Monthly Report from Industry Gujarat Pollution Control Board

1. PCB ID : 23366 2. Name & address of Industry : Devam Plastic, --, - - 396125 DIST : Valsad, TAL : Pardi, SIDC : Killa Pardi 3. Phone No. : 0000000000 4. Date of commencement of Manufacturing process : 12/07/1997 5. CTEs No. & Date : 6. CCA No . & Date of Expiry : NO CCA, 7. Water Cess (with Interest) paid up to which Period : 8. Laboratory charges pending if any : 0 9. Water consumed during the month (by all sources )in KL : Meter Reading=0,Kilo Litre=0 Water Cess Cooling Boiler/Dom/BIO Degrable/Non BIO Degrable : 0/0/0/0 10. Electricity consumed in PRODUCTION : 11. Fuel consumed during the month : No Data 12. Products : No Data 13. Work of Control Measures In Progress : Nothing in Progress 14. Upgradation / Addition of PCM is Required : Nothing Suggested 15. HAZ Waste Disposal(in Metric Tonne): Return NOT Entered 0 ETP/CETP : 0 APCM : 0

Form-20 July , 2012

Date : 08/08/2012

1/1

Company Seal

Authorised Signatory Yours Faithfully