SMR 2022 - Merged
SMR 2022 - Merged
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit : ton
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit : ton
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) Generator Set room Diesel 12 3
Generator Set (standby) Generator Set room Diesel 12 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 11th of April 2022, affiant
exhibiting to me their Community Tax Receipts: SSS#-331794344-6
Philip Tanchi
Notary Public
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit : ton
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit : ton
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) Generator Set room Diesel 12 3
Generator Set (standby) Generator Set room Diesel 12 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 8th of July 2022, affiant
exhibiting to me their Community Tax Receipts: SSS#-331794344-6
Philip Tanchi
Notary Public
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator set (stand by) generator set room Diesel 0.012 3
Generator set (stand by) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 15th of October 2022, affiant
exhibiting to me their Community Tax Receipts: SSS#-331794344-6
Philip Tanchi
Notary Public
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 29th of December 2022, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D406 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 4th of April 2023, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 110
Page No: 13
Book No: IX
Series of 2023
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 4th of July 2023, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 382
Page No: 13
Book No: IX
Series of 2023
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 4th of October 2023, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 144
Page No: 8
Book No: XV
Series of 2023
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I104 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: H802 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
-- storage room normal condition For hauled by accredited hauler
/treater once HW generated is
already full volume and ready for
pick up
--
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 28th of December 2023, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 345
Page No: 8
Book No: XV
Series of 2023
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I104 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: H802 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
-- storage room normal condition For hauled by accredited hauler
/treater once HW generated is
already full volume and ready for
pick up
--
--
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 8th of April 2024, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 408
Page No: 10
Book No: IV
Series of 2024
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I104 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: H802 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
-- storage room normal condition For hauled by accredited hauler
/treater once HW generated is
already full volume and ready for
pick up
--
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 3rd of July 2024, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 133
Page No: 13
Book No: XVI
Series of 2024
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I104 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: H802 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
-- storage room normal condition For hauled by accredited hauler
/treater once HW generated is
already full volume and ready for
pick up
--
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 1st of October 2024, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 32
Page No: 8
Book No: VI
Series of 2024
MODULE 1: GENERAL INFORMATION
Notes :
DENR Permits/Licenses/Clearances
Operation
Operation/Production/Quality
A. CCO Report
CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found
CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found
CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found
CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found
For Producers
CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found
CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found
CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found
Other Information
Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan
HW Generation
Waste Storage, Treatment and Disposal(please fill-up one table per HW)
HW Details
HW No.: D407 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I101 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: I104 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
HW Details
HW No.: H802 Qty of HW Treated :none since HW Unit :
generated is minimal
Storage
Name : HW storage room Method :Put in a plastic container before
hauling by the accredited hauler/treater
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: none Name: Method:
Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
-- storage room normal condition For hauled by accredited hauler
/treater once HW generated is
already full volume and ready for
pick up
--
Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers
Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers
Wash water, equipment (cubic n/a | Wash water, floor (cubic n/a
meters/day) : meters/day) :
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
none 2000-01-01
Summary of APSE/APCF
Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
Generator Set (standby) generator set room Diesel 0.012 3
Generator Set (standby) generator set room Diesel 0.012 3
Station DATE Noise Level CO NOx Particulates (mg/Ncm) (mg/Ncm) (mg/Ncm) (mg/Ncm)
Description (dB) (mg/Ncm) (ng/Ncm) (mg/Ncm)
none 2000-01-01
Station DATE / / / / / / / /
Description
none 2000-01-01
Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)
Regular collection of garbage is being done through the help of the Local Government Unit.
Segregation of wastes from biodegradable and non – biodegradable is being practiced
Personnel/Staff Training
I hereby certify that the above information are true and correct. Done this , in CITY OF
PASIG, NCR, SECOND DISTRICT.
SUBSCRIBED AND SWORN before me, a Notary Public, this 13th of January 2025, affiant
exhibiting to me their Community Tax Receipts:
Philip Tanchi
Notary Public
Doc No: 75
Page No: 6
Book No: III
Series of 2025