Denr Qtrly Report Form-filled Up 4thqtr10 j384q

Name of Plant:

Reference No:

Department of Environment and Natural Resources Environmental Management Bureau QUARTERLY SELF-MONITORING REPORT MODULE 1:

4TH QUARTER 2010 GENERAL INFORMATION

Name of the Plant

ORIA AGROTECH INC.

Please provide the necessary revised, corrected or updated information not contained in your General Information Sheet

(use additional sheet/s if necessary)

DENR Permits/Licenses/Clearances Environmental Laws

Permits

Date of Issue

Expiry Date

DP-1011-03BU-576

Sept. 16, 2010

Sept. 20, 2011

POA-10H-03BU-576

Sept. 15, 2010

Sept. 20, 2011

A/C No.

P.D. 984 PO No. ECC 1

PD 1586

ECC 2 ECC 3 DENR Registry ID CCO Registry

RA 6969

Importer Clearance No Permit to Transport A/C No.

RA 8749 PO No.

Module 1: General Information

page ____ of ____

Name of Plant:

Reference No: Operation Operating hours/day

Operating days/week

# of shift/day

Average

8

6

1

Maximum

24

7

3

Operation/Production/Capacity: Average Daily Production Output Total Water Consumption this Quarter (cubic meters)

Please see below 181

Total Output this Quarter Total Electric Consumption this Quarter (KwH)

Please see below 6,023

Please use additional sheet/s if necessary

Malathion Tech -

2,934 L

-

211,230 L

Cypermethrin Tech -

0.81 T

-

58.32 T

Module 1: General Information

page ____ of ____

Name of Plant:

Reference No: MODULE 2: A.

RA 6969

CCO Report (please accomplish this section for each chemical/substance)

Common Name/IUPAC/CAS Index Name.

N.A.

___

CAS No.:

___

Trade Name:

___

For importers only: Quantity Requested

Import Clearance No.

Date of Arrival

Quantity Received*

Total Quantity Requested (annual) * attach copy/s of Bill of Lading

Port of Entry

Country of Origin

Country of Manufacture

Total Quantity Received (annual)

For distributors (importers/non-importers) Name of Client

License No.

Quantity

Date of Distribution

Quantity

Date of Purchase

Total Quantity Distributed

For non-importer s: Name of Distributor

Total Quantity Purchased from Distributor

Module 2A: RA 6969 (CCO Report)

page ____ of ____

Name of Plant:

Reference No: For producers Average Daily Production Output Quantity of Stock Inventory (Start of Quarter)

Total Output this Quarter Quantity of Stock Inventory (End of Quarter)

Name of Buyer

Quantity

Date of Purchase

Total Quantity Sold

Used in Production (please fill up only if chemical/substance is not main product) Average Daily Total Output this Production Output Quarter Average Quantity Used Total Quantity Used per month this Quarter Describe any changes in Production/Process/Operations:

Stock Inventory/Waste Chemical Generated: Average Quantity of Waste Chemical Generated per month Quantity of Stock Inventory (Start of Quarter)

Total Quantity of Waste Chemical Generated this Quarter Quantity of Stock Inventory (End of Quarter)

Other Information: Manner of handling hazardous wastes

storage on-site

Treatment on-site

storage off-site

Treatment off-site

Changes in Safety Management System

Yes (please attach copy of revised plan)

Chemical Substitute Plan

Yes (please attach copy if not submitted/included in previous report/s or had been revised)

No

No

Module 2A: RA 6969 (CCO Report)

page ____ of ____

Name of Plant:

Reference No: B.

Hazardous Wastes Treater/Recyler

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

Wastes Generator

Date of Transport

Transport Permit/Date of Issue

Valid until

Quantity

Type of Storage Container/ # of containers

Time Table for Treatment

Quantity

Type of Treatment or Recycling Process

Type & Quantity of Recycled or Treated Product

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

HW Number

Wastes Generator

Date of Transport

Transport Permit/Date of Issue

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

HW Number

Process by which the Wastes is Generated

Quantity

Module 2B: RA 6969 (Hazardous Wastes Treater/Recycler)

Type of Storage Container/ # of containers

Disposal Option

Time Table for Disposal

page ____ of ____

Name of Plant:

Reference No:

C.

Hazardous Wastes Generator

HW Generation: HW No.

HW Class

HW Nature

Remaining HW from Previous Report Quantity Unit

HW Cataloguing

HW Generated Quantity

Unit

Waste Storage, Treatment and Disposal:(Please fill-up one table per HW) HW No,: HW Details

Storage

Transporter

Treater

Disposal

___ Unit:

Qty of HW Treated: TSD Location:

___

Name:

___

Method:

___

ID:

Name:

___

Date: ID:

___ Name:

Method: ID:

___ Date:

___

Name:

___ Date:

Date:

___

HW No,: HW Details

Storage

Transporter

Treater

Disposal

___

___ Unit:

Qty of HW Treated:

___

TSD Location:

___

Name:

___

Method:

___

ID:

Name:

___

Date: ID:

___ Name: Date:

Method: ID:

___

Name:

Date:

Module 2C: RA 6969 (Hazardous Wastes Generator)

___ ___

Date:

___

page ____ of ____

Name of Plant:

Reference No:

On-Site Self Inspection of Storage Area: Date Conducted

Premises/Area Inspected

Module 2C: RA 6969 (Hazardous Wastes Generator)

Findings & Observations

Corrective Action Taken (if any)

page ____ of ____

Name of Plant:

Reference No:

MODULE 3:

P.D. 984 (Water Pollution)

Water Pollution Data Domestic wastewater (cubic meters/day) Cooling water (cubic meters/day) Wash water, equipment (m3/day)

0.2

Process wastewater (cubic meters/day) Others: ___________ (cubic meters/day) Wash water, floor (cubic meters/day)

0.15

Record of Cost of Treatment Month 1

Month 2

Month 3

1

1

1

P 6,000.00

P 6,000.00

P 6,000.00

New/Additional Investments in WTP (Description) Cost of New/Add Investments Person employed, (# of employees) Person employed, (cost) Cost of Chemicals used by WTP Utility Costs of WTP (electricity & water) istrative and Overhead Costs Cost of operating inhouse laboratory

WTP Discharge Location Outlet Number

Location of the Outlet

Name of Receiving Water Body

1

N.A.

N.A.

2 3 4 5

Module 3: P.D. 984 (Water Pollution)

page ____ of ____

Name of Plant:

Reference No:

Detailed Report of Wastewater Characteristics for Conventional Pollutants Outlet No.

None. The wastewater is being contained in a pond, therefore the sample taken and tested is an influent sample. ________ Oil & (name) Temp rise BOD TSS Color pH Grease (ºC) (mg/L) (mg/L) (mg/L)

DATE

Influent Flow Rate 3 (m /day)

4-23-18

0.18

200

5

7.03

7-10-10

0.16

200

23

6.80

10-9-10

0.18

200

32

6.61

1-4-11

0.2

200

10

7.5

(unit)

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

Module 3: P.D. 984 (Water Pollution)

page ____ of ____

Name of Plant:

Reference No:

Detailed Report of Wastewater Characteristics for Other Pollutants Outlet No. DATE

Effluent Flow Rate (m3/day)

N.A. ________

________

________

________

________

________

________

(name)

(name)

(name)

(name)

(name)

(name)

(name)

(unit)

(unit)

(unit)

(unit)

(unit)

(unit)

(unit)

Please fill-up/accomplish separate form/s for other outlet/s. Please use additional sheet/s if necessary.

Module 3: P.D. 984 (Water Pollution)

page ____ of ____

Name of Plant:

Reference No: MODULE 4:

R.A. 8749 (Air Pollution)

Summary of APSE/APCF Process Equipment

Location

# of hrs of operations

Repacking Area

8

Fuel Burning Equipment

Location

# of hrs of operations

Pollution Control Facility

Location

# of hrs of operations

Repacking Area

8

1. Repacking Table 2. 3. 4.

1. 2. 3. 4. 5. 6.

1. Air Filters at Vent Fans 2. 3. 4.

Cost of Treatment Month 1

Month 2

Month 3

P 6,000.00

P 6,000.00

P 6,000.00

1.92

1.88

1.96

Improvement or modification, if any. (Description) Cost of improvement of modification Cost of Person employed, (salary) Total Consumption of Water (cubic meters) Total Cost of chemicals used (e.g., activated carbon, KMnO4) Total Consumption of Electricity (KwH) istrative and Overhead Costs Cost of operating inhouse laboratory, if any

Module 4: RA 8749 (Air Pollution)

page ____ of ____

Name of Plant:

Reference No:

Detailed Report of Air Emission Characteristics Description/Location of PCF DATE

Flow Rate (Ncm/day)

N.A. CO (mg/Ncm)

NOx (mg/Ncm)

Particulates (mg/Ncm)

________

________

________

(name)

(name)

(name)

________ (name)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

Please fill-up/accomplish separate form/s for other PCF/s. Please use additional sheet/s if necessary.

Module 4: RA 8749 (Air Pollution)

page ____ of ____

Name of Plant:

Reference No: MODULE 5:

P.D. 1586

Ambient Air Quality Monitoring (if required as part of ECC conditions) Description/Location of Monitoring Station DATE

Noise Level (dB)

N.A. CO (mg/Ncm)

NOx (mg/Ncm)

Particulates (mg/Ncm)

________

________

________

(name)

(name)

(name)

________ (name)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

(Please accomplish one table per monitoring station.)

Ambient Water Quality Monitoring (if required as part of ECC conditions) Description/Location of Sampling Station ________ DATE

N.A. ________

________

________

________

________

________

________

(name)

(name)

(name)

(name)

(name)

(name)

(name)

(name)

(unit)

(unit)

(unit)

(unit)

(unit)

(unit)

(unit)

(unit)

(Please accomplish one table per sampling station.)

Module 5: P.D. 1586 (EIS System)

page ____ of ____

Name of Plant:

Reference No: Other ECC Conditions ECC Condition/s

Status of Compliance Yes

1. Transport, storage and handling of agricultural chemical wastes/sludge shall conform w/ the standards of RA6969. 2. The proponent shall designate a full-time PCO for accreditation by the Regional Office. 3. A “Permit to Operate” air pollution and wastewater treatment facility shall be secured immediately. 4. PPE shall be provided to all workers during the project’s operational phase.

Actions Taken

No

⁄ ⁄ ⁄ ⁄

5. 6. 7. 8. 9. 10. 11. Please use additional sheet/s if necessary.

Environmental Management Plan/Program Enhancement/Mitigation Measures

Status of Implementation Yes

Actions Taken

No

1. Smoke-free plant

⁄

No Smoking Plant

2. Clean and green environment

⁄

Maintaining cleanliness and beautification of surroundings.

3. Waste segregation

⁄

Color coded trash cans.

4. 5. 6. 7. 8. 9. 10. 11. Please use additional sheet/s if necessary.

Module 5: P.D. 1586 (EIS System)

page ____ of ____

Procedural and Reference Manual for DAO 2003-27 MODULE 6:

OTHERS

Accidents & Emergency Records Date

Area/Location

Findings and Observation

Actions Taken

Remarks

Personnel/Staff Training Date Conducted

Course/Training Description

# of Personnel Trained

I hereby certify that the above information are true and correct. Done this January 13, 2011 , in Oria Agrotech Plant, Norzagaray, Bulacan

RICHARD A. BERGANOS Name/Signature of PCO ADORITO V. ORIA Name/Signature of CEO

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

CTR No.

_____________________ _____________

Preparation and Submission of SMR

Issued at

Issued on

_______________ ______________

15