’, ‘NO2’ and ‘NOX’ for indicating whether the measurement is used for assessment under Directive 2002/3/EC, ticking with ‘y’ if used and leaving the cell empty if not used. The column headed by ‘NO2’ indicates measurement as mentioned in 2002/3/EC, Article 9(1), the column headed by ‘NOx’ indicates measurement as mentioned in 2002/3/EC, Article 9(3).
 (3) ‘Type of station’ is defined according to 2002/3/EC, Annex IV. The following codes should be used: ‘U’ for urban, ‘S’ for suburban, ‘R’ for rural and ‘RB’ for rural background.
 (1) The Member State should indicate in Form 5 for each station and for each substance assessed under 2002/3/EC Article 9(3) the measurement method by one of the standard codes provided by this questionnaire (see Table 1) or a code defined by the Member State (Form 7).
 (2) Whereas reporting obligations of ozone precursor substances must include “appropriate volatile organic compounds”, the list presented in Form 5 is only a recommendation according to Annex VI of Directive 2002/3/EC.
In the leftmost column of Form 6 the Member State should indicate ozone precursor substances assessed under 2002/3/EC Article 9(3) other than those described in Form 5. The Member State should indicate in Form 6 for each station and each substance the measurement method by one of the standard codes provided by this questionnaire (see Table 1) or a code defined by the Member State (Form 7). Note (2) of Form 5 applies for Form 6 accordingly.

Method code Description
M1 PM10 or PM2.5: Beta-absorption
M2 PM10 or PM2.5: Gravimetry for PM10 and/or PM2.5 - continuous measurement
M2dxxx PM10 or PM2.5: Gravimetry for PM10 and/or PM2,5 — random measurement; xxx should be the number of measured days. Example: random sampling on 180 days of the year is indicated by M2dl80.
M3 PM10 or PM2.5: Oscillating microbalance for PM10 and/or PM2,5
M4 Lumped sum NMHC: automated, semi-continuous monitoring, NMHC calculated from Total HC minus methane; FID
M5 Lumped sum NMHC: automated semi-continuous monitoring, after chromatographic separation of NMHC from methane; FID
M6 Individual VOC: automated sampling and on line analysis; cryogenic sample pre-concentration, GC/FID (MS) detection
M7 Individual VOC: whole air canister sampling; offline analysis by GC/FID (MS)
M8 Individual VOC: active solid adsorbent sampling; offline analysis by GC/FID (MS) after solvent or thermal desorption
M9 Individual VOC: diffusive solid adsorbent sampling; offline analysis by GC/FID(MS) after solvent or thermal desorption
M10subcode Formaldehyde: sampling with DNPH; off line analysis of hydrazones by HPLC with UV detection (360 nm).
M11subcode Formaldehyde: sampling with HMP; offline analysis of oxazolidine by GC-NPD
M12suhcode Formaldehyde: sampling withy bisulfite and chromotropic acid; off line analysis by spectrometry (580 nm)


 -  -  -  -  -  -  (1) 
>LV + MOTabove the limit value plus the margin of tolerance;≤LV + MOT; >LVbelow or equal to the limit value plus the margin of tolerance but above the limit value;≤LVbelow or equal to the limit value;>LVabove the limit value;SSdue to specific sources, see Note 7.Art 3(2)extension period granted, see Note 8.
 (2) ‘>LV + MOT’ should be read as ‘>LV’ when the margin of tolerance has decreased to 0 %. In that case the column headed by ‘≤LV + MOT; >LV’ should not be used.
 (3) If the column heading describes the status of the zone, tick with ‘y’.
 (4) If exceedence has been concluded from model calculations solely, tick with ‘m’ instead of ‘y’.
 (5) For thresholds for ecosystems and vegetation, tick only when exceedence occurred in areas where these limit values apply. For zones in which no areas exist where these limit values apply, tick column ‘≤LV’ by ‘n’.
 (6) The winter mean is defined as the period from 1 October of the year preceding the reference year to 31 March of the reference year.
 (7) If the exceedence status indicated in Form 8d is solely due to exceedence in an area in the immediate vicinity of specific sources designated according to Annex IV to Directive 1999/30/EC, the Member State is requested to indicate this by ticking column ‘SS’ by ‘y’.
 (8) In Form 8e, ‘LV’ refers to the limit value specified in Directive 2000/69/EC Annex I. For zones for which the Commission has granted an extension period for benzene according to Article 3(2) to Directive 2000/69/EC, the Member State is requested to indicate this by ticking column ‘Art3(2)’ by ‘y’.
The column headings have the following meaning:>TVabove the target value for ozone;≤TV; >LTObelow or equal to the target value but above the long term objective for ozone;≤LTObelow or equal to the long term objective for ozone. (1) If the column heading describes the status of the zone, tick with ’y’.
 (2) If exceedence has been concluded from model calculations solely, tick with ‘m’ instead of ’y’.
 (3) The status is to be assessed over 3 years for the health target value and over 5 years for the vegetation target value.
 -  -  -  -  -  -  -  (1) 
>UATabove the upper assessment threshold;≤UAT; >LATbelow or equal to upper assessment threshold, but above the lower assessment threshold;≤LATbelow or equal to the lower assessment threshold;SAsupplementary assessment, see Note 6.
 (2) If the column heading describes the status of the zone, tick with ‘y’.
 (3) If exceedence has been concluded from model calculations solely, tick with ‘m’ instead of ‘y’.
 (4) For thresholds for ecosystems, tick only when exceedence occurred in areas where the limit values for ecosystems apply.
 (5) Exceedence of UAT and LAT is judged on the basis of the reference year and the preceding four years in accordance with the specification in Annex V(II) of Directives 1999/30/EC and Annex III(II) of 2000/69/EC respectively, ity
 (6) The Member State is requested to indicate in the column ‘SA’ whether information from fixed measuring stations has been supplemented by information from other sources as referred to in Article 7(3) of Directive 1999/30/EC, Article 5(3) of Directive 2000/69/EC and Article 9(1) of Directive 2002/3/EC.
 -  -  -  -  -  -  -  -  -  -  -  -  (1) Identifying the station by filling in the EoI station code is not mandatory, but highly recommended.
 (2) The phrase ‘limit value plus MOT’ should be read as ‘limit value’ when the margin of tolerance has decreased to 0%.
 (3) ‘Month’ and ‘Day of month’ should be indicated by its number (1-12 and 1-31 respectively). ‘Hour’ should be indicated as ‘1’ for the hour between 00:00h and 01:00h etc.
 (4) All exceedences of the limit value plus the margin of tolerance at a station are reported if the total number of exceedences is above the allowed number. If the total number of exceedences at a station is lower than or equal to the allowed number, no exceedences are reported.
 (5) The reason of exceedence can be indicated by one or several standard codes provided by this questionnaire (see Table 2) or a code defined by the Member State that refers to a separate list of reasons described by the Member State (Form 12). If more than one reason is indicated, the codes should be separated by a semicolon. The description given by the Member State could also be a reference to a separate document added to the questionnaire.
 (6) For exceedences in zones for which the Commission has, according to Directive 2000/69/EC Article 3(2), granted a time-limited extension, the Member State is requested to enter ‘y’ in the column headed by ‘Article 3(2)’.
 (7) If no exceedences above the number of allowed exceedences have been observed, the Member State is requested to enter ‘No exceedences’ in the left cell of the first row.


Reason code Description
S1 Heavily trafficked urban centre
S2 Proximity to a major road
S3 Local industry including power production
S4 Quarrying or mining activities
S5 Domestic heating
S6 Accidental emission from industrial source
S7 Accidental emission from non-industrial source
S8 Natural source(s) or natural event(s)
S9 Winter sanding of roads
S10 Transport of air pollution originating from sources outside the Member State
S11 Local petrol station
S12 Parking facility
S13 Benzene storage
 -  -  -  (1) For ‘Reason code(s)’ see Note 5 to Form 11.
 (2) 13a and 13b: An exceedence period is a continuous period on a single calendar day during which a threshold was continuously exceeded. A period cannot include hours of more than a single calendar day. If more than one exceedence period occurs on a calendar day, each period must be reported separately.
 (3) The requirement to report NO2 measurements is restricted to a minimum of 50% of the O3 sampling point (Article 9(1) of 2003/3/EC)
 -  -  (1) The data should be consistent with the requirements in Directive 2002/3/EC, Annex I(II), Footnotes b and c. If the three or five year averages could not be determined on the basis of a full and consecutive set of annual data, each year taken into account in the calculation should be indicated in the rightmost column, separated by a semicolon from other years.
 (2) Form 14a: All exceedences of the target value at a station are reported if the total number of exceedences is above the allowed number. If the total number of exceedences at a station is lower than or equal to the allowed number, no exceedences are reported.
The number of valid data for AOT40 refers to the hourly data available in the relevant period (for vegetation protection between 8:00 and 20:00 from May to July, maximum 1104 hours; for forest protection between 8:00 and 20:00 from April-September, maximum 2196 hours). -  -  (1) In the first line of Form 16a the Member State should report the EoI station codes and in the following lines the annual average concentration of ozone precursor substances assessed under Directive 2002/3/EC Article 9(3).
 (2) For ozone precursor substances other than those described in Form 16a and assessed under Directive 2002/3/EC Article 9(3), the Member State should fill in Form 16b following the structure of Form 16a, indicating these other substances in the first column.
 (3) Whereas reporting obligations of ozone precursor substances must include “appropriate volatile organic compounds”, the list presented in Form 16a is only a recommendation according to Annex VI of Directive 2002/3/EC.
 (4) Concentrations that have been reported under the Exchange of Information Decision 97/101/EC should not be reported in Form 16.
Where it is not practicable for a Member State to record data on concentrations of sulphur dioxide averaged over 10 minutes this form does not have to be completed. -  -  -  -  -  -  -  -  (1) ‘Method’ is a code defined by the Member State that refers to a separate list of references (Form 20) on publications or reports in which the supplementary method is documented. Form 20 is part of the report to the Commission; the publications or reports referred to are not to be sent to the Commission.
 (2) Form 19 can be complemented by maps showing concentration distributions. It is recommended that the Member State, if possible, compiles maps showing concentration distributions within each zone and agglomeration. It is recommended to provide concentration iso-lines of the parameters in which the air quality thresholds are expressed (see Table 3) using iso-lines at intervals of 10% of the threshold.
 (3) The information should refer to the appropriate averaging period for the long term objectives (1 year), the target value for health (3 years) and the target value for vegetation (5 years).


Pollutant Parameters
SO2 99.7 percentile of 1h means; 98.9 percentile of 24h means; annual mean; winter mean
NO2 99.8 percentile of 1h means
NO2/NOX Annual mean
PM10 90.1 percentile of 24h means (stage 1); 97.8 percentile of 24h means (stage 2)
PM10 and PM2,5 Annual mean
Lead Annual mean
Benzene Annual mean
Carbon monoxide Maximum daily 8-hour mean
Ozone 92.9 percentile of daily 8-hour means averaged over the last 3 years; maximum daily 8-hour mean in reference year; AOT40 (May to July) averaged over the last 5 years
 -  -  -  - The natural source can be indicated by one or several standard codes provided by this questionnaire (see Table 4) or a code defined by the Member State that refers to a separate list of natural sources described by the Member State (Form 22).

Natural source code Description
A1 Volcanism inside the Member State
A2 Volcanism outside the Member State
B Coastal wetlands
C1 Natural fires inside the Member State
C2 Natural fires outside the Member State
 -  - The natural event can be indicated by one or several standard codes provided by this questionnaire (see Table 5).

Natural event code Description
A1 Volcanic eruption inside the Member State
A2 Volcanic eruption outside the Member State
B1 Seismic activity inside the Member State
B2 Seismic activity outside the Member State
C1 Geothermal activity inside the Member State
C2 Geothermal activity outside the Member State
D1 Wild-land fire inside the Member State
D2 Wild-land fire outside the Member State
E1 High wind event inside the Member State
E2 High wind event outside the Member State
F1 Atmospheric resuspension inside the Member State
F2 Atmospheric resuspension outside the Member State
G1 Transport of natural particles from dry regions inside the Member State
G2 Transport of natural particles from dry regions outside the Member State
 -  -  -  - Tick only if yes, using ‘y’. (1) The numerical value of the limit value exceeded should be indicated in the second column.
 (2) For SO2 and suspended particulates it should be indicated whether the black-smoke or the gravimetric method was used.
 (3) Identifying the station is not mandatory, but highly recommended.
 (4) The reason for exceedence can be indicated by one or several standard codes provided by this questionnaire (see Table 5) or a code defined by the Member State that refers to a separate list of reasons described by the Member State (Form 27). If more than one reason is indicated, the codes should be separated by a semicolon. The description given by the Member State could also be a reference to a separate document added to the questionnaire.
