CHECKLIST OF DOCUMENTARY REQUIREMENTS AND SUPPORTING DOCUMENTS FOR SECURING STANDARDS COMPLIANCE CERTIFICATE (DEALERS) (As embodied in the Department Circular No. 2014-01-0001), NAME OF ESTABLISHMENT: _ PROPRIETOR/OWNER: ‘ADDRESS: REMARKS [ Rule Il Sec. 6a Application (Notarized) (ple. filrup the attached application form and have It notarized before sending it back to O1MB-RMMSCO) Rule Ii Sec. 6b Supporting Documents 1 Registration of Business from DT or Sacuities and Exchange Comamission; 2. Barangay Business Clearance; 3. Building Permit from the LGU concerned or lease agreement for bulding: “4 Mayor's/ Business Permit 5. Fire Safety Inspection Certificate; 6. Supply contract/agreement 77st (name and address) of authorized retall outlets; and 8 List of Vehicles (model, make, plate number and capacity) Rule Il Sec. 7 Reportorial Requirements [A Annual Reports 1. Uist of facies and capacities, including transport vehicles with plate ‘numbers; 2. List of suppliers and customers, and volumes; 3. List of supply contracts and refiling arrangements; 4. List of qualified personnel/attendant; and 5. Inventory of LPG cylinders 'B. Monthly Reports 4. Supply: 2. Demand/seles/consumption/thru put or refiling volume; and 3.inventory Special Reports Processed by: Date: Noted by: