R.

A 9275 April May June Total

Water
Pollution

Water
Consumptio
n (cubic
meters)

Electrical
Consumptio
n (kWh)

Domestic Wastewater Discharge

D.W.D (cubic meters per day)

Computation:

D.W.D = Total Water Consumption this quarter / No. of days in this quarter

R.A. 8749 Air Pollution

1. ___Hp of Diesel Engine as prime mover coupled to ___kVa Electric

Generator

April May June Total

Diesel
Consumptio
n (liters)

No. of hrs. of
genset
operation

(no. of
power
interruption
this quarter)

R.A 6969 Hazardous Waste Management

Haz Waste April May June

Material

Used Gen Set __ liters ___ liters ___ liters

Oil (depending
on the
scheduled
month of
change oil)

Busted Bulbs

(Flourescent Fluorecent ___ Fluorscent __ Fluorescent __

Lamps, Cfl
T5 tube ___ T5 tube ___ T5 tube ___
bulbs)
CFL bulbs ___ CFL bulbs ___ CFL bulbs ___
please specify
the type and Total __ Total ___ Total __
wattage

Discarded Gen- __unit __ unit ___unit

set lead acid
battery

Discarded __unit ___unit ___unit

Computer
__pcs ___pcs ___pcs
Component
parts and No. of
busted LED
Bulbs

Vegetable Oil ___liters __liters __liters

R.A 9003 Solid Waste Management

Average Quantity of Solid Wastes Total Quantity of Solid Wastes

gemerated per month generated this quarter (April,May
_____kilograms & June)

Total ____kilograms

Entity in Charge of Collecting solid name:

wastes
company:

Brief Description of Solid Waste

Management Plan (waste
reduction,segregation,recycling)