S E L F - M O N I T O R I N G R E P O R T f o r Q u a r t e r, Y e a r

Transcription

1 S E L F - M O N I T O R I N G R E P O R T f o r Q u a r t e r, Y e a r MODULE 1: GENERAL INFORMATION Name of the Enterprise Address Responsible Officer/s: Pollution Control Officer CEO/President. _ Tel #: Fax #: address: Plant Manager: Tel #: Fax #: address: Name. Tel #: Fax #: address: Legal Classification single proprietorship private domestic corporation partnership Multi-national Permits/Licenses/Clearances Environmental Laws P.D. 984 PTO PD 1586/SBMA EIS System RA 6969 ECC ECC Amendment 1 ECC Amendment 2 DENR Registry ID SBMA Registry No. CCO Registry Importer Clearance No Permit to Transport Permits Date of Issue Expiry Date Operation Average Maximum Operating hours/day Operating days/week # of shift/day Operation/Production/Capacity: Average Daily Production Output Total Output this

2 Total Water Consumption this (cubic meters) (Please use additional sheet/s if necessary) MODULE 2: RA 6969 Total Electric Consumption this (KwH) A. Chemicals Used Name Origin Volume/month Common Name CAS No. Stock Inventory/Waste Chemical Generated: Average Quantity of Waste Chemical Generated per month Quantity of Stock Inventory (Start of ) Total Quantity of Waste Chemical Generated this Quantity of Stock Inventory (End of ) Other Information: Manner of handling hazardous wastes Changes in Safety Management System storage on-site storage off-site Yes (please attach copy of revised plan) No Treatment on-site Treatment off-site Chemical Substitute Plan Yes (please attach copy if not submitted/included in previous report/s or had been revised) No B. Hazardous Wastes Generator HW Generation: Type Vol. /month Total for this Transporter Treater MODULE 3: P.D. 984 (Water Pollution) Water Pollution Data Domestic wastewater Cooling water Wash water, equipment (cu. m./day) Process wastewater (cu. m./day) (cu. m./day) Others: (cu. m./day) (cu. m./day) Wash water, floor (cu. m./day)

3 Water Pollution Control facility/equipment Sewage Treatment Plant yes no Septic Tank yes no Grease Trap yes no Oil-water separator yes no 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 inhouse laboratory New/Additional Investments in WTP (Description) Cost of New/Add Investments WTP Discharge Location Outlet Location of the Outlet Number 1 2 Name of Receiving Water Body Detailed Report of Wastewater Characteristics for Conventional Pollutants Effluent Flow Rate BOD TSS (m 3 Color ph /day) (mg/l) (mg/l) Oil & Grease (mg/l) Temp rise (ºC) (Please fill-up/accomplish separate form/s for other outlet/s.)

4 MODULE 4: R.A (Air Pollution) Summary of APSE/APCF Process Equipment. Fuel Burning Equipment Pollution Control Facility/Device Fuel Used # of hrs of operations Quantity Consumed # of hrs of operations # of hrs of operations Cost of Treatment Cost of Person employed, (salary) Total Consumption of Water (cubic meters) Total Cost of chemicals used (e.g., activated carbon, KMnO 4) Total Consumption of Electricity (KwH) Administrative and Overhead Costs Cost of operating inhouse laboratory, if any Improvement or modification, if any. (Description) Cost of improvement of modification Month 1 Month 2 Month 3 Detailed Report of Air Emission Characteristics Description/Location of PCF Flow Rate (Ncm/day) CO (mg/nc m) NO x Particulates

5 MODULE 5: P.D (Philippine EIS) Ambient Air Quality Monitoring (if required as part of ECC conditions) Description/Location of Monitoring Station Noise Level (db) CO NO x Particulates (Please accomplish one table per monitoring station.) Ambient Water Quality Monitoring (if required as part of ECC conditions) Description/Location of Sampling Station (Please accomplish one table per sampling station.) Other ECC Conditions ECC Condition/s (Please accomplish one table per sampling station.) Environmental Management Plan/Program Enhancement/Mitigation Measures (Please use additional sheet/s if necessary). Solid Waste Characterization/Information: Average Quantity of Solid Wastes Generated per month Average Quantity of Solid Wastes Collected per month Entity in charge of collecting solid wastes Status of Compliance Yes No Status of Implementation Yes No Total Quantity of Solid Wastes Generated this Total Quantity of Solid Wastes Collected this Actions Taken Actions Taken

6 MODULE 6: OTHERS Accidents & Emergency Records Date Area/Location Findings and Observation Actions Taken Remarks Personnel/Staff Training Date Conducted Course/Training Description # of Personnel Trained I hereby certify that the above information are true and correct. Done this, in. Name/Signature of CEO Name/Signature of PCO