Department of Environment and Natural Resources

Environmental Management Bureau

Reference No:
(to be filled up by DENR only)

G E N E R AL I N F O R M ATI O N S H E E T
Name of the
Establishment/Facility
Establishment/Facility
Address
(NOT the company of head
office)

Name of
Owner/Company
Address
(if address is not the same
as previous address)

Street # & Street Name: COLORSTEEL SYSTEMS CORPORATION

Barangay: DEL ROSARIO City/Municipality: SAN FERNANDO CITY
Province: PAMPANGA
COLORSTEEL SYSTEMS CORPORATION
Street # & Street Name:

___

Barangay:

City/Municipality:

___

Province:

Phone Number

Fax Number

e-mail address
Type of Business/
Industry
Classification

Philippine Standard Industry Classification Code No.

___

Philippine Standard Industry Descriptor:

___
___

CEO/President. ENGR. JOSE REY S. BATOMALAQUE

Tel #:
Responsible
Officer/s:

Fax #:

e-mail address:

___
___

Plant Manager: ENGR. EDITO RABE

Tel #:

Fax #:

e-mail address:

___
___

Name. ROMIL C. PAMINTUAN

Pollution Control
Officer

Tel #:

Fax #:

___

e-mail address: [email protected]

Legal Classification

single proprietorship

partnership

private domestic corporation

government corporation

Multi-national

We hereby certify that the above information are true and correct.
ENGR. JOSE REY S. BATOMALAQUE
Name/Signature of CEO/President

ROMIL C. PAMINTUAN
Name/Signature of PCO

___

Name of Plant:

Reference No:

Department of Environment and Natural Resources

Environmental Management Bureau
QUARTERLY SELF-MONITORING REPORT
MODULE 1:

GENERAL INFORMATION

Name of the Plant

Please provide the necessary revised, corrected or updated information not contained in your
General Information Sheet
COLORSTEEL IS ALREADY 21 YEARS IN THE BUSINESS IT STARTED DECEMBER 16, 1994
WHICH HAS 27 BRANCHES AND 5 ROLLFORMING PLANT.

(use additional sheet/s if necessary)

DENR Permits/Licenses/Clearances
Environmental
Laws
P.D. 984

Permits

Expiry Date

A/C No.
PO No.
ECC 1/CNC

PD 1586

Date of Issue

N/A

ECC 2
ECC 3
DENR
Registry ID

RA 6969

CCO Registry
Importer
Clearance No
Permit to
Transport

Module 1: General Information

page ____ of ____

Name of Plant:

RA 8749

Reference No:

A/C No.
PO No.

Module 1: General Information

page ____ of ____

Name of Plant:

Reference No:

Operation
Operating hours/day

Operating days/week

# of shift/day

8 HRS

6 DAYS

3 SHIFT

Average
Maximum

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

50 MT

Total Output this

Quarter
Total Electric
Consumption this
Quarter (KwH)

3900 MT

Please use additional sheet/s if necessary

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.

___
CAS No.:

___

Trade Name:

___

For importers only:

Import
Clearance
No.

Quantity
Requested

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 users:

Name of Distributor

Total Quantity Purchased from Distributor

For producers

Module 2A: RA 6969 (CCO Report)

page ____ of ____

Name of Plant:

Reference No:

Average Daily
Production Output
Quantity of Stock
Inventory (Start of
Quarter)
Name of Buyer

Total Output this

Quarter
Quantity of Stock
Inventory (End of
Quarter)
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:

B.

Reference No:

Hazardous Wastes Generator

HW Generation:
HW No.

HW Class

HW Nature

Remaining HW from
Previous Report
Quantity
Unit

HW
Cataloguin
g

HW Generated
Quantity

Unit

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

Storage

Transporter

Treater

Disposal

___

Qty of HW Treated:

Unit:

TSD Location:

___

Name:

___

Method:

___

ID:

Name:

___

Date:
ID:

___
Name:

Method:
ID:

___
Date:

___

Name:

Date:

___
Date:

___

HW No,:
HW Details

Storage

Transporter

Treater

Disposal

___

___

Qty of HW Treated:

Unit:

___

TSD Location:

___

Name:

___

Method:

___

ID:

Name:

___

Date:
ID:

___
Name:

Method:
ID:

___
Date:

Name:

Date:

Module 2B: 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 2B: RA 6969 (Hazardous Wastes Generator)

Findings &
Observations

Corrective Action Taken

(if any)

page ____ of ____

Name of Plant:

C.

Reference No:

Hazardous Wastes Treater/Recycler

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 2C: RA 6969 (Hazardous Wastes Treater/Recycler)

Type of
Storage
Container/
# of
containers

Disposal
Option

Time Table
for Disposal

page ____ of ____

Name of Plant:

MODULE 3:

Reference No:

P.D. 984 (Water Pollution)

Water Pollution Data

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

0.5 CUBIC METER

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

Record of Cost of Treatment (Separate entries for separate facilities)

Month 1

Month 2

Month 3

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

WTP Discharge Location

Outlet
Number

1
2
3
4
5

Location of the Outlet

Name of Receiving Water Body

SEPTIC TANK

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

page ____ of ____

Name of Plant:

Reference No:

Detailed Report of Wastewater Characteristics for Conventional Pollutants

Outlet No.
DATE

Effluent
Flow Rate
(m3/day)

BOD
(mg/L)

TSS
(mg/L)

Color

pH

Oil &
Grease
(mg/L)

Temp rise
(C)

________
(name)
(unit)

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

Detailed Report of Wastewater Characteristics for Other Pollutants

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

page ____ of ____

Name of Plant:

Reference No:

Outlet No.
DATE

Effluent
Flow Rate
(m3/day)

________

________

________

________

________

________

________

(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:

MODULE 4:

Reference No:
R.A. 8749 (Air Pollution)

Summary of APSE/APCF
Process Equipment

Location

# of hrs of operations

1.
2.
3.
4.
Fuel Burning
Equipment

Location

Fuel Used

Quantity
Consumed

# of hrs of
operations

1.
2.
3.
4.
5.
6.
Pollution Control Facility

Location

# of hrs of operations

1.
2.
3.
4.

Cost of Treatment
Month 1

Month 2

Month 3

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)
Administrative and
Overhead Costs
Cost of operating inhouse laboratory, if any
Improvement or
modification, if any.
(Description)
Cost of improvement of
modification

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)

CO
(mg/Ncm)

NOx
(mg/Ncm)

Particulates
(mg/Ncm)

________
(name)

(mg/Ncm)

_______
_

_______
_

(name)

(name)

(mg/Ncm)

(mg/Ncm)

________
(name)

(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)

CO
(mg/Ncm)

NOx
(mg/Ncm)

Particulates
(mg/Ncm)

________
(name)

(mg/Ncm)

_______
_

_______
_

(name)

(name)

(mg/Ncm)

(mg/Ncm)

________
(name)

(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

________

________

________

________

________

________

________

(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

Actions Taken

No

1.SECURE PERMIT POA

COMPLIED

2.POLUTION CONTROL OFFICER (PCO)

COMPLIED

3.SMR

COMPLIED

4.
5.
6.
7.
Please use additional sheet/s if necessary.

Environmental Management Plan/Program

Enhancement/Mitigation Measures

Status of
Implementation
Yes

Actions Taken

No

1.PROPER HOUSEKEEPING

IMPLEMENTED

2.PPE

IMPLEMENTED

3. TREE PLANTING

IMPLEMENTED

4.
5.
6.
7.
Please use additional sheet/s if necessary.

Solid Waste Characterization/Information:

Average Quantity of
Solid Wastes
Generated per month
Average Quantity of
Solid Wastes Collected
per month
Entity in charge of
collecting solid wastes

Brief Description of
Solid Waste
Management Plan
(e.g., waste reduction,
segregation, recycling)

2 PER MONTH
2 PER MONTH

Total Quantity of Solid

Wastes Generated this
Quarter
Total Quantity of Solid
Wastes Collected this
Quarter

6 IN 3 MONTHS
6 IN 3 MONTHS

METRO CLARK WASTE DISPOSAL

RE-USE & RECYCLE

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

page ____ of ____

Procedural and Reference Manual for DAO 2003-27

MODULE 6:

OTHERS

Accidents & Emergency Records

Date

Findings and
Observation

Area/Location

Actions Taken

Remarks

NO ACCIDENT
HAPPENED
FOR THE
PAST 3
MONTHS

Personnel/Staff Training
Date Conducted

Course/Training Description

# of Personnel
Trained

I hereby certify that the above information are true and correct.
Done this _________________________, in ________________________.

ROMIL C. PAMINTUAN
Name/Signature of PCO
ENGR.JOSE REY S. BATOMALAQUE
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.
Issued at
Issued on
_____________________ _____________ _______________ ______________
_____________________ _____________ _______________ ______________

Preparation and Submission of SMR

17