Department of Environment and Natural Resources

ENVIRONMENTAL MANAGEMENT BUREAU

GENERAL INFORMATION

Name of Establishment:
Address:
Date of Application:

Checklist/Evaluation of Information Requirements for securing of Manifest Form/s

1. MOA between generator, transporter and treater Validity period:

2. Valid PTT: Validity date:
3. Latest SMR Date Submitted:
Additional information Permits validity
Generator’s Permit : WDP
4.
POA
TSD’s Permit : WPD
5.
POA
TRC:
6.
TSD:

Date:

CPD Division Chief,

This is to certify that ________________________________ (generator) has satisfactorily submitted

the documents stated above and has been qualified to secure their Manifest form/s in our Regional
Office.

STAFF, HAZARDOUS WASTES AND CHEMICALS MANAGEMENT SECTION