HAZARDOUS WASTES

EMB REGIONAL OFFICES

B. For Hazardous Wastes and Substances (Title III):

I. Registration of Hazardous Waste Generator

The generator of hazardous waste is required to notify or register with the

Department on the type and quantity of wastes generated and be issued the
corresponding DENR Identification Number. DENR Memorandum Circular No.
2002-12 delegated to the EMB Regional Offices the Registration of Hazardous
Waste Generators, including the issuance of Permit to Transport.

Requirements:

a. Duly accomplished Hazardous Waste Registration Form A

b. Process Flow Diagram of all waste streams
c. Material Balance of manufacturing process
d. Analysis of wastes
e. Other relevant information e.g. planned changes in production processes or
output

1
PROCEDURAL FLOW

Registration for Hazardous Wastes Generator’s DENR ID Number

PROPONENT

SCREENING OFFICER

Requirements No
Complete?

Yes

RECORDS SECTION

1 day
HAZARDOUS WASTE MANAGEMENT SECTION 15 days
Evaluation & Site
Inspection

Yes With Additional

Requirements?

No

POLUTION CONTROL DIVISION CHIEF

2 days
Comments/Revision OFFICE OF THE REGIONAL DIRECTOR
(Approval/Disapproval)

2 days

RECORDS SECTION
(Releasing)

2
Steps:

a. Applicant/Generator submits duly accomplished Hazardous Waste Generators

(HWG) Form A together with the complete requirements .
b. The Screening Officer shall determine the completeness of the documents.
- If the documents are complete, pay the required fees.
- If not complete, the documents will be returned to the applicant.
c. EMB Records Section receives the complete documents and forward to the
Office of the Ha zardous Waste Mgt. Section (HWMS).
d. HWMS evaluates/processes the application, conduct sites inspection, prepares
evaluation report and assigns HWG DENR ID No. and forwards to Chief,
Pollution Control Division (PCD)
e. The PCD Chief reviews and recommends approval/denial of the application
f. ORD approves/deny the application

A maximum of 20 working days processing time application for the Registration of

Hazardous Waste Generators

3
 Form A: Registration form for HW Generator
Section A1. General Information of Generator
1. DENR *1 2. Date of issued / / *1
ID: (D/M/Y):
3. Name of Firm:
4. Plant Address:
5. Date of PO No. : ECC No. :
Establishment: Expiry Date: Date Issued:
6. Tel: 7. Fax:
8. Office Address:
9. Tel: 10. Fax:
10. Pollution Control Certificate of Accreditation No.
Officer:
11. 12. 13. e-
Tel: Fax: mail:
14. General Description of
Business/Operation
Philippine Standard Industrial Classifications 15. 16.
Primary: Secondary:
16. Major 1. 4.
Products: 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. Admi. Employees: 22. Plant Employees:

Please append the following:

? (1) Process flow diagram of all waste streams
? (2) Material Balance of manufacturing process
? (3) Analysis of waste(s)
? (4) Other relevant information e.g. planned changes in production processes or output

I certify that the enclosed information is a true and accurate record as available.

Pollution Control Officer:

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

*1: to be filled up by EMB

Registration Fees O.R. No. Date

4
II. Permit to Transport Hazardous Waste (Can be secured by
either Waste Generator or Treater).

Requirements:

a. Official Letter of request from the transporter (Pro-forma)

b. Duly accomplished Application Form (Generator or Treater)
c. Memorandum of Agreement or Affidavit of Joint Undertaking between the
transporter, generator and treater/recycler/disposal facility indicating
responsibilities and liabilities of each party (Pro-forma, to include the
responsibility of Waste Generator to submit duly accomplished Manifest
Form)

Note: * Transport Permit shall be issued by the EMB Regional Office where
the treater is located.

** If application will be submitted to the provincial office, five (5) days

will be given to that office to transmit the application to the regional
office after which the timeframe of 20 working days will start.

5
PROCEDURAL FLOW

Application for a “Permit to Transport” Hazardous Wastes

PROPONENT

SCREENING OFFICER

Requirements No
Complete?

Yes

RECORDS SECTION

1 day
HAZARDOUS WASTE MANAGEMENT SECTION 15 days – Evaluation and Site
Inspection

Yes With Additional

Requirements?

No

POLUTION CONTROL DIVISION CHIEF

1 day
Comments/Revision OFFICE OF THE REGIONAL DIRECTOR
(Approval/Disapproval)

3 days

RECORDS SECTION
(Releasing)

6
 Steps:

a. The Applicant/Transporter submits letter of request enclosed with duly

accomplished Application Form and the complete requirements;
b. The Screening Officer shall determine the completeness of the documents.
- If the documents are complete, pay the required fees.
- If not complete, the documents will be returned to the applicant;
c. Records Section of EMB Regional Office receives the complete documents
and forwards to the Hazardous Waste Management Section (HWMS);
d. Hazardous Waste Management Section (HWMS) processes/evaluates the
application, conducts field inspection, prepares report and indorse the
evaluation report to the Chief Pollution Control Division (PCD);
e. The PCD Chief reviews and recommends approval/denial of the application;
f. ORD approves/denies application

A maximum of 20 working days processing time for Permit to Transport

Hazardous Wastes

7
APPLICATION FORM FOR TRANSPORT PERMIT

Name of Applicant :
Plant Address: Tel. No
Type of Waste : Class No. :
Quantity of Waste :
Brief description of waste applied for transport :
_________________________________________________________________________________________
_________________________________________________________________________________________
________________________________________________________________________________________

Generator : ID NO.
Transporter : ID NO.
Treater : ID NO.

ATTACHMENTS :

a. Official Letter of request from the Transporter (Pro-forma)

b. Memorandum of Agreement or Affidavit of Joint Undertaking between the transporter, generator and treater/recycler/disposal facility
indicating responsibilities and liabilities of each party (Pro-forma, to include the responsibility of Waste Generator to submit duly
accomplished Manifest Form)

___________________________________
Applicant’s Signature
8
EMB CENTRAL OFFICE

I. Registration of Hazardous Waste Transporter

The transport of hazardous waste requires the transporters to be registered with,

and prior permit secured, from the Department or Bureau of which registration of the
transporter and the application for the issuance or amendment of the same (the
permit) shall be made in accordance with the form and in manner prescribed
hereunder:

Requirements:

a. Official Letter of Request

b. Duly accomplished Registration Form for Hazardous Waste Transporter
c. Business Permit/SEC Registration Certificate
d. Description/Specification of Conveyance. Details of Transport Service
e. Photographs of conveyance (inside and outside shots of vehicle)
f. Sketch/Provision of a garage
g. Proof of ownership of vehicle (Certificate of Registration and Contract of
Lease and/or Deed of Sale, if applicable)
h. Certification from the Bureau of Fire Protection, in case of tank lorry
i. Contingency/Emergency Preparedness Plan and Certificate of Training from
EMB
j. Accountability Statement (duly notarized)
k. Copy of the Certificate of Registration and Official Receipt ( LTO)

A maximum of 20 working days processing time application for Registration of

Hazardous Waste Transporter.

9
 PROCEDURAL FLOW

Registration of Hazardous Waste Transporter

PROPONENT

SCREENING OFFICER

Requirements No
Complete?

Yes

RECORDS SECTION

1 day
HAZARDOUS WASTE MANAGEMENT SECTION 15 days – Evaluation and Site
Inspection

Yes With Additional

Requirements?

No

ENVIRONMENTAL QUALITY DIVISION

CHIEF
2 days
Comments/Revision OFFICE OF THE DIRECTOR
(Approval/Disapproval)

2 days

(Releasing)

10
Steps:

a. Applicant/Transporter submits official letter of request together with duly

accomplished Registration Form and the complete requirements.
b. The Screening Officer shall determine the completeness of the documents.
- If the documents are complete, pay the required fees.
- If not complete, the documents will be returned to the applicant.
c. EMB Records Section of the Central Office receives the complete documents
and forwards to the EQD-Hazardous Wastes Management Section (HWMS).
d. EQD-Hazardous Waste Management Section (HWMS) evaluates/processes the
application and the submitted documents; conducts site inspection (if necessary)
and prepares evaluation report and indorse the report to the Chief
Environmental Quality Division (EQD)
e. The EQD Chief reviews and recommends approval/denial of the application
f. EMB Director approves/denies application

11
 Form : Registration form for HW Transporter
Section C1. General Information of Transporter
1. DENR ID: 2. Date of issued (D/M/Y): / /
3. Registered Company Name:
4. Address:
5. Date of Establishment:
6. Tel: 7. Fax:
8. Name of contact person:
9. Tel: 10. Fax: 11. e-mail:
12. General Description
of Business/Operation
13. Authorized Capitalization (P/year):
14. Paid- up Capitalization (P/year):
15. Total Employees: 16. Admin. Employees: 17. Number of Drivers

Please append the following:

? (1) Official Letter of Request (Pro- forma)

? (2) Duly accomplished Registration Form C for Hazardous Waste Transporter
? (3) Business Permit/SEC Registration Certificate
? (4) Description/Specification of Conveyance. Details of Transport Service
? (5) Photographs of conveyance (inside and outside shots of vehicle)
? (6) Sketch/Provision of a garage
? (7) Proof of ownership of vehicle (Certificate of Registration and Contract of Lease and/or
Deed of Sale, if applicable)
? (8) Certification from the Bureau of Fire Protection, in case of tank lorry
? (9) Contingency/Emergency Preparedness Plan and Certificate of Training from EMB
? (10) Accountability Statement (duly notarized)
? (11) Vehicle certificate of road worthiness from LTO

I certify that enclosed information is a true and accurate record as available.

Contact Person:

Signature: Date(D/M/Y) / /
Registration Fees O.R. No. Date

12
II. Registration of Hazardous Waste Treatment, Storage and
Disposal (TSD) Facility.

Requirements:

a. Duly accomplished Application for Registration

b. Copy of Environmental Compliance Certificate (ECC);
c. Copy of Permit to Operate for Water Pollution Control Facilities and/or for Air
Pollution Source/Control Device
d. Copy of Environmental Impact Statement (EIS) or Initial environmental
Examination (IEE)
e. Emergency/Contingency Plans including Abandonment Plan
f. Process flow and detailed description of each treatment/recycling/disposal
process technologies including overall material balance identifying all/by-
products, and end-products and residues
g. Pollution Control Officer accreditation certificate
h. Storage Management Plan for raw materials, residues, by products and end-
products
i. Long-term plan for the recycled/processed/end-product
j. Photographs of the facilities showing processing areas, storage areas
k. Accountability statement, duly notarized

13
PROCEDURAL FLOW

Registration for Hazardous Wastes Treatment, Storage and Disposal Facility

APPLICANT

Not
complete

Hazardous Waste TSD Facility Application Form :

1. Accomplish form for registration
2. Environmental Compliance Certificate
3. Permit to Operate (PO) Wastewater Treatment Facility (WTF) and
Air Pollution Control Device (APCD) (if applicable) Issued by the
EMB Regional Office
4. Copy of Environmental Impact Statement or Initial Environmental
Examination and
5. Emergency/Contingency Plans including Abandonment Plan
Process flow for all treatment/recycling/disposal technologies
including overall material balance

Complete

EMB RECORDS SECTION

1 day
ENVIRONMENTAL QUALITY DIVISION

1 day

HAZARDOUS WASTES MANAGEMENT SECTION

Additional Requirements

10 days – Evaluation and Site Inspection

ENVIRONMENTAL QUALITY DIVISION

2 days
OFFICE OF THE DIRECTOR

HW DENR ID
NO.
---------------------
Comments/Inquiries/Revision
--------------------- 5 days
---------------------

14
Steps:

a. The treater submits duly accomplished Registration Form together with the
complete requirements;
b. The Screening Officer shall determine the completeness of the documents.
- If the documents are complete, pay the required fees
- If not complete, the documents will be returned to the applicant.
c. The Record Section receives application and the requirements and forwards to
the EQD-HWMS
d. EQD-Hazardous Waste Management Section (HWMS) processes/evaluates
application; conducts site inspection and prepares report and forwards to Chief,
Environmental Quality Division (EQD);
e. The Chief EQD reviews and recommends approval of registration with the
corresponding TSD Facility DENR ID Number
f. EMB Director approves/disapproves.

15
 Form : Registration form for HW Treater
B1: General Information of Treater
1. DENR ID: 2. Date of issued (D/M/Y): / /
3.Registered Company Name:
4. Address of head office:
5. Name of the President
6. Tel: 7. Fax:
8. Address of the Plant:
9. Tel: 10. Fax:
11. Pollution Control Officer:
12. 13. Fax: 14. e-mail:
Tel:
15. Date of Establishment (D/M/Y): / /
16: Authorized Capitalization (P/year):
17: Paid-up Capitalization (P/year):
18. Total Employees: 19. Admin. Employees: 20. Plant Employees:

21. Treatment method and Capacity:

A: Physico-Chemical treatment
B: Thermal treatment
C: Solidification
D: Storage
E: Disposal
F: Recycle
Treatment Date of permit to Treatment Capacity Type of HW can be treated
Method Operate (ton/day)
/ /
/ /
/ /
/ /
/ /
Please append the following for each TSD premises:
? (1) Copy of Environmental Compliance Certificate (ECC)
? (2) Copy of Valid Permit to Operate pollution control facilities
? (3) Initial Environmental Examination (IEE) or Environmental Impact Statement (EIS)
submitted to the EMB Regional offices
? (4) Process flow Diagram and detailed description of each treatment/recycling process
identifying all/by-products, end-products and residues
? (5) Pollution control officer accreditation certificate
? (6) Storage management plan for raw materials, residues, by-products and end-products
? (7) Long term plan for the recycled/processed/end-product
? (8) Photograph/s of the facilities showing processing areas, storage areas
? (9) Accountability statement (Duly notarized)
I certify that enclosed information is a true and accurate record as available.

President:

Signature: Date(D/M/Y) / /
Registration Fees O.R. No. Date

16
III. Registration for Importation of Recyclable Materials
Containing Hazardous Substances

Requirements:

a. Official Letter of Request;

b. Duly accomplished Importer Registry Sheet
c. Copy of Environmental compliance Certificate (ECC);
d. Copy of Permits to Operate
- Air Pollution Source/Control Facility
- Wastewater Treatment Facilities

17
PROCEDURAL FLOW

Registration for Importation of Recyclable Materials

Applicant

Not

Importer Registry Sheet Application

• Importer Information
• Waste Generator/Shipper Information
• Recycling Facility Information
• Attach all Environmental Permits of Recycling Facility
• Recyclable Material Information
• Transportation Information
• Physical Characteristics of Recyclable Material
• Importer Certification

Complete

EMB RECORDS SECTION

1 day
Environmental Management Bureau
HAZARDOUS WASTE MANAGEMENT SECTION

Additional Requirements

15 days – Evaluation
ENVIRONMENTAL QUALITY DIVISION

2 days
OFFICE OF THE DIRECTOR

Comments/Inquiries/Revisio

5 days
Importer’s
Registry
Certificate

18
Steps:

a. The Importer submits Official Letter of Request and duly accomplished Importer
Registry Sheet

b. The Screening Officer shall determine the completeness of the documents.

- If the documents are complete, pay the required fees.
- If not complete, the documents will be returned to the applicant.
-
c. The Record Section receives the application and the complete requirements and
forwards to the EQD-HWMS.

d. EQD/HWMS evaluates application and conducts inspection of Recycling Facility;

prepares report and recommendations for the approval of Registry Certificate to
the Chief Environmental Quality Division (EQD)

e. The EQD, Chief reviews and recommends the approval to the Director

f. EMB Director approves/disapproves the Registration

19
Department of Environment and Natural Resources Form No. ____________
Environmental Management Bureau Sheet No. ____________

IMPORTER REGISTRY SHEET (to be filled out in triplicate)

Please read instruction before filling up this application.

A. IMPORTER INFORMATION
Name of Importer____________________________________________________
Address_____________________________________________________________
Contact Person_______________________________________________________
Telephone No. _______________________ Fax No.:_________________________
Reason for Import:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

B. WASTE GENERATOR/SHIPPER INFORMATION

Generator/Shipper Name:______________________________________________
Facility Address (site of recyclable material generation):______________________
Generator Company Name: CITY, STATE/PROVINCE, COUNTRY ______________
Technical Contact: __________________________________________________
Phone No.: __________________________________ Fax No.:________________

C. RECYCLING FACILITY INFORMATION

Name of Company:___________________________________________________
Address:____________________________________________________________
Telephone No.:_______________________________ Fax No.:________________
Contact Person:______________________________________________________
Method of Processing:_________________________________________________
Description Process:
______________________________________________________________________
______________________________________________________________________

? Methods for handling, including collection, packaging, labelling, transportation,

and route which must conform with internationally accepted standards;
________________________________________________________________
________________________________________________________________

? Listing of personnel who will be responsible for supervising the collection,

transport and unpacking of the recyclable materials and their respective
qualifications; and
________________________________________________________________
________________________________________________________________

? Emergency response plan describing steps to be taken by parties concerned in

case of spill/accident which may occur during transport from the premises of the
recyclable material generator to the importer.
________________________________________________________________
________________________________________________________________
(Please use separate sheet if necessary)

Attach all Environmental Permits of Recycling Facility

D. RECYCLABLE MATERIAL INFORMATION (See instructions)

Recyclable Materials/s Name ___________________________________________
Original Form of the Recyclable Material:__________________________________
Amount/Units to be imported for the whole year:_____________________________
Frequency of the importation: Weekly Quarterly Other, specify
Monthly Semi-Annually

E. TRANSPORTATION INFORMATION
Type of Packaging : Bulk Liquid Bulk Sludge Bulk Solid
Drum/Box Tanked Others, Specify

Mode of Shipment Air Sea

This form is to be completed per recyclable material to be registered. Instructions for

completing this form are attached

20
F. PHYSICAL CHARACTERISTIC OF RECYCLABLE MATERIAL (See Instructions)
Color 2. Does the recyclable 3.Physical State@ 4. Layers 5. Density 6. Free Liquids
materials have a strong 700F/21OC:
incidental odor? __ Solid __Semi Solid __Multi layered Range : ___Yes ____ No
__Liquid __ Powder __Bi-Layered
No Yes, if so other:________________ __Single Phased ___________ Volume:_________%
Describe:____________

pH <2-4 4-7 7 7-10 10 <12.5 12.5 NA

<2 Range

Flash Point None < 1400 /600 140 1990F/60-930C >2000F/930C Closed Cup Open Cup

CHEMICAL COMPOSITION RANGE 2. Does the waste contain any of the

following(MIN-MAX) (MIN-MAX) (provide concentration if known):

____________________ ________% NO or LESS THAN or ACTUAL

_____________________ ________% PCBs 50 ppm____ _____
_____________________ ________% Cyanides 50 ppm____ _____
_____________________ ________% Sulfides 50 ppm____ _____
_____________________ ________% Phenols 50 ppm____ _____
* If applicable, a certified laboratory analysis from the country of origin should be attached

IMPORTER CERTIFICATION
By signing this profile sheet, the importer verifies:
1. This recyclable material is not “Hazardous Waste” as defined by GOPs RA6969
and/or international regulations.
2. This recyclable material does not contain regulated radioactive materials or PCBs
(Polychlorinated Biphenyls).
3. The recyclable material does not contain regulated concentration of banned and
controlled pesticides.
4. This recyclable material does not contain halogenated compounds such as:
tetrachloroethylene, trichloroethane, methylethylene chloride, 1,1,1-trichloroethane,
trichlorofluoromethane 1, 1 dichloroethylene, and 1, 2-dicloroethylene at greater than
0.1% (1,000 ppm) total solvent concentration.
5. This sheet and the attachments contain true and accurate descriptions of the
recyclable materials. All relevant information regarding known or suspected hazards
in the possession of the Generator have been disclosed.
6. The Importer has read and understand the form. All types and amounts of
hazardous substances provided in incidental amounts have been identified in
Section G of this form.
7. The analytical data presented herein or attached hereto were derived from testing a
representative sample taken in accordance with RA6969, if required, or equivalent
rules.
8. If any changes occur in the character of the recyclable material, the Importer shall
notify the Environmental Management Bureau prior to the shipping of the recyclable
material to the consignee/recycler.
9. Signature:_____________________________________________________
10. Title:_________________________________________________________
11. Name (type or Print) ____________________________________________
12. Date_________________________________________________________

Do not write below this line

--------------------------------------------------------------------------------------------------------------------------
ENVIRONMENTAL MANAGEMENT REGISTRY REFERENCE CODE
BUREAU
Date:
Accept

Reject

AUTHORIZED NAME: (Print or Type)

AUTHORIZED SIGNATURE: Place EMB seal here

TITLE

21
IV. Clearance for Importation of Recyclable Materials Containing
Hazardous Substances

Requirements:

b. Official Letter of Request;

c. Duly accomplished Importation Clearance for Recyclable Materials Form ;
d. Copy of "Permits to Operate"
- Air Pollution Source/Control Facility (latest renewal)
- Wastewater Treatment Facilities
e. Notification from the Country of Export;
f. Copy of Insurance Coverage for the shipment;
g. Purchase Order;
h. Last Bill of Lading;
i. Affidavit of Joint Undertaking of Exporter/Importer specifying the following:
- liabilities for clean up operations in case of spill and emergencies
- responsibility of the exporter to retrieve/return the waste when denied entry
by the Government of the Philippines
- liabilities of parties to compensate for damage to properties and life in case of
emergencies and accidents;

22
 PROCEDURAL FLOWCHART
Application for Import Clearance

APPLICANT

Importation Clearance Requirements:

- General Information of Importer
- Official Letter of Request
- Accomplished Application Form
- Environmental Compliance Certificate (ECC)
- Permits to Operate COUNTRY OF EXPORT
- Notification/Consent of Exporting Country
- Registered/Accredited Recycler
- Insurance (Shipment)
- Purchase Order
- Last Bill of Lading NOTIFICATION
- Affidavit of Joint Undertaking of Exporter/Importer

EMB RECORD SECTION

1 day

ENVIRONMENTAL QUALITY DIVISION

1 day

HAZARDOUS WASTES MANAGEMENT SECTION

10 days Evaluation

ENVIRONMENTAL QUALITY DIVISION

2 days

OFFICE OF THE DIRECTOR

Additional Requirements

5 days

Import
Clearance

23
Steps:

a. The Importer submits Official Letter of Request together with the complete
requirements,
-if still not yet registered as importer, duly accomplished Hazardous Waste
Registration Form and Importer Registry Sheet
-if already registered, at least sixty (60) days prior to importation, the
applicant submits the Importation Clearance for Recyclable Materials Form
and copy of the Basel Convention Notification form submitted by the
competent authority of the exporting country.
b. The Screening Officer shall determine the completeness of the documents.
-If the documents are complete, pay the required fees.
-If not complete, the documents will be returned to the applicant.
c. Record Section receives the application for Importation Clearance and the
complete requirements, forwards to the EQD-HWMS
d. EQD/HWMS evaluates application and conducts inspection of Recycling
Facility; prepares report and recommendations for the approval of Importation
Clearance and forwards to Chief, Environmental Quality Division (EQD)
e. The EQD Chief reviews and recommends the approval of Clearance to the
Director
f. EMB Director approves/disapproves Importation Clearance

24
Department of Environment and Natural Resources Form No. ____________
Environmental Management Bureau Sheet No.____________

IMPORTAT ION CLEARANCE FOR RECYCLABLE MATERIALS to be filled out in triplicate

A. IMPORTER INFORMATION :
1. Name of Importer ___________________ ___________________________
2. Registry Reference Code_________________________________________
3. Address _____________________________________________________
4. Contact Person _______________________________________________
5. Telephone No. __________________ Fax No. ________________________

B. WASTE GENERATOR/SHIPPER INFORMATION

1. Generator (Shipper Name) ________________________________________
2. Facility Address _______________________________________________

C. RECYCLING FACILITY INFORMATION:

1. Name ________________________________________________________
2. Address _____________________________________________________

D. RECYCLABLE MATERIAL INFORMATION :

1. Type of Material _______________________________________________
2. Volume of Material Imported ______________________________________
3. Type of Packaging_________________________________________________
4. Intended Carriers _______________________________________________
5. Mode of Shipment AIR SEA
6. Port of Entry __________________________________________________
7. Expected Date of Arrival_________________________________________

E. ATTACHMENTS:
To be attached to this IC are the following affidavits of undertaking specifying the
following:

1) Liabilities for clean up operations in case of spill and emergencies;

2) Responsibility of the exporter to retrieve/return the waste when denied entry by the
Government of the Philippines;
3) Copy of insurance coverage for the shipment; and
4) Liabilities of parties to compensate for damage to properties and life in case of
emergencies and accidents.

F. Signature ______________________________ Title _____________________

Name (Type or Print)_________________________
Date_______________________________
--------Do not write below this line---------
(to be filled up by EMB)

DISAPPROVED
APPROVED: Pursuant to DAO ____which hereby grants you clearance to import only
the above cited material subject to the conditions stated hereunder:

_____________________ _______________________________
Date Director, Environmental Management Bureau

Registration Fees O.R. No. Date

25
V. Export Clearance-Transmittal Notification for Hazardous
Waste/Recyclable Materials
Requirements:

a. Official Letter of Request addressed to the EMB Director

b. Duly accomplished Notification Form, copy shown below, if seeking
Transmittal Notification
c. Notification/Consent of Importing Country and or Transit Country if
applicable
d. Hazardous Waste Registration of the Generator(s)
? DENR ID Number
? Latest Quarterly Report
e. Insurance Certificate of Cover for the shipment
f. Purchase Order/Contract
g .Last Bill of Lading, for renewals
h. Movement Document/Manifest Form for previous export (If applicable)
i. Affidavit of Joint Undertaking of Exporter/Importer specifying the
following:
? liabilities for clean up operations in case of spill and e mergencies
? responsibility of the exporter to retrieve/return the waste when
denied entry by the Country of Export
? liabilities of parties to compensate for damage to properties and life
in case of emergencies and accidents;

26
 PROCEDURAL FLOWCHART
Application for Export Clearance - Transmittal of Notification

APPLICANT

Not complete
Exportation Clearance & Permit to Transport Hazardous Wastes/
Recyclable Materials
1. General Information of the Exporter 9. Movement Document/
2. Official Letter of Request Manifest of Previous Export
3. Accomplished Notification Form 10. Affidavit of Joint Undertaking
4. HW Generator’s DENR ID Number of Exporter and Importer
5. HW Generator’s Latest Quarterly Report
6. Insurance (Shipment)
7. Purchase Order
8. Last Bill of Lading, for renewals

Complete

EMB RECORDS SECTION

1 day

ENVIRONMENTAL QUALITY DIVISION

1 day

HAZARDOUS WASTES MANAGEMENT SECTION

Additional Requirements

10 days - Evaluation and Site Inspection/Inspection

ENVIRONMENTAL QUALITY DIVISION

2 days

OFFICE OF THE DIRECTOR

Comments/Inquiries/Revision

5 days

Exporter’s
Notification Transit Country

Country of Destination

27
 PROCEDURAL FLOWCHART
Application for Export Clearance

TRANSIT COUNTRY COUNTRY OF DESTINATION

OFFICIAL CONSENT OFFICIAL CONSENT

EMB RECORD SECTION

1 day

ENVIRONMENTAL QUALITY DIVISION

1 day

HAZARDOUS WASTES MANAGEMENT SECTION

10 days

ENVIRONMENTAL QUALITY DIVISION

2 days

OFFICE OF THE DIRECTOR

Additional Requirements

5 days

Export Clearance

28
Steps:

a. The Exporter submits official letter of request for Transmittal Notification to the
EMB Director with the complete requirements and payment of corresponding
fee.
b. The competent authority of the country of import/transit countries sends
consent to the transboundary movement of hazardous wastes.
c. The Screening Officer shall determine the completeness of the documents.
- If the documents are complete, pay the required fees.
- If not complete, the documents will be returned to the applicant.
d. EMB Records Section receives the complete documents from the exporter;
forwards to the Environmental Quality Division-HWMS.
e. EQD/Hazardous Waste Management Section (HWMS) processes/evaluates
request/application, conducts site inspection, prepares report and recommends
issuance of Transmittal Notification Certificate and/or Export Clearance,
whichever is applicable and forwards to Chief Environmental Quality Division
(EQD)
f. The EQD Chief reviews and recommends the approval
g. EMB Director approves/disapproves Exporters Notification and/or Export
Clearance.

29
 TRANSBOUNDARY MOVEMENT OF WASTE - Notification
BASEL CONVENTION
Notification N
1. Exporter (name, address): 3. Notification concerning (1)
A (I) Single movement (I) Disposal (no recovery)
(II) General notification (multiple movements (II) Recovery operation
Contact person: Tel.:
Fax/Telex: C. Pre-authorized for a recover facility (1) Yes
No
Reason for export : (To be completed for a recovery facility located in an OECD State)

2. Importer (name , address): 4. Total intended number 5. Estimated quantity (3)

of shipments : ________________ kg
________________ liters

Contact person: Tel.: 6. Intended date(s) or period for shipment(s):

Fax/Telex:
7. Intended carrier(s) (name, address) (2): 8. Disposer (name, address(s):

Contact person: Tel.: Contact person: Tel.

Fax/Telex: Fax/Telex:

Actual site of disposal :

10. Waste generator (name, address) (2): 9. Method(s) of disposal:

D code/ R code (4)

Technology employed:
Contact person: Tel. (Attach details if necessary)
Fax/Telex: 11. Means of transport (4): 12. Packaging type(s) (4):

Site generation & process:

13. (1) Designation & chemical composition of the (ll) Special handling 14. Physical characteristic (4):
waste: requirements

17. Y number (4):

15 Waste identification code

in country of export : IWIC : 18. N number (4):

in country import : EWC :
Customs code: Other (specify) :
16. OECD Classification (1): 19. (I) UN identification No.: (ll) UN class (4):

amber red acid number: UN Shipping name:

other
(attach details)
20. Concerned states, code number of competent authorities, and specific points of entry and exit:

State of export States of transit State of import

21. Customs offices to entry and/or departure 23. Exporter’s/Generator’s declaration:

(European Community) I certify that the information is complete and correct to my best knowledge. I
Entry: also certify that legally enforceable written contractual obligations have been
entered into and that any applicable insurance or other financial guarantees
are or shall be in force covering the transboundary movement.

Departure
Name : Signature
22. Number of annexes Date
attached:

FOR USE BY COMPETENT AUTHORITIES

24. To be completed by competent authority - Import (ECC,OECD) 25. Consent to the movement provided by the competent
Notification received on: - transit (Basel) authority of (country)

Acknowledgement sent on: Consent given on:

Specific conditions (1) Yes, see block 26over leaf/annex

no
Name of competent authority:
Stamp and/or signature: Name of competent authority:
Stamp and/or signature:
(1) Enter X in appropriate box (2) Attach list if more than one (3) Attach detailed list if multiple shipment (4) See codes on the reverse

30
 List of abbreviations used in the application

DISPOSAL (NO RECOVERY) (Block 9) RECOVERY OPERATIONS (Block 9)

01 Deposit or unto land (e.g. landfill, etc.) R1 Use as fuel (other than in direct incineration) or other

02 Land treatment (e.g. biodegradation of liquid or sludgy discards in soils, etc.) means to generate energy

03 Deep injection (e.g. injection of pumpable discards into wells, salt domes or naturally occurring R2 Solvent reclamation/regeneration

repositories, etc.) R3 Recycling/reclamation of organic substances which are

04 Surface impoundment (e.g. placement of liquid or sludge discards into pits, ponds of lagoons, etc.) not used as solvents

05 Specially engineered landfill (e.g. placement into lined discrete cells which are capped and isolated from R4 Recycling/reclamation of metals and metal compounds

one another and the environment, etc. R5 Recycling/reclamation of other inorganic materials

06 Release into a water body except seas/oceans R6 Regeneration of acids or bases

07 Release into seas/oceans including sea bed insertion R7 Recovery of components used for pollution abatement

08 Biological treatment not specified elsewhere in this list which results in final compounds and mixtures which R8 Recovery of components from catalysts

are discarded by means of any of the operations numbered 01 to 012 R9 Used oil refining or other reuses of previously used oil

09 Physico chemical treatment not specified elsewhere in this list which results in final compounds or mixtures R10 Land treatment resulting in benefit to agriculture or

which are discarded by means of any of the operations numbered 01 to 012 (e.g. evaporation, drying, ecological improvement

calciration, etc.) R11 Used of residual materials obtained from any of the

010 Incineration on land operations numbered R1 to R10

011 Incineration at sea R12 Exchanges of wastes for submission to any of the

012 Permanents storage (e.g. emplacement of containers in a mine, etc.) operations numbered R1 to R11

013 Blending or mixing prior to submission to any of the operations numbered 01 to 012 R13 Accumulation of material intended for any operation

014 Repackaging prior to a submission to any of the operations numbered 01 to 012 numbered R1 to R12

015 Storage pending any of the operations numbered 01 to 012

11 NUMBER (Block 18) AND UN CLASS (Block 19)

MEANS OF TRANSPORT (Block 11) PACKAGING TYPES

UN Class II Number Designation

R - Road 1. Drum
2. Wooden barrel 1 111 Explosive
1 - Train/Rail 3. Jerrican 3 113 Inflammable liquids
4. Box 41 114 1 Inflammable solids
S - Sea 5. Bag 42 114 2 Substances or wastes liable
6. Composite packaging to spontaneous combustion
A - Air 7. Pressure receptacle 43 114 3 Substances or wastes
8. Bulk which in contact with water
W - Inland Waterways 9. Other (specify) emit inflammable gasses
51 115 1 Oxidizing
52 115 2 Organic Peroxides
61 116 1 Poisonous (acute)
61 116 2 Infectious substances
8 118 Corrosives
PHYSICAL CHARACTERISTICS (Block 14)
9 1110 Liberation of toxic gases in
contact with air or water
1. Powdery / powder 5. Liquid
9 1111 Toxic (delayed or chronic)
2. Solid 6. Gaseous
9 1112 Ecoloric
3. Viscous / paste 7. Other (specify)
9 1113 Capable by means after
4. Sludgy
disposal, of yielding another
material e.g. leachate,
which possesses any of the
characteristics listed above

Y numbers (block 17) refer to categories of waste listed in Annex I and II of the Dasel Convention. These codes, as well as more detailed information can be found in an Instruction Manual available
from the Secretariat of the Dasel Convention.

26. SPECIFIC CONDITIONS OF CONSENTING TO THE MOVEMENT

31
Movement Document
Notification for waste shipment was issued:
Date of issuance: __/__/__

Notification for a single shipment

Notification for a multiple shipments for the period ______

This shipment is nb.________of total shipments included in the general

notification: ________________

1. EXPORTER (NOTIFIER) (1)

Name: Telephone:
Address : Telefax:

Contact Person (name, address, telephone, telefax) :

2. GENERATOR(s) of WASTE

Name: Telephone:
Address : Telefax:
Contact Person (name, address, telephone, telefax) :

Process by which the waste was generated :

Site of generation :

3. DISPOSER OF THE WASTE

Name : TO BE COMPLETED BY THE DISPOSER
Address :
Telephone : Telefax:
Contact Person in case of emergency Certification of receipt of waste at
(name,address,telephone,telefax): Designated disposal facility

Approximate date of Disposal : Method of disposal (3)

D code R code
Actual Site of Disposal : Date : __/__/__
Signature :
Actual date of disposal : __/__/__
Signature of disposer:

32
4. WASTE

Description of the waste :

Y number H number UN class UN number UN Shipping name IWIC

Code

Physical state at 20 o C
powder solid paste/viscous sludge liquid

Gaseous other _______

Estimated quantity per shipment : 1st 2nd 3 rd 4th 5th

(kg or L)

Type of Packaging
Number of packages

Special handling requirements, including emergency provisions in case of

accidents:

5. ITINERARY

Country of export :
Point of exit (when designated)

Transit countries:
1) Point of entry (when designated ) :
Point of exit (when designated) :

2) Point of entry (when designated ) :

Point of exit (when designated) :

3) Point of entry (when designated ) :

Point of exit (when designated) :

4) Point of entry (when designated ) :

Point of exit (when designated) :

Country of import:
Point of entry (when designated) :

33
6. CARRIER OF THE WASTE or his agent

1. Name : Date of transboundary movement

Address : started: __/__/__
Telephone : Telefax :

Contact Person (name, address, tels., telefax): Signature of the carrier(s) or agent :

Means of transportation:

Sea air inland waters License (when applicable) :

Road rail

2. Name : Date of transboundary movement

Address : started: __/__/__
Telephone : Telefax :

Contact Person (name, address, tels., telefax); Signature of the carrier(s) or agent :

Means of transportation:

Sea air inland waters License (when applicable) :

Road rail

3. Name : Date of transboundary movement

Address : started: __/__/__
Telephone : Telefax :

Contact Person (name, address, tels., telefax); Signature of the carrier(s) or agent :

Means of transportation:
License (when applicable) :
sea air inland waters
road rail

CONSENT OF THE COMPETENT LOCAL TO BE COMPLETED BY THE GENERATOR OR

AUTHORITY EXPORTER

Declaration that the information is correct:

Declaration indicating no objection from the

competent authorities of all States concerned which
are Parties to the BC:

Date of consent of Exporting

State : __/__/__

Date of consent of Importing

State : __/__/__
Date of consent of Transit
State : __/__/__

34
Annex to the Notification and Movement Document

1. The Notifier is:

- the person who wants to import hazardous waste within ______; or

- the person who wants to export hazardous waste within ______; or
- the person who wants to transit hazardous waste through _____.

2. “Designation of the waste” means a designation of the nature and the concentration
of the most hazardous components in terms of toxicity and other dangers presented by
the waste both in handling and in relation to the proposed disposal method

3. As per Annex IV of the Basel Convention : D or R code

4. This must include the point of entry and the point of exit of the waste, inside or
outside the country.

5. In the case of a general notification covering several shipments, the expected dates of
each shipment have to be specified. If this is not known, the expected frequency of the
shipments.

…………………………………..

35