Department of Environment and Natural Resources

Environmental Management Bureau

Reference No:
(To be filled up by DENR only)

GENERAL INFORMATION SHEET

Name of the
UNIVERSAL STEEL SMELTING CO., INC.
Establishment/Facility

Establishment/Facility Street # & Street Name:

Address Barangay: _ City/Municipality: _
(NOT the company of head
office) Province: QUEZON CITY
Name of
Owner/Company
Street # & Street Name:
Address
(if address is not the same as Barangay: _ City/Municipality: _
previous address)
Province: QUEZON CITY

Phone Number Fax Number

e-mail address

Type of Business/ Philippine Standard Industry Classification Code No. ______24121___________

Industry Classification Philippine Standard Industry Descriptor: OPERATION OF ROLLING MILL

CEO/President
Tel #: __Fax #:
Responsible Officer/s: e-mail address:
Plant Manager:
Tel #: Fax #: e-mail address: _

Name.
Pollution Control
Tel #: _____ Fax #:
Officer
e-mail address: _

 single proprietorship  partnership

Legal Classification x private domestic corporation
  government corporation
 Multi-national  ___

We hereby certify that the above information is true and correct.

____________ __________________
Name/Signature of CEO/President Name/Signature of PCO ()
UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Department of Environment and Natural Resources

Environmental Management Bureau

QUARTERLY SELF-MONITORING REPORT

FIRST QUARTER JANUARY 2017 – MARCH 2017

MODULE 1: GENERAL INFORMATION

Name of the Plant
Please provide the necessary revised, corrected or updated information not contained in your General
Information Sheet

(use additional sheet/s if necessary)

DENR Permits/Licenses/Clearances
Environmental
Permits Date of Issue Expiry Date
Laws
A/C No.
P.D. 984
PO No.
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.

Module 1: General Information page ___ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Operation
Operating hours/day Operating days/week # of shift/day
Average 20 6 2

Maximum 24 6 2

Operation/Production/Capacity:
Average Daily
303.815mt Total Output This Quarter 18,532.831mt
Production Output
Total Electric
Total Water Consumption
915.99m³ Consumption this Quarter 1,995,000kwh
this Quarter (m³)
(KwH)
Please use additional sheet/s if necessary

Module 1: General Information page ___ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

MODULE 2: RA 6969

A. CCO Report (please accomplish this section for each chemical/substance)

Common Name/IUPAC/CAS Index Name. N/A ___

CAS No.: ___
Trade Name: ___

For importers only:

Import
Quantity Date of Quantity Country of Country of
Clearance Port of Entry
Requested Arrival Received* Origin Manufacture
No.
N/A N/A N/A N/A N/A N/A N/A

Total Quantity Requested Total Quantity Received

(annual) (annual)
* attach copy/s of Bill of Lading

For distributors (importers/non-importers)

Name of Client License No. Quantity Date of Distribution
N/A N/A N/A N/A

Total Quantity Distributed

For non-importer users:

Name of Distributor Quantity Date of Purchase
N/A N/A N/A

Total Quantity Purchased from Distributor

For producers

Module 2B: RA 6969 (Hazardous Wastes Generator) page ____ of __ _

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Average Daily
N/A Total Output this Quarter N/A
Production Output
Quantity of Stock Quantity of Stock
Inventory (Start of N/A Inventory (End of N/A
Quarter) Quarter)
Name of Buyer Quantity Date of Purchase
N/A N/A N/A

Total Quantity Sold

Used in Production (please fill up only if chemical/substance is not main product)

Average Daily
N/A Total Output this Quarter N/A
Production Output
Average Quantity Used Total Quantity Used this
N/A N/A
per month Quarter
Describe any changes in Production/Process/Operations:

Stock Inventory/Waste Chemical Generated:

Average Quantity of Total Quantity of Waste
Waste Chemical N/A Chemical Generated this N/A
Generated per month Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of N/A Inventory (End of N/A
Quarter) Quarter)

Other Information:
Manner of handling  storage on-site N/A  Treatment on-site N/A
hazardous wastes  storage off-site N/A  Treatment off-site N/A

Changes in Safety  Yes (please attach copy of revised plan) N/A

Management System  No N/A

Chemical Substitute  Yes (please attach copy if not submitted/included in previous report/s or had been revised) N/A
Plan  No N/A

Module 2B: RA 6969 (Hazardous Wastes Generator) page ____ of __ _

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

B. Hazardous Wastes Generator

HW Generation:
Remaining HW from
HW HW Generated
HW No. HW Class HW Nature Previous Report
Cataloguing
Quantity Unit Quantity Unit
1101 Waste oil Lube oil Toxic 0.905773 Tons 0.0.008458 Tons
D407 Mercury Fluorescent Toxic 0.01437 Tons 0.001360 Tons

Waste Storage, Treatment and Disposal :( Please fill-up one table per HW)
HW No,: 1101 __________
HW Details Qty of HW Treated: 0 Unit: 0 ___
TSD Location: - ___

Name: Plant Oil Storage ___

Storage
Method: Sealed Drums ___

Transporter ID: N/A Name: ___

Module 2B: RA 6969 (Hazardous Wastes Generator) page ____ of __ _

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Date: N/A ___

ID: Name: ___

Treater
Method: Date: ___

ID: N/A Name: ___

Disposal
Date: N/A Date: ___

HW No,: D407 ___

HW Details Qty of HW Treated: 0 Unit: 0 ___
TSD Location: N/A ___

Name: Plant Storage ___

Storage Method: Wooden Box / Sealed Drums
___

ID: N/A Name: ___

Transporter
Date: N/A ___

ID: N/A Name: ___

Treater
Method: N/A Date: ___

ID: N/A Name: ___

Disposal
Date: N/A Date: ___

On-Site Self Inspection of Storage Area:

Corrective Action Taken
Date Conducted Premises/Area Inspected Findings & Observations
(if any)
Drums were intact and no oil
23March 2017 Used oil storage area -
spillage

Module 2B: RA 6969 (Hazardous Wastes Generator) page ____ of __ _

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Module 2B: RA 6969 (Hazardous Wastes Generator) page ____ of __ _

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

C. Hazardous Wastes Treater/Recycler

HW Stored and/or Untreated as of End of Quarter:

Type of
Transport Storage Time Table
Wastes Date of
HW Number Permit/Date Valid until Quantity Container/ for
Generator Transport
of Issue # of Treatment
containers
N/A N/A N/A N/A N/A N/A N/A N/A

HW Treated and/or Recycled as of End of Quarter:

Type &
Type of
Transport Quantity of
Type of Wastes Date of Treatment or
HW Number Permit/Date Quantity Recycled or
Wastes Generator Transport Recycling
of Issue Treated
Process
Product
N/A N/A N/A N/A N/A N/A N/A N/A

Residual Wastes Generated from the Treatment and/or Recycling Operation:

Process by Type of
Type of which the Storage Disposal Time Table for
HW Number Quantity
Wastes Wastes is Container/ Option Disposal
Generated # of containers
N/A N/A N/A N/A N/A N/A N/A

Module 2C: RA 6969 (Hazardous Wastes Treater/Recycler) page ___ of ___

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

MODULE 3: P.D. 984 (Water Pollution)

Water Pollution Data

Domestic wastewater Process wastewater
N/A N/A
(cubic meters/day) (cubic meters/day)
Cooling water Others: ___________
N/A N/A
(cubic meters/day) (cubic meters/day)
Wash water, equipment Wash water, floor
N/A N/A
(m3/day) (cubic meters/day)

Record of Cost of Treatment (Separate entries for separate facilities)

Month 1 Month 2 Month 3
Person employed,
(# of employees)
Person employed, (cost)
Cost of Chemicals used
by WTP
Utility Costs of WTP
(electricity & water)
Administrative and
Overhead Costs
Cost of operating in-
house laboratory

New/Additional
Investments in WTP
(Description)

Cost of New/Add
Investments

WTP Discharge Location

Outlet
Location of the Outlet Name of Receiving Water Body
Number
1 N/A N/A

2
3
4
5

Module 3: P.D. 984 (Water Pollution) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Detailed Report of Wastewater Characteristics for Conventional Pollutants

Outlet No.

Effluent Oil & ________

BOD TSS Temp rise (name)
DATE Flow Rate Color pH Grease
(mg/L) (mg/L) (ºC)
(m3/day) (mg/L)
(unit)
N/A N/A N/A N/A N/A N/A N/A N/A N/A

N/A

Please fill-up/accomplish separate form/s for other outlet/s.

Module 3: P.D. 984 (Water Pollution) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Detailed Report of Wastewater Characteristics for Other Pollutants

Outlet No.

Effluent ________ ________ ________ ________ ________ ________ ________

(name) (name) (name) (name) (name) (name) (name)
DATE Flow Rate
(m3/day)
(unit) (unit) (unit) (unit) (unit) (unit) (unit)
N/A N/A N/A N/A N/A N/A N/A N/A N/A

N/A

Please fill-up/accomplish separate form/s for other outlet/s.

Please use additional sheet/s if necessary.

Module 3: P.D. 984 (Water Pollution) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

MODULE 4: R.A. 8749 (Air Pollution)

Summary of APSE/APCF
Process Equipment Location # of hrs. of operations
1. Bunker Oil Tank Mill Plant 1,416 hours

2.

3.

4.
Fuel Burning Quantity # of hrs. of
Location Fuel Used
Equipment Consumed operations
1. Gen Set 100kw Mill Plant Diesel 348 liters 15hrs

2. Reheating Furnace Mill Plant LSFO / Bunker 628,080 liters 1,296.25hrs

3.

4.

5.

6.

Pollution Control Facility Location # of hrs. of operations

1. None N/A N/A

2.

3.

4.

Cost of Treatment
Month 1 Month 2 Month 3
Cost of Person employed,
N/A N/A N/A
(salary)
Total Consumption of
N/A N/A N/A
Water (cubic meters)
Total Cost of chemicals
used (e.g., activated N/A N/A N/A
carbon, KMnO4)
Total Consumption of
N/A N/A N/A
Electricity (KwH)
Administrative and
N/A N/A N/A
Overhead Costs
Cost of operating in-
N/A N/A N/A
house laboratory, if any
Improvement or
modification, if any. N/A N/A N/A
(Description)
Cost of improvement of
N/A N/A N/A
modification

Module 4: RA 8749 (Air Pollution) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Detailed Report of Air Emission Characteristics

Description/Location
of PCF
SO2 NO2 ________ ________
Flow Rate CO NOx Particulates (name) (name) (name) (name)
DATE
(Ncm/day) (mg/Ncm) (mg/Ncm) (mg/Ncm)
(mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)

May 31,
2016 222Nm³/day - - 8mg/Nm³ 4mg/Nm³ 93.1mg/Nm³ - -

Please fill-up/accomplish separate form/s for other PCF/s.

Please use additional sheet/s if necessary.

Module 4: RA 8749 (Air Pollution) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

MODULE 5: P.D. 1586

Ambient Air Quality monitoring (if required as part of ECC conditions)
Description/Location
of Monitoring
Station
Noise ________
SO2 ________ ________ ________
CO NOx Particulates (name) (name) (name) (name)
DATE Level (mg/Ncm) (mg/Ncm) (mg/Ncm)
(dB) (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
01/27/16 19

(Please accomplish one table per monitoring station.)

Ambient Water Quality monitoring (if required as part of ECC conditions)

Description/Locatio
n
of Sampling Station
________ ________ ________ ________ ________ ________ ________ ________
(name) (name) (name) (name) (name) (name) (name) (name)
DATE
(unit) (unit) (unit) (unit) (unit) (unit) (unit) (unit)
N/A N/A N/A N/A N/A N/A N/A N/A N/A

(Please accomplish one table per sampling station.)

Module 5: P.D. 1586 (EIS System) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

Other ECC Conditions

Status of Compliance
ECC Condition/s Actions Taken
Yes No
1. Rated capacity of plant shall not exceed 3,600mt/month √
2. SO2 and PM emission resulting from the plant operations should

be within the prescribed standards √

3. That all necessary permits from other government agencies shall

be secured. √

Please use additional sheet/s if necessary.

Environmental Management Plan/Program

Status of
Enhancement/Mitigation Measures Implementation Actions Taken
Yes No

1.
2.
3.
4.
5.
6.
Please use additional sheet/s if necessary.

Solid Waste Characterization/Information:

Average Quantity of Total Quantity of Solid
Solid Wastes Generated 1.1m³ Wastes Generated this 3.3m³
per month Quarter
Average Quantity of Total Quantity of Solid
Solid Wastes Collected 1.1m³ Wastes Collected this 3.3m³
per month Quarter
Entity in charge of
Serbisyong Bayan – Linis Ganda of Quezon City Solid Waste
collecting solid wastes

Brief Description of
Solid Waste Solid waste management depends on physical form of waste and
Management Plan (e.g., characteristics; Separation is usually implemented. We also perform
waste reduction, recycling and reuse system like lubricating of chain conveyor for used oil.
segregation, recycling)

Module 5: P.D. 1586 (EIS System) page ____ of ____

UNIVERSAL STEEL SMELTING CO., INC.
Reference No:

MODULE 6: OTHERS

Accidents & Emergency Records

Findings and
Date Area/Location Actions Taken Remarks
Observation

None N/A N/A N/A N/A

Personnel/Staff Training
# of Personnel
Date Conducted Course/Training Description
Trained
September 1~4, 2015 Basic Training Course for Pollution 1
Control Officer

September 16~18, 2015 Continuing Environmental Education

Program 1

October 1, 2015 Training course for Managing head 1

I hereby certify that the above information is true and correct.

Done this _________________________, in ________________________.

Name/Signature of PCO Name/Signature of CEO

SUBSCRIBED AND SWORN before me, a Notary Public, this ________ day of
______________________, affiants is exhibiting to me their Community Tax

Receipts:
Name: CTR No. Issued at Issued on

Quezon City January 12, 2017

Quezon City January 12, 2017

Module 5: P.D. 1586 (EIS System) page ____ of ____