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

Maximum

24

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 users:

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

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)
Administrative and
Overhead Costs
Cost of operating inhouse laboratory

WTP Discharge Location

Outlet
Number

Location of the Outlet

Name of Receiving Water Body

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
(C)
(mg/L)
(mg/L)
(mg/L)

DATE

Influent
Flow Rate
3
(m /day)

4-23-18

0.18

200

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

Fuel Burning Equipment

Location

# of hrs of operations

Pollution Control Facility

Location

# of hrs of operations

Repacking Area

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)
Administrative 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
projects 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