Professional Documents
Culture Documents
ASSIGMENT DAY 4 - Ricardo Molina III
ASSIGMENT DAY 4 - Ricardo Molina III
Reference No:
Name of the
Establishment/Facility
: 123 Maria Makiling St., Brgy. Silangan, Rosario, Cavite
We hereby certify that the above information are true and correct.
DENR Permits/Licenses/Clearances
Environmental
Permits Date of Issue Expiry Date
Laws
A/C No.
P.D. 984
PO No. DP-2201-0987 10/10/2021 9/30/2026
ECC 4A-2016-1234-
ECC 1 04/22/2020
0987
PD 1586 ECC 2
ECC 3
DENR
Registry ID OL-GR-4A-12-45678 05/25/2021
CCO Registry
RA 6969 Importer
Clearance No
Permit to
Transport 2021-POA-0123-999 06/14/2021 06/13/2026
A/C No.
RA 8749
PO No.
Operation
Operating hours/day Operating days/week # of shift/day
Average 16 6 3
Maximum 20 6 3
Operation/Production/Capacity:
Average Daily
Production Output
0.67 MT Total Output this Quarter 74 MT
Total Water Consumption Total Electric
this Quarter (cubic 1987 cu.m. Consumption this Quarter 29,520 kwH
meters) (KwH)
Please use additional sheet/s if necessary
MODULE 2: RA 6969
For producers
Average Daily
Total Output this Quarter
Production Output
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
Chemical Substitute Yes (please attach copy if not submitted/included in previous report/s or had been revised)
Plan No
HW Generation:
Remaining HW from
HW HW Generated
HW No. HW Class HW Nature Previous Report
Cataloguing
Quantity Unit Quantity Unit
I101 Used Oil LIQUID T 160 kg 560 kg
H802 Grease SOLID T, I 100 kg 200 kg
wastes
D407 Busted SOLID T, C 9.20 kg 9.20 kg
fluorescent
bulbs
J201 Waste and SOLID T 20.85 kg 20.85 kg
contaminated
containers
M506 WEEE SOLID T, I, C 1.00 kg 1.00 kg
Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No,: I101 ___
HW Details Qty of HW Treated: 560 Unit: kg ___
TSD Location:
New/Additional
Investments in WTP
(Description)
Cost of New/Add
Investments
Summary of APSE/APCF
Process Equipment Location # of hrs of operations
1. Fuel Tank Back of genset room 1,800
2. 120 KVA Genset Genset room 990
3.
4.
Fuel Burning Quantity # of hrs of
Location Fuel Used
Equipment Consumed operations
Fuel at the back of Diesel
1. Standby Genset Genset room with 120 liters 11 hours
continuous operation
2. 120 KVA Genset Genset room Diesel 10,800 990
3.
4.
5.
6.
Pollution Control Facility Location # of hrs of operations
1.
2.
3.
4.
Cost of Treatment
Month 1 Month 2 Month 3
Cost of Person employed,
(salary)
Total Consumption of
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
Improvement or
modification, if any.
(Description)
Cost of improvement of
modification
1.
2.
3.
4.
5.
6.
Please use additional sheet/s if necessary.
1.
2.
3.
4.
5.
6.
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.
Ryan Reyes
Name/Signature of PCO
Analea de Guzman
Name/Signature of CEO
SUBSCRIBED AND SWORN before me, a Notary Public, this ________ day of
______________________, affiants exhibiting to me their Community Tax Receipts: