City of Mandaue City Environment and Natural Resources Office #iammandaue conro@mandauecity.gov.ph /uvuaw mandauecity gou ph REGISTRATION FORM FOR THE ISSUANCE OF ENVIRONMENTAL TRANSPORT PERMIT Date of Issued (D/M/Y) 3. Date of Application; March 20; JOV? 3. Name of TransporterC\wisopher Lou Canied | 4. Contact Number: 0444 €27 0425 s.Name afte) OwerdheLy sn) © Name of ene 7. Registered Company Name: URC. Tadinn and ewius 8. Address: Sood teary village GunGh, Vapwlequ City Cab ‘9. Date of Establishment. July ot, wt 10. Tel: (072) 400-9550 11. Fax: 12. Name of Contact Person: Owistophier Low Gaza | 13. Contact Number: (AF462> 0979 14. Tel: (092) 40~ 0650 | 14. Fax: 15. E-mail: mrosuis @ yahoo vom, 16. General Description of BusinessOperation | Garage Collettion and Diypual 17, Authorized Capitalization (P/year): 18. Paid-up Capitalization (P/year): 19, Total Employees: 20. Adin, Employees: 21. Number of Drivers (02. 5 RB Please put check (/) to the box of the attached list of requirements ‘if you have completed/complied. certify that enclosed information is true and accurate record as available. Applicant: CHPLSNOPHER Lou (ELD Signature __ Ske Date (DIM/Y): 2 poprewy Screened byy Po Date (DIMI): / / (ignature Over Printed Name) ‘SWM Focal Person Note from the SWM Focal Person: Page 1 of 2 LG-MC-ENR-SWM-FOA Rev.003 07/01/19, UALUES 7 MISSION ERCELLENCE USION CREATE AN ENUEONMENT ‘TRENSPRNENCY Tel. No. 346-4800 8 280, maNDFUE CTY FORSUSTANRGLE ECONEMC GROWTH RESOURCEFULNESS SWS Compound, Burgos St, Barangay ‘THE PRIARY SOLACE AND ALURALE SOCETY ACCOUNTABILITY ‘Centro, Mandave City OF HGH GURLITY MANUFACTURED THROUGHRESPONSME GUEINANCE ——_NTEGATY. PHILIPPINES 6014 ‘CONSUMER PRODUCTS | FAD MULTLSECTORAL UOLUEMENT TERRORCity of Mandaue City Environment and Natural Resources Office #lammandaue ‘cenro@mandauecity.gov.ph /wwws mandavecty gou ph Peseription of Vehicle for Transportation [No.of Vehicle ) = | 1.lateNo.| 2.Maker | 3. Year | 4 Type “| = ae Date Issued | Date of Expiry | Own/Lease GFA-GA |miguiti-Pus| Toor | Cm | 35 own | (Gn 40 [MHewisitys) 19%0 | Che | 945 own Teu-9> | Fuse | dio | Ge | a5 owen Womb | 'siam | Dooy | cM | Fy oun Yerlue_| Knee) 2o0u | EB | 295 i oon | Gto294 | isn | 1994 | cee | oo | ___ | een TM-99 | sven | 205 Ob | WTS | oon | eA |mitcubbhiiy) You | Op | 7-5 _ own man Fp00 | sion | Toy | pr | ns cone) Iino | Fuso | Qolt | DT | ago own maa | UA | ou | pr | Fo Son | Teertify that enclosed information is true and wccurate record as available, = Applicant: ROTHER Ual_ Cea ron SE Date (D/M/Y): D 1% tn ~\ Screened me Date (D/M/Y): ae (Signature Over Printed Name) ‘SWM Focal Person “1 Type of while: FBP Body, CFD-Close Type of, TLTank Ly, DT= Damp tk | LG-MC-ENR-SWM-F9A Rev.003 07/01/19 Page 2 of 2 ULES MISSION EXCELLENCE UISION (CREATE AN ENUIRONMENT TRANSPARENCY Tel, No. 346-4800 8 2820, MANORLE CTY FFORSUSTANRBLE ECONOMC GROWTH RESOURCEFULNESS SWS Compound, Burgos St, Barangay THE PRINRY SOURCE AND ALURBLE SOCIETY ACCOUNTABLITY ‘Centro, Mandaue City OF HGH QUPLITY MANUFACTURED THROLGHRESPONSUE GOVERNANCE ——«NTEGATY PHILIPPINES 6014 CONSUMER PRODUCTS PAD MULTESECTORAL NUUEMENT TERME#iamman City of Mandaue City Environment and Natural Resources Office daue cenro@mandauecity.gov.ph /www mendauecity gou ph [Description of Vehicle for Transportation |No, of Vehicle (8): 5. Capacity 1.Plate No. | 2.Maker | 3. Year [a Type "t| CABS | Date Issued Date of Expiry | Own/Lease munagy | FANSD wis nS dwn eam S70 | 192 In 1275 don Net 448 | Pulbo__| Toot 2A| bon NPA-41«7 |_ISuey | Zob7 le 00 oun _| | Teertify that enclosed information is true and accurate record as available. Applicant: capictyei (OU Cento Signature: © a Date (D/MIY): pi aniwy Screened by: Date (D/M/Y): af (Signature Over Printed Name) 'SWM Focal Person +1 Type of vehicles: FB=Flat Body, CFB=Closed Type of FB, TL=ank Lorry, DT= Dump truck LG-MC-ENR-SWM-F9A Rev.003 07/01/19, Page 2 of 2 MISSION UISION (CREATE AN ENURONMENT Tol. No. 246-4800 ‘By 2928, MANDALE CITY FOR SUSTAINABLE ECONOMIC GROWTH ‘CSWS Compound, Burgos St, Barangay lee ene ee AND A WUPBLE SOCETY Centro, Mandaue City ‘OF HGH OURLITY MANUFACTURED THROUGH RESPONSUE GOUERNAINCE, PHILIPPINES 6014 ‘CONSUMER PRODUCTS AND) MULTI-SECTORAL NUOLUEMENT. UALUES EXCELENCE “TRANSPARENCY ESOLROEFULNESS, ACCOUNTABILITY INTEGRITY TERMS