cEZeFo10 PHILIPPINE ECONOMIC ZONE AUTHORITY CAVITE ECONOMIC ZONE ENVIRONMENT, HEALTH AND SAFETY DIVISION EHSD OFFICE: 437-6348 (P), 437-0949 (F) DISCHARGE PERMIT APPLICATION Cy IN COMPANY NAM 2 | aooress | prone ra ema REGISTERED ACTIVITY: TN aa ACCREDITATION NUMBER: eS Ne LET OTS MODE OF TREATMENT ESTIMATED —— ASE] NO OF | VOLUME OF | | WASTEWATER SOURCES Sere GREAGET wep | cezerp | unre | Meteor | = | _|_(CULM/DAY) DOMESTIC T T ] WASTEWATER | | Oo TOILET Qo a o aq | CANTEEN o o o a | PRODUCTION PROCESS | 01 o a ila | WASHING CLEANING =|) o a om | OTHERS, SPECIFY: | | | o o o ROR ead een eae DISCHARGE POINT LOCATION | CONNECTED WASTE WATER SOURCES 1 ] 2 a 4 |G CERTIFICATE OF SEWER LINE CONNECTION | COPY OF CURRENT PERMIT TO DISCHARGE a 1 SEWER LINE LAY-OUT (As SIZE), INDICATING ALL WASTEWATER SOURCES AND CEZ SEWER | LINE CONNECTION. [y__ PROCESS FLOW OF PRODUCTION PROCESS GENERATING WASTEWATER | PROCESS FLOW OF WASTEWATER TREATMENT FACILITY, 2 LATEST WASTEWATER TESTING RESULTS FORM A DENR RECOGNIZED LABORATORY. | COPY OF LATEST WATER BILL | | o RECEIVING COPY OF LATEST SMR & UPDATED WOMP_ Brera To faVZNEU NON prs N= Ne Name & Signature of EHSD Staff DC, Environment, Health & Safety Dwision |