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FRAMEWORK OF ENFORCEMENT

Enforcement Primary sources of


Strategy/Program of DENR compliance information:
1. Inspections by
government
2. monitoring conditions
Compliance Monitoring near a facility
3. citizen complaints
4. SELF-MONITORING

To detect To provide evaluate enforcement


and evidence to support progress by
correct enforcement establishing
violations actions compliance status
Procedural and Reference
Manual for DAO 2003-27

SELF-MONITORING
REPORT (SMR)
SYSTEM
▪ DENR Administrative Order (DAO) Amending
DAO 26, DAO 29 and DAO 2000-81 among
others on the preparation and submission of
Self-Monitoring Report (SMR)

▪ signed on July 4, 2003


▪ implemented in August 2004.
▪ Required reports
▪ Public Documents
▪ access of these documents by written request
of the general public shall be allowed
▪ Summary of establishments’ status of
environmental compliance
▪ Designed for PCOs to monitor establishments’
compliance easier
▪ Prescribed format by DENR - EMB
Easier confirmation & validation by EMB of
establishments’ environmental compliance
Establishments’ way of demonstrating compliance
to 5 environmental laws
Form of regular communication between
establishments and EMB7
All establishments with a Discharge Permit
All establishments with a Permit to Operate
All establishments covered under DAO 2014-02
Section 10 & 12

ALL ESTABLISHMENTS EMITTING


POLLUTION
QUARTERLY
Within 15 calendar days after the end of each quarter
For Region 7
1st Q APRIL 15 January – March
2nd Q JULY 15 April – June
3rd Q OCTOBER 15 July – September
4th Q JANUARY 15 October – December
▪ manual or electronic
▪ SMR procedural, substantive and technical
screening & evaluation within 15 days
▪ Results to either an:
▪ Acknowledgement Receipt, or
▪ Notice of Deficiency
Absence of actions/communication from the DENR
RO within the prescribed period shall be deemed as
acceptance of the SMR submitted
FLOW OF OPERATION
Filling out & Printing of Signing &
Submission of Notarization of
SMR Info SMR Document

Data Review & Online Validation Electronic


Desk Monitoring of Submission
by Technical by Monitoring Submission to
Staff Section EMB

▪ Consistency with the requested information.
The appropriate units of measurement are
indicated.
▪ Accuracy & precision in accordance with
accepted standard methods of data gathering,
modelling, sampling, and/or analysis.
▪ A degree of consistency in terms of its findings,
assessments, analysis and/or
recommendations. No statement, entry or
answer in the document will contradict another
statement or entry in the document or previous
submissions.
▪ Responsiveness to the requirements of
environmental standards especially in
addressing potential problems and issues.
The
0
7 Modules
General Information Sheet
1 General Information
2 RA 6969
3 RA 9275
4 RA 8749
5 PD 1586
6 Others
MODULE 0
GENERAL INFORMATION
SHEET
provides semi-permanent
background information about
the establishment
Department of Environment and Natural Resources
Environmental Management Bureau

GENERAL INFORMATION SHEET


Name of the
Establishment / Facility
SUGBO CORPORATION
Establishment/Facility Street # & Street Name: Kaoshiung St.
Address (NOT the Barangay: North Reclamation Area
company of head City/Municipality: Mandaue City
office) Province: Cebu
Name of
Owner/Company SUGBO CORPORATION
Address Street # & Street Name: Kaoshiung St.
(if address is not the Barangay: North Reclamation Area
same as previous City/Municipality: Mandaue City
address) Province: Cebu
Phone Number (032) 234-5678 Fax Number (032) 245-6789
e-mail address sugbocorp@cebu.ph
Type of Business/ Philippine Standard Industry Classification Code No. 322
Industry Classification Philippine Standard Industry Descriptor: Semiconductor
Department of Environment and Natural Resources
Environmental Management Bureau

GENERAL INFO. Continued…


CEO/President: JUAN DE LA CRUZ
Tel #: (032) 234-5678 Fax #: (032) 245-6789
Responsible Officer/s: e-mail address: jdlcruz@sugbocorp.com
Plant Manager: JUAN DELA CRUZ
Tel #: 862-0022 Fax #: 886-1456
e-mail address: cruz.ic@goodwyzis.micro
Name. MEG MODEQUILLO
Pollution Control
Tel #: (032) 234-5678 Fax #: (032) 245-6789
Officer
e-mail address: mmodequillo@sugbocorp.com
 single proprietorship  partnership
Legal Classification  private domestic corporation  government corporation
 Multi-national  Other ______________
We hereby certify that the above information are true and correct.

JUAN DELA CRUZ MEG MODEQUILLO


COA No. 2015-RO7-xxxx
Name/Signature of CEO/President Name/Signature of PCO
MODULE 1
GENERAL INFORMATION

provides background
information about the
establishment, including changes
or modifications of Module 0
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
Department of Environment and Natural Resources
Environmental Management Bureau

4TH QUARTERLY SELF-MONITORING REPORT


October to December 2015
MODULE 1: GENERAL INFORMATION
Name of the Plant SUGBO CORPORATION
Please provide the necessary revised, corrected or updated information not contained in your
General Information Sheet

Sugbo Corporation was established in January 1990 with a land area of 10,267 m2 and
geographical coordinates 10°18’42.78”N:123°55’16.53”E and 15 meters altitude.

The company employs 120 employees, 40% of which are female and 60% are male. All are
regular employees with 20 assigned to managerial and administrative functions and the
remaining 100 involved in manufacturing.

(use additional sheet/s if necessary)


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 1: continued…
DENR Permits/Licenses/Clearances
Environmental Permits Date of Issue Expiry
Laws Date

A/C No. N/A N/A N/A


(PD 984)
RA 9275 DP No. DP-12-074623-001 10/20/2012 11/20/2015

ECC 1 C-NECCR-1999-01-20-120 1/18/2012 N/A


PD 1586
ECC 2
DENR Registry ID GR-13-76-0048 Feb. 18, 2000 N/A
CCO Registry N/A N/A N/A
RA 6969 Importer
Clearance No N/A N/A N/A
Permit to N/A
N/A N/A
Transport
A/C No. N/A N/A N/A
RA 8749
PO No. POA-12-J-074623-001 10/20/2012 11/20/2015

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 1: continued…

Operation

Operating hours/day Operating days/week # of shift/day


Average 24 7 3
Maximum 24 7 3

Operation/Production/Capacity:
Average Daily 20 units Total Output this 1, 560 units
Production Output Quarter
Total Water
Total Electric
Consumption this 309 13,700,000
Consumption this
Quarter (cubic
Quarter (KwH)
meters)

(Please use additional sheet/s if necessary)


Page ___of ____
MODULE 2
RA 6969
compliance with the requirements of
R.A. 6969 (Toxic Chemicals &
Hazardous Waste)

SUB-MODULES
A. CCO-related requirements
B. Hazardous waste generators
C. Hazardous waste treaters &
recyclers
MODULE 2.A
CCO REPORT
details of the substances imported,
distributed, produced, used and
generated by the plant which are under
CCO

Entries should be the same as in your


application for the appropriate license/
permit/ clearance
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
Common Name/IUPAC/CAS Index Name. ________________________________________
__________________________ CAS No. _______________________________________
Trade Name ________________________________________________________________
For importers only:
Import Country
Quantity Date of Quantity Country of
Clearance Port of Entry of
Requested Arrival Received* Manufacture
No. Origin

Total (Please
Quantity
use additional sheet/s if necessary) Total Quantity
Requested (annual) Received
(annual)
*attach copy/s of Bill of Lading
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)

For distributors (importers/non-importers)


Date of
Name of Client License No. Quantity
Distribution

Total Quantity Distributed


(Please use additional sheet/s if necessary)

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)

For non-importer users:


Name of Distributor Quantity Date of Purchase

Total Quantity Purchased


from Distributor
(Please use additional sheet/s if necessary)

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)

For Producers
Average Daily Total Output this
Production Output Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of Inventory (End of
Quarter) Quarter)
Name of Buyer Quantity Date of Purchase

Total Quantity Sold


(Please use additional sheet/s if necessary) Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)

Used in Production (please fill up only if chemical/substance is not main product)


Average Daily Total Output this
Production Output Quarter
Average Quantity Total Quantity Used
Used per month this Quarter

Describe any changes in Production/Process/Operations:

(Please use additional sheet/s if necessary) Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
Stock Inventory / Waste Chemical Generated
Average Quantity Total Quantity of
of Waste Chemical Waste Chemical
Generated per Generated this
month Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of Inventory (End of
Quarter) Quarter)

Other Information:
Manner of handling  storage on-site  Treatment on-site
hazardous wastes  storage off-site  Treatment off-site
Changes in Safety  Yes (please attach copy of revised plan)
Management System  No
 Yes (please attach copy if not submitted/included in
Chemical Substitute
previous report/s or had been revised)
Plan
 No
(Please use additional sheet/s if necessary) Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
The establishment currently does not handle any
chemicals under CCO

(Please use additional sheet/s if necessary) Page ___of ____


MODULE 2.B
HW GENERATORS
An inventory of the hazardous
wastes generated, stored,
transported, and treated by the
plant for the quarter
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
B. Hazardous Wastes Generator
Hazardous Waste Generation
Remaining HW from HW Generated
HW HW HW Previous Report
HW Class
No. Nature Cataloguing
Quantity Unit Quantity Unit
J201 Empty paint Solid Toxic 0 pcs 45 pcs
containers (5 (0) (tons) (0.03) (tons)
gallons size)
J201 Empty paint Solid Toxic 10 pcs 20 pcs
thinner drums (0.0001) (tons) (0.0002) (tons)
I104 Contaminated Solid Toxic, 50 pcs 50 pcs
rags (with oil) Flammable (0.005) (tons) (0.005) (tons)
F601 Dried Solid Toxic, 11 kg 9 kg
paint/residual Flammable (0.011) (tons) (0.009) (tons)
from water
curtain
D407 Busted lamps Solid Toxic 25 pcs 25 Pcs
(0.05) (tons) (0.05) (tons)
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
B. Hazardous Wastes Generator
Hazardous Waste Generation
Remaining HW from HW Generated
HW HW HW Previous Report
HW Class
No. Nature Cataloguing
Quantity Unit Quantity Unit
F601 Paint sludge Sludge Toxic 3 kg 15 kg
from WTF (0.003) (tons) (0.015) (tons)
H802 Grease Sludge Toxic 60 kg 60 kg
(0.06) (tons) (0.06) (tons)
I101 Used oil Liquid Toxic, 25 liters 25 liters
Flammable (0.02) (tons) (0.02) (tons)

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
B. Hazardous Wastes Generator

Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No: J201 (Empty paint containers)
Qty of HW Treated: 0.03 Unit: tons
HW Details
TSD Location: Off-site

Name: SUGBO CORPORATION (HW storage shed)


Storage Method: : Collected in Metal Pail
ID: 03-14-0003 Name: Inchem Environmental Inx.
Transporter Date: Sept 18, 2015
ID: 03-14-005 Name: Inchem Environmental Inc.
Treater Method: Physico-Chemical Treatment Date: Sept 18, 2015

ID: 03-14-07 Name: Inchem Environmental Inc.


Disposal Method: Used as fuel for furnace Date: October 2, 2015

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
B. Hazardous Wastes Generator

Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No: J201 (Empty paint thinner drums)
Qty of HW Treated: 0.003 Unit: tons
HW Details
TSD Location: Off-site

Name: SUGBO CORPORATION (HW storage shed)


Storage Method: : Collected in Metal Pail
ID: 03-14-0003 Name: Inchem Environmental Inx.
Transporter Date: _____________________
ID: 03-14-005 Name: Inchem Environmental Inc.
Treater Method: Physico-Chemical Treatment Date: ____________

ID: 03-14-07 Name: Inchem Environmental Inc.


Disposal Method: Date: _______________

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
B. Hazardous Wastes Generator

On-site Inspection Of Storage Area


Premises/Area Findings & Corrective Action
Date Conducted
Inspected Observations Taken (if any)
No adverse findings
Temp storage Room Aside from build-up Arrange schedule
Oct 15, 2014
with contractor
of wastes
Used lead-acid Donate to foundation
Nov. 28, 2014 Temp storage Room batteries
Doing recycling
accumulating

Wastes
Dec 4, 2014 accumulating Contact Contractor
Temp Storage Room Need to make
for the schedule
inventory
for scheduled
hauling/treatment

Page ___of ____


MODULE 2.C
HW TREATERS/RECYCLERS
An inventory of the hazardous
wastes treated/ recycled (by the
plant itself) for the quarter
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
C. Hazardous Wastes Treater/Recycler

HW Stored and/or Untreated as of End of Quarter:


Type of
Transport Storage Time
HW Wastes Date of Valid
Permit/Date Quantity Container/ Table for
Number Generator Transport until
of Issue # of Treatment
containers
N/A N/A N/A N/A N/A N/A N/A N/A

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
C. Hazardous Wastes Treater/Recycler

HW Treated and/or Recycled as of End of Quarter:


Type &
Type of
Transport Quantity
Treatment
Type of HW Wastes Date of Permit / of
Quantity or
Wastes Number Generator Transport Date of Recycled
Recycling
Issue or Treated
Process
Product
N/A N/A N/A N/A N/A N/A N/A N/A

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
C. Hazardous Wastes Treater/Recycler

Residual Wastes Generated from the Treatment and/or Recycling Operation:


Type of
Process by
Storage Time Table
Type of HW which the Disposal
Quantity Container/ for
Wastes Number Wastes is Option
# of Disposal
Generated
containers
N/A N/A N/A N/A N/A N/A N/A

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
C. Hazardous Wastes Treater/Recycler
The establishment is not a hazardous waste
treater/recyler

Page ___of ____


MODULE 3
RA 9275 (Water Pollution)
information on compliance with
the Clean Water Act
Name of Plant: _ 768 GOOD WYZIS MICROSYSTEMS, INC.
97 Dolly St., Greenplains, Cebu City Reference No:
MODULE 3: RA 9275 (Water Pollution)

Water Pollution Data

Domestic
Process wastewater
wastewater (cubic 2.61 (cubic meters/day)
0.1 (recycled)
meters/day)

Cooling water Others: _________


(cubic meters/day)
N/A (cubic meters/day)
N/A

Wash water, Wash water, floor


equipment (m3/day)
N/A (cubic meters/day)
N/A

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 3: RA 9275 (Water Pollution)
Record of Cost of Treatment (Separate entries for separate facilities)
Month 1 Month 2 Month 3
For Industrial WTF October November December
Person employed, 5 5 5
(# of employees)
Person employed, (cost) P115,000.00 P115,000.00 P115,000.00
Cost of Chemicals used by Incorporated with the contractors/third party fees
WTP
Utility Costs of WTP P12,200.00 P15,600.00 P17,970.00
(electricity & water)
Administrative and Overhead
None None None
Costs
Cost of operating in-house Lab Analyses Incorporated in the
Laboratory contractors/third party fees

New / Additional Investments Contracted Out the Operation and Maintenance


in WTP (Description) of the WTF
Cost of New/Additional
P45,000.00 N/A N/A
Investments
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 3: RA 9275 (Water Pollution)
Record of Cost of Treatment (Separate entries for separate facilities)
Month 1 Month 2 Month 3
STP for Commercial WW October November December
Person employed,
(# of employees) 4 Optrs & a Sup 5 5 5
Person employed, (cost),
Included/covered by the contractor’s price
Contractors Price
Cost of Chemicals used by WTP Incorporated with the contractors/third party fees
Utility Costs of WTP (electricity & P10,250.00 P9,300.00 P8,160.00
water)
Administrative and Overhead
None None None
Costs
Cost of operating in-house Contracted Out the Operation and Maintenance
Laboratory of the WTF

New / Additional Investments in


N/A
WTP (Description)
Cost of New/Additional P900,000.00
Investments N/A N/A
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 3: RA 9275 (Water Pollution)

WTP Discharge Location


Outlet Name of Receiving Water
Location of the Outlet
Number Body

1 City drainage system Mactan Channel


(Class SC)

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 3: RA 9275 (Water Pollution)
Detailed Report of Wastewater Characteristics for Conventional Pollutants

Outlet
1
No.
Effluent DO
Oil & Temp
Flow BOD TSS (name)
DATE Color pH Grease rise
Rate (mg/L) (mg/L) mg/L
(mg/L) (ºC)
(m3/day) (unit)

10/15/15 3.5 14 24 -- 8.2 1 -- 20

Please fill-up/accomplish separate form/s for other outlet/s. Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 3: RA 9275 (Water Pollution)
Detailed Report of Wastewater Characteristics for Other Pollutants
Outlet
1
No.
Effluent COD _____ _____ _____ _____ _____ _____
Flow (name) (name) (name) (name) (name) (name) (name)
DATE
Rate mg/L _____ _____ _____ _____ _____ _____
(m3/day) (unit) (unit) (unit) (unit) (unit) (unit) (unit)

10/15/15 3.5 90

Please fill-up/accomplish separate form/s for other outlet/s.


Please use additional sheet/s if necessary. Page ___of ____
MODULE 4
RA 8749 (Air Pollution)
information on compliance with
the Clean Air Act
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 4: RA 8749 (Air Pollution)


Summary of APSE/APCF
# of hrs of
Process Equipment Location
operations
Two (2) units 5 kW Band Saw Production area 16 hrs/day
Two (2) units 5.5 kW Panel Saw Production area 16 hrs/day
Two (2) units 5 kW Planer Production area 16 hrs/day
One (1) unit 4 kW Belt Sander Production area 16 hrs/day
Two (2) units 1 kW Jigsaw Machine Production area 16 hrs/day
Two (2) units 9 kW Multiple Boring Machine Production area 16 hrs/day
One (1) unit 25 kW Carving Machine Production area 16 hrs/day
One (1) unit 3 kW Edge Banding Machine Production area 16 hrs/day
One (1) unit 2.5 kW Edge Sander Production area 16 hrs/day
One (1) unit 3kW Edge Trimmer Machine Production area 16 hrs/day
Four (4) units Spray Gun Production area 16 hrs/day
Please fill-up/accomplish separate form/s for other outlet/s.
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 4: RA 8749 (Air Pollution)


Summary of APSE/APCF
Fuel Quantity # of hrs of
Fuel Burning Equipment Location
Used Consumed operations
One (1) unit 625 kVA 1,500 L 12.4 hrs.
Powerhouse Diesel
“Cummins” Generator Set this quarter this quarter

Please fill-up/accomplish separate form/s for other outlet/s.


Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 4: RA 8749 (Air Pollution)
Summary of APSE/APCF continued…

Pollution Control Facility Location # of hrs of operations


One (1) units Critical Muffler with
insulation and Production area
aluminum/cladding
Five (5) units 1.4 HP portable bag
Production area
filter
One (1) unit centralized dust
collector system ( size: 2.5 m x 2.5
m x 4 m) consisting of two lines Production area
ducting system equipped with 22
HP suction fan in each line
Two (2) units spray booth
equipped with water curtain and Production area
exhaust fan

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 4: RA 8749 (Air Pollution)
Summary of APSE/APCF continued…
Cost of Treatment
October November December
Cost of Person employed, (salary) 1 1 1
Total Consumption of Water (cubic
20 20 20
meters)
Total Cost of chemicals used
N/A N/A N/A
(e.g., activated carbon, KMnO4)
Total Consumption of Electricity
Included in the over-all consumption
(KwH)

Administrative and Overhead Costs P20,000.00 P20,000.00 P20,000.00

Cost of operating in-house


N/A N/A N/A
laboratory, if any
Improvement or modification, if any. Regular Cleaning
None None
(Description) of smoke stacks
Cost of improvement of
N/A N/A N/A
modification
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 4: RA 8749 (Air Pollution)


Detailed Report of Air Emission Characteristics
Description / Location One (1) unit 625 kVA “Cummins” Generator Set
of PCF located in Powerhouse
SO3 _______ _______
Flow Rate CO NOx Particulates
DATE (name) (name) (name)
(Ncm/day) (mg/Ncm) (mg/Ncm) (mg/Ncm)
(mg/Ncm) (mg/Ncm) (mg/Ncm)
9/2/2015 30 -- 400 50 150

Please fill-up/accomplish separate form/s for other PCF/s.


Please use additional sheet/s if necessary.
Page ___of ____
MODULE 5
PD 1586
also known as the CMR
information on compliance with
the Environmental Impact
Statement System
required for establishments
with ECCs
MODULE 6
Others

additional information that are


not exclusive to the other
modules
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:

MODULE 6: OTHERS
Accidents & Emergency Records

Findings and
Date Area/Location Actions Taken Remarks
Observation
Clean-up and
Generator Set Spill of stored installment of
9/30/2015
area used oil secondary
containment

Page ___of ____


Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 6: OTHERS
Personnel/Staff Training
# of Personnel
Date Conducted Course/Training Description
Trained
October 19-23, 2015 40 hours PCO Training 2
October 24, 2015 PCO Training for Managing Heads 1
I hereby certify that the above information are true and correct.

Done this 4th day of January 2015, in Cebu City.

MEG S. MODEQUILLO
Name/Signature of PCO-COA No. 2015-RO7-xxxx

JUAN J. DELA CRUZ


Name/Signature of CEO

SUBSCRIBED AND SWORN before me, a Notary Public, this 12th day of October, 2015, affiants
exhibiting to me their Community Tax Receipts:
Name ID No. Issued at Issued on
JUAN DELA CRUZ Passport 12345 Cebu City March 25, 2014
MEG MODEQUILLO Passport 45678 Cebu City May 5, 2014 4
Attachments
1. Supplemental WTF Form (required)
2. Wastewater analysis
3. SST Results
4. Certificates of Treatment
5. Hazardous Waste Manifest Form
6. Pictures to supplement information
7. Copies of Permits (POs, DP, TPs, etc)
8. Copy of ECC
9. PCO Accreditation Certificate
SMR Requirements
specific to
CENTRAL VISAYAS
ONLINE SUBMISSION

Starting October 2015, EMB R7


has stopped receiving hard
copies for SMRs

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