INTERNATIONAL SOLID WASTE INTEGRATED MANAGEMENT SPECIALIST INC.

ACCREDITATION FORM
PRIVATE HAULER/INDEPENDENT HAULER
SITIO LUKUTANG MALIIT, BRGY. SAN ISIDRO, RODRIGUEZ, RIZAL
Email: iswimsdr@gmail.com
TEL: (02) 8724-9288/(02) 8723-1378
BUSINESS INFORMATION
BUSINESS NAME: GREEN & SKY ENVIRO MANAGEMENT INC.
CELLPHONE NUMBER: 0956-533-8555 TEL. NUMBER: 7116-5324
BUSINESS ADDRESS: 11 Polo Lane, New St. Francis Village, Brgy. San Juan, Cainta, Rizal 1900

YEAR ESTABLISH: July 25, 2022 EMAIL ADDRESS: greenandsky.inc@gmail.com

BUSINESS PERMIT NO.: 2023 0831 DATE ISSUE: January 12, 2023
DTI/SEC REGISTRATION NO.: 2022070061063-06 DATE ISSUE: July 25, 2022
OWNER INFORMATION(AUTHORIZED REPRESENTATIVE)
NAME: ALIWALAS REYNANTE II LAZARO
LAST NAME FIRST NAME MIDDLE NAME
ADDRESS: 534 Tinajero St. Del Pilar City of San Fernando Pampanga
CELLPHONE NUMBER(VIBER): 0918-386-0517 TEL. NUMBER:
BIRTHDAY
AGE: 49 SEX: Male October 05, 1973 BIRTH PLACE: Tarlac
:
CITIZENSHIP: Filipino TIN: 184-973-977-000 SSS/GSI NO.: CRN-0033-5027544-3
AUTHORIZED REPRESENTATIVE
**BUMIBILI NG TICKET/UMOORDER
NAME: ALIWALAS REYNANTE II LAZARO
LAST NAME FIRST NAME MIDDLE NAME
CONTACT NUMBER: 0918-386-0517 VIBER NUMBER: N.A
NAME:
LAST NAME FIRST NAME MIDDLE NAME
CONTACT NUMBER: VIBER NUMBER:
NAME:
LAST NAME FIRST NAME MIDDLE NAME
CONTACT NUMBER: VIBER NUMBER:
I HEREBY CERTIFY THAT ABOVE INFORMATION GIVEN ARE TRUE AND CORRECT BASED ON OUR KNOWLEDGE AND I WILL BE LIABLE FOR ANY MISREPRESENTATION GIVEN IN THE ABOVE.

SIGNATURE OVER PRINTED NAME

OWNER/AUTHORIZED REPRESENTATIVE
 INTERNATIONAL SWIMS INC.
PRIVATE HAULER - TRUCK LIST/TRUCKS INFORMATION
PLATE NUMBER/CONDUCTION/ M.V. BODY LENGTH WIDTH HEIGHT
REGISTERED OWNER TRUCK TYPE VOLUME
FILE NUMBER NUMBER BY METER
1 CBP 8324 GNS CENTRAL TRADING DUMP TRUCK 4.70 2.30 1.50 15.50

2 ABK 4764 ROBLES, ROBERTO G. DUMP TRUCK 5.00 2.20 1.40 15.40

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** PLEASE USE ANOTHER SHEET IF NECESSARY

I HEREBY CERTIFY THAT ABOVE INFORMATION GIVEN ARE TRUE AND CORRECT BASED ON OUR KNOWLEDGE AND I WILL BE LIABLE FOR ANY MISREPRESENTATION GIVEN IN THE ABOVE.

SIGNATURE OVER PRINTED NAME

OWNER/AUTHORIZED REPRESENTATIVE
 INTERNATIONAL SWIMS INC.
PRIVATE HAULER - CLIENT LIST
CLIENT NAME/ COMPANY NAME ADDRESS CONTACT PERSON CONTACT NUMBER WASTE GENERATED
1

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11

12

** PLEASE USE ANOTHER SHEET IF NECESSARY

I HEREBY CERTIFY THAT ABOVE INFORMATION GIVEN ARE TRUE AND CORRECT BASED ON OUR KNOWLEDGE AND I WILL BE LIABLE FOR ANY MISREPRESENTATION GIVEN IN THE ABOVE.

SIGNATURE OVER PRINTED NAME

OWNER/AUTHORIZED REPRESENTATIVE