(to be filled up by DENR only)

GENERAL INFORMATION SHEET

Name of the
OPTIMAL LABORATORIES, INCORPORATED - PALAWAN
Establishment/Facili

Establishment/Facility Street# & Street Name: KM 1 National Highway

Address Barangay:San Miguel City/Municipality: --~P~u=e~
rt=-
o-"'P-'" ri,--' .,n=
__, ces
=a=C_,_,ity
J..__
(NOT the company of head
office) Province: Palawan

Name of
Optimal Laboratories, Inc.
Owner/Company
Street# & Street Name: Purokl
Address
(if address is not the same as Barangay: --=
B=al=in=ta
=w~ak~----- City/Municipality __L=
ip=a~C=ity
"-"---_
previous address)
Province: Batangas

Phone Number 048-433-0522 Fax Number NIA

e-mail address ill.!....lli!.lav.anla')ahoo com.ph

Type of Business/ Philippine Standard Industry Classification Code No. Primary:95; Secondary 9510
Industry Classification Philippine Standard Industry Descriptor: Service Laboratory

President. Mr. Oscar A. Rocafort

Tel#: 043-756-1292 Fax#: 043-756-1292 loc.115
e-mail address: optimal lab@hotmail.com
Responsible Officer/s:
General Manager: Ms. Jennifer R. Maralit
Tel#: 043-756-1292 Fax#: -~0~
43~-~7~
56~-~1=
29~2~1=o=
c-~1~15"---
e-mail address: jrmaralit@yahoo.com

Name. Ms. Jennifer R. Maraht

Pollution Control
Tel#: 0~4~8~-4~3=3--0~5=2=2 _ Fax #: -~N~/A
c.=. . ___
Officer
e-mail address: __Jrmaht'_£,yahoo com oli palawan@yahoo.com.ph

D single proprietorship D partnership

Legal Classification x private domestic corporation D government corporation

D Multi-national D _

Ms. J 1 . Maralit
Name/Signature of President Name Signature of PCO
Name of Plant: Optimal Laboratories Inc.
Reference No:

Department of Environment and Natural Resources

Environmental Management Bureau

QUARTERLY SELF-MONITORING REPORT

th
4 Quarter: October - December, 2018

MODULE 1: GENERAL INFORMATION

Name of the Plant 1 Optimal Laboratories Inc. - Palawan

Please provide the necessary revised, corrected or updated information not contained in your General
Information Sheet

NA

(use additional sheet/s if necessary)

DENR Permits/Licenses/Clearances
Environmental
Permits Date of Issue Expiry Date
Laws
A!C No. NA
P.D. 984
PCONo. COA No.2017-R4B-01645 August 8, 2017 August 8, 2020
ECC 1 On Process
PD 1586 ECC 2 NA
ECC 3 NA
DENR
Reaistrv ID
On Process

CCO Registry NA
RA6969
Importer
Clearance No
NA
Permit to
Transport
NA
A/C No. 2017-POA-D-0453-898 Sept. 25, 2017 Sept. 24, 2022
RA8749
PO No.

RA 9275 AJC No. On Process

Module 1 : General Information

_.

Name of Plant: Optimal Laboratories Inc.

Reference No:

0mera f100
Operating hours/day Operating days/week # of shift/day
Average 8 hrs/day 6 days/wk 1
Maximum l0hrs/day NA NA

01peratronIP ro d uction IC apacity:

2.04 - average# of
Average Daily 159 total# ofreceived
received environmental Total Output this Quarter
Production Output samples
samples per day
Total Water Consumption Total Electric
this Quarter (cubic 113 Consumption this Quarter 4804
meters) (KwH)
Please use additional sheet/s 1f necessary

Module 1: General Information

Name of Plant: Optimal Laboratories Inc.
Reference No:

MODULE 2: RA 6969

A. CCO Report (please accomplish this section for each chemical/substance)

Common Na.me/IUPAC/CAS Index Name. NA

CASNo.:
Trade Name:

For importers oniv:

Quantity Import
Requested Date of Quantity Country of Country of
Clearance Port ofEntry
Arrival Received' Origin Manufacture
No.

NA

Total Quantity Requested

(annual)
I I Total Quantity Received
(annual) I
* attach copy/s ofBill of Lading

F or ct·istn'b utors Cimporters I non- importers )

Name of Client License No. Quantity Date ofDistribution

1\.1 A....
..L '

Total Quantity Distributed

For non-importer users:

Name ofDistributor Quantity Date ofPurchase
No purchase of Mercury II Sulfate for this quarter - -

Total Quantity Purchased from Distributor -

Module 2B: RA 6969 (Hazardous Wastes Generator)

Name of Plant: Optimal Laboratories Inc.
Reference No:

F or pro d ucers
Average Daily
NA Total Output this Quarter NA
Production Output
Quantity of Stock Quantity of Stock
Inventory (Start of NA Inventory (End of NA
Quarter) Quarter)
Name of Buyer Quantity Date of Purchase

N ti

Total Quantity Sold

u se d.Ill p ro d uction (_p 1 ease fill 1

1 up only 1·r c h erruca 1/su b stance 1s not mam pro d uct )
Average Daily
NA Total Output this Quarter NA
Production Output
Average Quantity Used NA Total Quantity Used this NA
per month Quarter
Describe any changes in Production/Process/Operations:

NA

s toe kl nventorv 1Waste Ch ennca lG enerate d :

Average Quantity of Total Quantity of Waste
Waste Chemical - Chemical Generated this -
Generated per month Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of - Inventory (End of -
Quarter) Quarter)

Other Information:
Manner of handling D storage on-site D Treatment on-site
hazardous wastes D storage off-site D Treatment off-site

Changes in Safety D Yes (please attach copy of revised plan)

Management System DNo

Chemical Substitute D Yes (please attach copy 1f not submitted/included m pre,1ous report/s or had been revised)

Plan D No

Module 2B: RA 6969 (Hazardous Wastes Generator)

Name of Plant: Optimal Laboratories Inc.
Reference No:

B. Hazardous Wastes Generator

HW Generation:

Remaining HW
HW HW from Previous HW Generated
HW Class HW Cataloguing
No. Nature Report
Quantity Unit Quantity Unit
Toxic, corrosive,
B201 Sulfuric acid Liquid 20.445 L 0.55 L
reactive
Halogenated
G703 Organic Liquid Toxic 17.58 L 0 L
Compounds

I I 01 Used Oil Liquid Flammable 0 L I L

Waste Storage, Treatment and Disposakrneee fill-up one table per HW)

HWNo,: B20l
HW Details Qty ofHW Stored: 20.995 Unit: L
TSD Location: On-site

Name: Wastes containing sulfuric acid

Storage
Method: Stored in Dark Bottles/Polxethxlene Containers

ID: Name
Transporter
Date:

ID: Name:
Treater
Method: Date:

ID: Name Jennifer R. Maralit - PCO

Disposal
Date: Eve!)'. three xears. Method DENR Accredited Treater/ Recxclers

HWNo,: G703
HW Details Qty of HW stored 17.58 Unit: L
TSO Location: On-site

Name: Halogenated Organic Comgounds

Storage
Method: Stored in Dark Bottles/Polxethxlene Containers

ID: Name:
Transporter
Date:

ID: Name:
Treater
Method: Date:

Module 28: RA 6969 (Hazardous Wastes Generator)

 r
N ame o f Pl an:t O p irna I L a b ora t ones
. nc.
Reference No:

ID: Name: Jennifer R. Maralit - PCO

Disposal
Date: Every three xears. Method: DENR Accredited Treater/ Recxclers

HWNo,: 1101
HW Details Qty ofHW stored: l_ Unit: L
TSO Location: On-site

Name: Used Oil

Storage
Method: Stored in Dark Bottles/Polxethylene Containers

ID: Name:
Transporter
Date:

ID: Name:
Treater
Method: Date:
ID: Name Jennifer R Maralit - PCO
Disposal
Date: Every three xears. Method: DENR Accredited Treater/ Recxclers

On-Site Self Inspection of Storage Area:

Corrective Action
Date Conducted Premises/Area Inspected Findings & Observations
Taken (if any)
The hazardous wastes are
properly disposed, labeled
and contained in carboys
Laboratory and
October 27, 2018
Hazardous Waste Area
at the HWSA. There is NIA
daily collection of solid
waste done by the Solid
Waste Management.
The hazardous wastes are
properly disposed, labeled
and contained in carboys
Laboratory and
November 24, 2018
Hazardous Waste Area
at the HWSA. There is NIA
daily collection of solid
waste done by the Solid
Waste Management.
The hazardous wastes are
properly disposed, labeled
and contained in carboys
Laboratory and
December 29, 2018
Hazardous Waste Area
at the HWSA. There is NIA
daily collection of solid
waste done by the Solid
Waste Management.

Module 28: RA 6969 (Hazardous Wastes Generator)

Name of Plant: Optimal Laboratories Inc.
Reference No:

C. Hazardous Wastes Treater/Recycler

HW Stored and/or Untreated as of End of Quarter:

Type of
Transport Storage Time Table
Wastes Date of
HWNumber Permit/Date Valid until Quantity Container/ for
Generator Transport
of Issue # of Treatment
containers

. fl~
1\1

HWT rea t e d an d/or R ecyc I e d as o fE n d 0 fQ uar t er:

Type&
Type of
Transport Quantity of
Type of Wastes Date of Treatment or
HWNumber Permit/Date Quantitv Recycled or
Wastes Generator Transport Recycling
of Issue Treated
Process
Product

~I I\
I 'ii I/ \.

R est.d ua IW astes G enerate df rom th e T rea t men t an dior R ecyc rmg oipera f100:
Type of Process by Type of
Wastes which the Storage Disposal Time Table for
HW Number Quantity
Wastes is Container/ Option Disposal
Generated # of containers

a. I A

l'JA

Module 2C: RA 6969 (Hazardous Wastes Treater/Recycler)

Name of Plant: Optimal Laboratories Inc.
Reference No:

MODULE 3: P.D. 984 (Water Pollution)

Water Pollution Data(*a roximate value)

Domestic wastewater
(cubic meters/da )
Cooling water
(cubic meters/day)
Wash water, equipment
(rrr'zda )
*( 15% of daily domestic Process wastewater
wastewater) O 22 NA
(cubic meters/da )
Others: washing of
*(80% of daily domestic
glassware (cubic
wastewater) 1. I 6
meters/da )
Wash water, floor *(5% of daily domestic
(cubic meters/da ) wastewater) 0.07

Record of Cost of Treatment (Separate entries for separate facilities)

Month I Month 2 Month 3
Person employed,(# of
employees)
Person employed, (cost)
Cost of Chemicals used
byWTP
Utility Costs of WTP
(electricity & water)
Administrative and
Overhead Costs 1'.T A
Cost of operating in- .l.. .... .L 1
house laboratory

New/Additional
Investments in WTP
(Description)

Cost of New/Add
Investments

WTPD'ISC h arge Loca fion

Outlet
Location of the Outlet Name ofReceiving Water Body
Number
1 Discharge Water Pit Puerto Bay
2
,.,
.)

4
5

Module 3: P.O. 984 (Water Pollution)

Name of Plant: Optimal Laboratories Inc.
Reference No:

. fJCS tor C onven frona IP 0 II u t ans

D e t a1·1 e d R epor t 0 fW as t ewa t er Ch arac t ens t
Outlet No. Discharge Water Pit

Effiuent
BOD TSS Color Oil and Grease (name)
DATE Flow Rate pH
(mg/L) (mg/L) (PCU) (mg/L)
(m 3/day)
(unit)

09/07/18 20 7 JO 7.15@,23.1°C 3
Please fill-up/accomplish separate form/s for other outlet/s.

. fJCS tor 0th er P 0 II u t ans

D etai·1 e d R eport o fW astewa t er Ch arac t ens t
Outlet No.

Effiuent
(name) (name) (name) (name) (name) (name) (name)
DATE Flow Rate
(m 3/day)
(unit) (unit) (unu) (unit) (unit) (umt) (umt)

7\.l A
j_ ~ .1. .I..

Please fill-up/accomplish separate form/s for other outlet/s.

Please use additional sheet/s if necessary.

Module 3: P.O. 984 (Water Pollution)

Name of Plant: Optimal Laboratories Inc.
Reference No:

MODULE 4: R.A. 8749 (Air Pollution)

s ummarv o f APSE/APCF
Process Equipment Location # of hrs of operations
1.

2.
"ll,,. T A. -,. T A. "11.. T A.
3. l~J-\.. l~r-\.. l ~r-\..

4.
Fuel Burning Quantity # of hrs of
Location Fuel Used
Equipment Consumed operations
I. Sumo 5 KVA Back of the Building Diesel 6L 18
2.
3_·

4.

5.
6.
Pollution Control Facility Locations # of hrs of operations
1.

2. l\. T A
.l ~L~
3.

4.

Cost of Treatment
Month 1 Month 2 Month 3
Cost of Person employed,
(salary)
Total Consumption of
Water (cubic meters)
Total Cost of chemicals
used (e.g., activated
carbon, KMn04)
Total Consumption of
Electricity (KwH)
Administrative and
Overhead Costs "-.T A
Cost of operating in-
house laboratory, if any
1~1-\.
Improvement or
modification, if any.
(Description)

Cost of improvement of
modification

Module 4: RA 8749 (Air Pollution)

Name of Plant: Optimal Laboratories Inc.
Reference No:

t 'I e d Report o f AiIr E IDISSIOil Ch arac t ens

D ea, . fres
Description/Location
ofPCF NA

DATE
Flow Rate co NO, Particulates (ruune) (name) (name) (name)
(Nern/day) (mg/Nern) (mg/Nern) (mg/Nern)
(mg/Nern) (mg/Nern) (mg/Nern) (mg/Nern)

- - - - - - - -

Please fill-up/accomplish separate form/s for other PCF/s.

Please use additional sheet/s if necessary.

Module 4: RA 87 49 (Air Pollution)

Name of Plant: Optimal Laboratories Inc.
Reference No:

MODULE S: P.D. 1586

Ambient Air Quality Monitoring (if required as part of ECC conditions)

Description/Location
of Monitoring NA
Station
Noise
S02 N02 Particulates (name) (name) (name) (name)
DATE Level
(mg/Nern) (mg/Nern) (mg/Nern)
(dB) (mg/Nern) (mg/Nern) (mg/Nern) (mg/Nern)
NA
(Please accomplish one table per momtonng station.)

Ambient Air Quality Monitoring (if required as part of ECC conditions)

Description/Location
of Monitoring NA
Station
Noise
S02 N02 Pa.rt.iculates (name) (name) (name) (name)
DATE Level
(mg/Nern) (mg/Nern) (mg/Nern)
(dB) (mg/Nern) (mg/Nern) (mg/Nern) (mg/Nern)
NA
(Please accomplish one table per monitoring station.)

Module 5: P.O. 1586 (EIS System)

Name of Plant: Optimal Laboratories Inc.
Reference No:

Other ECC Conditions

Status of
ECC Condition/s Compliance Actions Taken
Yes No

I
2.
3.

4.

5.
. .
Please use additional sheet/s ,f necessary.

E nvironmen t a IM anagemen t Pl an IP rogram

Status of
Enhancement/Mitigation Measures Implementation Actions Taken
Yes No

,/ Solid waste segregation and proper

1. Solid waste management
disposal is strictly implemented
Laboratory wastes are properly
2.Hazardous waste management ,/ classified and stored at hazardous
waste storage area
..
Please use additional sheet/s if necessary.

Solid Waste Characterization/Information.

Average Quantity of
Solid Wastes Generated
per month
Average Quantity of
Solid Wastes Collected
per month
Entity in charge of
collecting solid wastes
BriefDescription of
Solid Waste
Management Plan (e.g.,
waste reduction,
segregation, recycling)
Total Quantity of Solid
0.00ST Wastes Generated this 0.015T
Quarter
Total Quantity of Solid
000ST Wastes Collected this 0.015T
Quarter
Solid Waste Management Office
Wastes are segregated from Biodegradable to Non-Biodegradable and
Recyclables. Plastic color coded bins are strategically located for waste
generated. Recyclables like papers, PET bottles, etc. are sold to junk shops
while biodegradable materials and domestic solid wastes are picked up by
the Solid Waste Management Office.

Module 5: P.O. 1586 (EIS System)

 Name of Plant: Optimal Laboratories Inc.
Reference No:

MODULE 6: OTHERS

A CCI.d en t s &E mergency R ecor d s

Findings and
Date Area/Location Actions Taken Remarks
Observation

NONE NONE NONE NONE NONE

Personnel/Staff Training

# ofPersonnel
Date Conducted Course/Training Description
Trained
NIA

I hereby certify that the above information is true and correct.

SUBSCRIBED AND SWORN before me, a NOTARY PUBLIC, this

JAN O 7 2'19 ,
affiants exhibiting to me their Community Tax
Receipts:

Name CTC No. Issued at Issued on

Ms. Jennifer R. Maralit 07960281 Lipa City January 04, 2019

Mr. Oscar A. Rocafort 24526295 Makati City January 04, 2019

DOC.NO.~
~4GENO
~llO~IVO. .
SffllES OF.

Module 5: P.O. 1586 (EIS System)