Form A: HW Generator Registration Form

Type of application: f] New I Amendment

D.ENR lD: I Date lssued:
Payment O.R. No.:
Name of Establishment: HIZON'S RESTAURANT AND CATERING SERVICES INC.
22 RENOWNED LANE BARANGAY CULIAT QUEZON CITY
NCR Province Code: 2ND DISTRICT (EASTERN MANILA DISTRICT)
(02) 925-0107 E-mail: hizonsfoodsafety@gmail.com
Manapine Head: OCTAVIO D. HIZONS
Pollutibn Control Officer (PCo): MS LETICIA C. LLANTINO
PCO Tel.:(02) 5123 1311 I PCO E-mail: hizonsfoodsafety@gmail.com
PCO Accreditation No.: Date of Accreditation:
General Description of Business Operation:
RESTAURANT FACILITY

RESTAURANT AND CATERING SERVICES INC

PSIC Number:
562 I Maior Products: CATERING SERVICES AND RESTAURANT
Date of Establishment: JULY 20 2000 SEC/DTI Registration No. : A200110618
Total Number of Emolovees: 146
ECC Number(s): CNC-OL-2017-09-01075
Permit to Operate Number: Date lssued:
y?l'df!y, _
Discharge Permit Number: Date lssued:
Validity

Cuarent waste Management

Name and Description Practices
(odd another page if necessory)

TEMPORARILY STORED IN
SAFE STORAGE AREA AND TO BE COLLECTED
D407 BUSTED FLUORESCENT LAMP BY DENR ACCREDITED TRANSPORTER AND
TSD FACILITY

HW Nature HW Cataloguing
LJ 50lrd E Toxic
n Liquid [] Corroslve
E sludge fl Reactive
| ud5
___-.1
--- n Flammable
Estimated
Current waste Management
annual
Practices
Number L
generation
(ocid another page if necessory)

TEMPORARILY STORED IN
SAFE STORAGE AREA AND TO BE COLLECTED
D406 LEAD ACID BATTERY BY DENR ACCREDITED TRANSPORTER AND
TSD FACILITY

HW Nature HW Cataloguing
[] sotid LJ loxrc
[I Liquid f] Corrosive
[I sludge I Reactive
fl Gas [] Flammable

I certify that enclosed information is a true and accurate record as av;iilable.

Name of Preparer: Designation:

Signature: Date:

i ll.\1 j'orn ,.1 r*r:!013

 C* rr*nt rlu*$te Mffie$sr,lr*rJl
Practices
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TEMPORARILY STORED IN
I104 SAFE STORAGE AREA AND TO BE COLLECTED
OIL FILTER BY DENR ACCREDITED TRANSPORTER AND
TSD FACILITY

ItW tstals$$irl$
[} s+tid tl T*xis
{J iiqul* (3 {*rr*sive
*J sl$*s* [J fle*ctive
[SFlanrmable ,-,. .,,, i.,-*,- - -;=,,.**,*--l*.

Cu rrcrlt nr*ste MaruS*r,r**t

anrural I existkrg
Practlces
g€rretrstio* | vckrtx ($tl:i $noghet B*ge if ne*SS{,ry!

TEMPORARILY STORED IN
SAFE STORAGE AREA AND TO BE COLLECTED
I101 USED OIL FROM GENSET AND TRUCK BY DENR ACCREDITED TRANSPORTER AND
TSD FACILITY

rjt# lleturp xW {sr*l*guing

il sclid fl xcxic
[} riquid ff C*rrctive
il sl*dge fl *eactive
Fl*mmabtr

It*-rr*Rt wfi t[€ lS*fi16*rne6t

$Iame *nd De**ptioll Practicet
(adl anol.ru gage i! rttcetsary)

t{1frf Sat,ur* HHf Crtal+6uing

Ii scri* LI Toxic
LJ Ltqur$ fJ {qrroriv*
il Si*d6e il *eactir:*
-l Lld; ClFlanrrnable
f,*timated Ctrrrer*l
CE ff o*t rrr*rts &ll*fiagt{t}*nt
flw *nnral cxfurlns
N**nrc .*nd tr*scriptiocr
g*ner*ti*n frprtis*s
fr}un'lber vqlrrffe
f *dl$- {rr#ti&tr{ f*g* # *e*e*s*ryJ

tJWl{$ur* $1#f*tah**lng
[] sotic [J T+xic
il] tiq,uid tl C+rr*sive
[3 ltu*ge fl Re*ctive
[J G*r IJflan*rn*ble