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CMR Sworn Statement of Accountability of Proponent2023

The document is a sworn statement of accountability for the Compliance Monitoring Report of the PD 888 Caltex Gasoline Station for the 2nd semester of 2023. It certifies the accuracy and completeness of the report and states that no DENR-EMB personnel were involved in its preparation, except for procedural advice. The signer, Jonaliza B. Jimenea, commits to addressing any penalties for misrepresentation or omissions in the report.

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florencedelacruz07232020
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304 views

CMR Sworn Statement of Accountability of Proponent2023

The document is a sworn statement of accountability for the Compliance Monitoring Report of the PD 888 Caltex Gasoline Station for the 2nd semester of 2023. It certifies the accuracy and completeness of the report and states that no DENR-EMB personnel were involved in its preparation, except for procedural advice. The signer, Jonaliza B. Jimenea, commits to addressing any penalties for misrepresentation or omissions in the report.

Uploaded by

florencedelacruz07232020
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

This is to certify that all the information and commitments in this COMPLIANCE
MONITORING REPORT for 2nd semester 2023 for the PD 888 CALTEX GASOLINE STATION
are accurate and complete to the best of our knowledge, and that an objective and thorough
assessment of the Project was undertaken in accordance with the dictates of professional and
reasonable judgment. Should I/we learn of any information which would make this
COMPLIANCE MONITORING REPORT inaccurate, I shall immediately bring the said
information to the attention of DENR-EMB.

I hereby certify that no DENR-EMB personnel was directly involved in the preparation of
this PD 999 CALTEX GASOLINE STATION COMPLIANCE MONITORING REPORT other
than to provide procedural and technical advice consistent with the guidelines in the DAO 03-
30 Revised Procedural Manual.

I hereby bind myself to answer any penalty that may be imposed arising from any
misrepresentation or failure to state material information in COMPLIANCE MONITORING
REPORT.

In witness whereof, I hereby set my hand this ___ day of __________


at ____________ ________________________ .

JONALIZA B. JIMENEA
Pollution Control Officer
PD 888 CALTEX GASOLINE STATION

SUBSCRIBED AND SWORN TO before me this day of 20___, affiant


exhibiting his/her Community Tax Certificate No. _______________________________ issued
at ____________________ on .

Doc. No.
Page No.
Book No.
Series of

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