FEO-LPSEMD-SPPMCC-2019

EXPLOSIVES MANAGEMENT DIVISION

Special Permit to Purchase and Move Controlled Chemicals (SPPMCC)
a.  Duly accomplished Application Form and Letter Request (MSDS)
b.  Personal Data Sheet (PDS) of the applicant { Notarized} 10KGS /10 LTRS,
c.  NPC Clearance of the applicant; and
d.  Proof of payment from the Land Bank of the Philippines.Php1500.00

Applicant (Company): ___ Contact Person:

Address of Storage Facility: Contact No:

STEP 1: Receiver/Verifier REMARKS

Date/Time Received: _________ AM/PM

Date/Time Released Date: _________ AM/PM ___________________

Signature over Rank/Name
STEP 2: Scanned by:
Date/Time Received: _____________

Date/Time Released Date: _____________ _____________________

Signature over Rank/Name
STEP 3: Processed By:

Date/Time Received: _____________

Date/Time Released Date: _____________ ______________________

Signature over Rank/Name
STEP 4: Chief, License and Permit Section

Date/Time Received: _____________

Date/Time Released Date: _____________ ______________________
Signature over Rank/Name
STEP 5: OIC, EMD

Date/Time Received: _____________

Date/Time Released Date: _____________ ______________________
Signature over Rank/Name
STEP 6: Acting Chief, FEO

Date/Time Received: _____________

Date/Time Released Date: _____________ ______________________
Signature over Rank/Name

\\emd2\EMD Files\PMSG HEGINO A POLANES\Latest Routing Slip 2020 7-8-2019\CC\Special Permit to Purchase and Move Controlled Chemicals SPPMCC.doc-edited by PMSg Oñez