Escolar Documentos
Profissional Documentos
Cultura Documentos
Reference
No:
DENR Permits/Licenses/Clearances
Environmental
Permits Date of Issue
Expiry Date
Laws
A/C No.
P.D. 984
PO No. DP-1011-03BU-576 Sept. 16, 2010
Sept. 20, 2011
ECC 1
PD 1586 ECC 2
ECC 3
DENR
Registry ID
CCO Registry
RA 6969 Importer
Clearance No
Permit to
Transport
A/C No.
RA 8749
PO No. POA-10H-03BU-576 Sept. 15, 2010
Sept. 20, 2011
Reference No:
Operation
Operating hours/day Operating days/week
# of shift/day
Average 8 6
1
Maximum 24 7
3
Operation/Production/Capacity:
Average Daily Total Output this
Please see below
Please see below
Production Output Quarter
Total Water Total Electric
Consumption this 181 Consumption this
6,023
Quarter (cubic meters) Quarter (KwH)
Please use additional sheet/s if necessary
Reference No:
MODULE 2: RA 6969
Reference No:
For producers
Average Daily Total Output this
Production Output Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of Inventory (End of
Quarter) Quarter)
Name of Buyer Quantity
Date of Purchase
Other Information:
Manner of handling # storage on-site #
Treatment on-site
hazardous wastes # storage off-site #
Treatment off-site
Reference No:
Type of
Transport
Storage Time Table
HW Wastes Date of
Permit/Date Valid until Quantity
Container/ for
Number Generator Transport
of Issue
# of Treatment
containers
Process Product
Reference No:
HW Generation:
Remaining HW from
HW
HW Generated
HW No. HW Class HW Nature Previous Report
Cataloguing
Quantity Unit
Quantity Unit
Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No,:
___
HW Details Qty of HW Treated:
Unit: ___
TSD Location:
___
Name:
___
Storage
Method:
___
ID: Name:
___
Transporter
Date:
___
ID: Name:
___
Treater
Method: Date:
___
ID: Name:
___
Disposal
Date: Date:
___
HW No,:
___
HW Details Qty of HW Treated:
Unit: ___
TSD Location:
___
Name:
___
Storage
Method:
___
ID: Name:
___
Transporter
Date:
___
ID: Name:
___
Treater
Method: Date:
___
ID: Name:
___
Disposal
Date: Date:
___
0.15
equipment (m3/day) (cubic meters/day)
New/Additional
Investments in WTP
(Description)
Cost of New/Add
Investments
Person employed, (# of
1 1 1
employees)
Person employed,
P 6,000.00 P 6,000.00 P
6,000.00
(cost)
Cost of Chemicals
used by WTP
Utility Costs of WTP
(electricity & water)
Administrative and
Overhead Costs
Cost of operating in-
house laboratory
Reference No:
(unit)
Reference No:
Summary of APSE/APCF
Process Equipment Location # of hrs of
operations
1. Repacking Table Repacking Area 8
2.
3.
4.
Fuel Burning Equipment Location # of hrs of
operations
1.
2.
3.
4.
5.
6.
Pollution Control Facility Location # of hrs of
operations
1. Air Filters at Vent Fans Repacking Area 8
2.
3.
4.
Cost of Treatment
Month 1 Month 2 Month
3
Improvement or
modification, if any.
(Description)
Cost of improvement of
modification
Cost of Person
P 6,000.00 P 6,000.00 P
6,000.00
employed, (salary)
Total Consumption of
1.92 1.88 1.96
Water (cubic meters)
Total Cost of chemicals
used (e.g., activated
carbon, KMnO4)
Total Consumption of
Electricity (KwH)
Administrative and
Overhead Costs
Cost of operating in-
house laboratory, if any
Module 4: RA 8749 (Air Pollution) page ____
of ____
Name of Plant:
Reference No:
Reference No:
Reference No:
1. Smoke-free plant ⁄
No Smoking Plant
Maintaining cleanliness
2. Clean and green environment ⁄
and beautification of
surroundings.
3. Waste segregation ⁄
Color coded trash cans.
4.
5.
6.
7.
8.
9.
10.
11.
Please use additional sheet/s if necessary.
MODULE 6: OTHERS
Personnel/Staff Training
# of
Personnel
Date Conducted Course/Training Description
Trained
I hereby certify that the above information are true and correct.
Done this January 13, 2011 , in Oria Agrotech Plant, Norzagaray, Bulacan
RICHARD A. BERGANOS
Name/Signature of PCO
ADORITO V. ORIA
Name/Signature of CEO
SUBSCRIBED AND SWORN before me, a Notary Public, this ________ day of
______________________, affiants exhibiting to me their Community Tax Receipts: