Professional Documents
Culture Documents
Reference No.
DENR Permits/Licenses/Clearances
Environmental
Permits
laws
A/C No.
P.D. 984
PD 1586
RA 6969
RA 8749
Date of
Issue
Expiry date
PO No.
ECC 1
ECC 2
ECC 3
DENR
Registry ID
CCO Registry
Importer
Clearance No.
Permit to
Transport
A/C No.
PO No.
POA-141-01IN08-037
07Oct2015
13Sept2019
Operation
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Average
Maximum
Operating
hours/day
4
4
Average daily
Production Output
Total water
Consumption this
Quarter (cubic
meters)
Operating
days/week
6
6
Operation/ Production/capacity:
Total Output this
2 MTons
Quarter (78 days)
Total Electricity
n/a
Consumption this
Quarter (KWH)
# of shift/day
1
1
156 MTons
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Not Applicable
n/a
n/a
n/a
n/a
n/a
n/a
Summary of APSE/APCF
Process Equipment
Location
Ricemill Proper
Beside sieve and paddy separator
Diesel
Fuel used
Quantity
consumed
.78 Liters
Location
# of hrs of
operations
156Hrs
156 Hrs
# of hrs of
operations
156
# of hrs of
operations
156
2.
3.
Cost of treatment
April
May
June
n/a
n/a
n/a
N /a
N /a
N /a
N /a
N /a
N /a
Used (e.g.,activated)
Carbon, KMnO4)
N /a
N /a
N /a
Total consumption of
electricity (KWH)
Administrative and
overhead costs
Improvement or
modification, if any.
(description
none
none
None
Cost of improvement of
modification
none
none
None
Cost of person
Employed (salary)
Total consumption of
water (cubic meters)
Computations
Computed
Emissions (Tons)
This Quarter
NOx
CO
SOx
PM10
CO2
Aldehydes
TOC
Exhaust
Crankcase
0.0486
0.0105
0.0032
0.0035
1.8039
0.0073
0.0039
0.0486
Receiving:
(0.8 x 0.0078 + 0.2 x 0.059) x 0.5 ton x 156 hours this quarter
= 1.407 lbs of PM-10
Shipping:
0.029 x 0.50 tons x 156 hrs = 2.262 lbs of PM-10
Handling/Internal Operations:
0.034 x 0.50 tons x 156 hrs = 2.652 lbs of PM-10
Cleaning:
0.019 x 0.50 tons x 156 hrs = 1.482 lbs of PM-10
(Name)
(Name)
(Name)
(Name)
(mg/Ncm
)
(mg/Ncm
)
(mg/Ncm
)
(mg/Ncm)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(unit)
(unit)
(unit)
(unit)
(unit)
(unit)
(unit)
Status of Compliance
Actions Taken
Page 6 of 8
Yes
1.
2.
3.
4.
5.
6.
7.
(Please use additional sheet/s if necessary)
No
Status of
Implementation
No
Actions Taken
1.
2.
3.
4.
5.
6.
7.
(Please use additional sheet/s if necessary)
18 Tons
Various buyers
Packed in sacks and for
sale to interested buyers
(salt makers/noodle
factory etc)
MODULE 6: OTHERS
Accidents & Emergency records
Date
Area/Location
Findings and
observation
Actions
Taken
Remarks
None
Personnel/Staff Training
Date Conducted
Course/Training
Description
None
# of Personnel
Trained
I hereby certify that the above information are true and correct.
Done this _____ day of July 2015 in ______________, Ilocos Norte.
CTR No.
________________
Issued at
Issued on
___________
____________
NOTARY PUBLIC
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