FORM SSA/PDC/5

SEWERAGE SERVICES ACT 1993

SEWERAGE SYSTEMS AND SEPTIC TANKS
CERTIFICATE OF ELECTRICAL DRAWINGS, DESIGN CALCULATIONS,
EQUIPMENT DATA AND MATERIAL SHEETS (EDMS)
(for endorsement on plans, calculations and EDMS to be lodged
with the Director General)

Date: __________________ 20 ____

To: The Director General of Sewerage Services

I hereby certify that the installation and details in the equipment data and material sheet viz:
On Lot/s: _____________________________________________________________________
Section: ______________________________________________________________________
Jalan: ________________________________________________________________________
for (Name of owner): ____________________________________________________________

are filled, completed, true and correct, and these electrical works have been installed in
accordance to sound engineering practices and are in accordance to the Guidelines For
Developers, the MS1228 Codes of Practice for Design and Installation of Sewerage System,
and other regulatory agencies requirements and that I take full responsibility for the installation
and performance of the same.

Signature of Qualified Person

(Electrical Installation)
Address:

I.C.No.:
Registration No:
Class:
Discipline: Electrical Engineer

FORM SSA/PDC/5

I hereby certify that the installation and EDMS provided are filled, completed, true and correct, and
these mechanical works have been installed in accordance to sound engineering practice and are in
accordance to the Guidelines For Developers, the MS1228 Codes of Practice for Design and
Installation of Sewerage System, and other regulatory agencies requirements and that I take full
responsibility for the installation and performance of the same.

Signature of Qualified Person

(Mechanical Installation)
Address:

I.C.No.:
Registration No:
Class:
Discipline: Mechanical Engineer

FOR OFFICIAL USE ONLY

Date Received: ______________________ Checked By:_______________________
Ref.No._____________________________