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    Hazardous Waste Registration Form

    Uploaded by

    Glaiza Marie Dimaculangan
    This document appears to be a registration form for hazardous waste generators submitted to the Department of Environment and Natural Resources (DENR) in the Philippines. It requests information about the generator including contact details, types and amounts of hazardous wastes generated, and methods of storage, transport, treatment and disposal. Specifically, it collects data on (1) general information about the generator and facility, (2) a breakdown of hazardous wastes by type and properties, and (3) details on management of the wastes from storage to final disposal. The purpose seems to be for the DENR to register and monitor hazardous waste generation and management in the country.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    Hazardous Waste Registration Form

    Uploaded by

    Glaiza Marie Dimaculangan
    111 views7 pages
    This document appears to be a registration form for hazardous waste generators submitted to the Department of Environment and Natural Resources (DENR) in the Philippines. It requests information about the generator including contact details, types and amounts of hazardous wastes generated, and methods of storage, transport, treatment and disposal. Specifically, it collects data on (1) general information about the generator and facility, (2) a breakdown of hazardous wastes by type and properties, and (3) details on management of the wastes from storage to final disposal. The purpose seems to be for the DENR to register and monitor hazardous waste generation and management in the country.

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    This document appears to be a registration form for hazardous waste generators submitted to the Department of Environment and Natural Resources (DENR) in the Philippines. It requests information about the generator including contact details, types and amounts of hazardous wastes generated, and methods of storage, transport, treatment and disposal. Specifically, it collects data on (1) general information about the generator and facility, (2) a breakdown of hazardous wastes by type and properties, and (3) details on management of the wastes from storage to final disposal. The purpose seems to be for the DENR to register and monitor hazardous waste generation and management in the country.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    111 views7 pages

    Hazardous Waste Registration Form

    Uploaded by

    Glaiza Marie Dimaculangan
    This document appears to be a registration form for hazardous waste generators submitted to the Department of Environment and Natural Resources (DENR) in the Philippines. It requests information about the generator including contact details, types and amounts of hazardous wastes generated, and methods of storage, transport, treatment and disposal. Specifically, it collects data on (1) general information about the generator and facility, (2) a breakdown of hazardous wastes by type and properties, and (3) details on management of the wastes from storage to final disposal. The purpose seems to be for the DENR to register and monitor hazardous waste generation and management in the country.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 7

    DENR Hazardous Waste Registration

    APPENDIX A

    Form A: Registration Form for Hazardous Waste Generator


    Section A1: General Information of Generator
    1. DENR ID: * 2. Date Issued (D/M/Y): / / *

    3. Name of Firm:

    4. Plant Address:

    5. Date of Establishment:

    6. Tel: 7. Fax:

    8. Office Address:

    9. Tel: 10. Fax:

    10. Pollution Control Officer:

    11. Tel: 12. Fax 13. E-mail:

    14. General Description

    of Business / Operation

    Philippine Standard Industrial Classifications 15. Primary: 16. Secondary:

    16. Major Products: 1. 4.

    2. 5.

    3. 6.

    17. Authorized Capitalization (Pesos/year)

    18. Paid-up Capitalization (Pesos/year)

    19. Approximate Annual Turn-over (Pesos/year)

    20. Total No. of Employees: 21. Admin. Employees: 22. Plant Employees:

    23. ECC Number: 24. Date Issued: 23. Place Issued:

    26.P/O Number/Date: 27. Place Issued: 28. PCO Date of Accreditation:

    Please append the following:


    (1) Process Flow Diagram (all waste stream)
    (2) Mass Balance of Manufacturing Process
    (3) Description of existing Waste Management Plan
    (4) Analysis of waste(s)
    (5) Other relevant information eg. Planned changes in production processes or output, comparison
    with related operations
    (6) If on-site treatment is present, submit A4 form for every TSD Facility
    I certify that the enclosed information is a true and accurate record as available.
    Pollution Control Officer:

    Signature: Date (D/M/Y): / /


    * : To be filled up by EMB

    SUBSCRIBED AND SWORN before me, a Notary Public, this _______________ day of _________________
    affiants exhibiting to me their Community Tax Receipts :

    Name CTR No. Issued at Issued on


    _________________________ __________________ __________________ _____________
    _________________________ __________________ __________________ _____________
    DENR Hazardous Waste Registration
    APPENDIX A

    Section A2: Waste Generation by Type of Waste Per Year (Approximate)


    HW Cataloging 8. Total Volume (ton /
    1. HW No. 2. Waste Name and Description 3. HW Nature
    4. Toxic 5. Corrosive 6. Reactive 7. Flammable year)

    Hazardous Waste (HW) Nature: Lq = Liquid, So = Solid, Sl = Sludge, Ga = Gases 2/4


    DENR Hazardous Waste Registration
    APPENDIX A

    Section A3: Waste Storage, Transport, Treatment and Disposal

    2. TSD 3. Volume 4. Storage Transporter Treater Disposal


    1. HW No.
    Location *1 (ton / year) Method *2 5. ID No. 6. Name 7. ID No. 8. Name 9. Method 10. ID No. 11. Name 12. Method

    *1 TSD Location: On-Site or Off-Site *2 Storage Method: Drum (D) 3/4

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