Engineering Report

for
Generator Set

GENERAL INFORMATION
Name of firm/establishment:
Plant address/location:
Nature of business:
Business Operation: Average Hrs/day Days/week
Maximum Hrs/day Days/week
FUEL BURNING STATIONARY SOURCE INSTALLATIONS
Standby Generator Set
ENGINE SPECIFICATIONS
Brand Name/Model
Rated HP
Type of Fuel
Fuel Consumption per Hour
No. of Hrs. of Operation/Year Liters/hour
Amount of Fuel Consumed
No. of Cylinder
Rated RPM
Corresponding Air Pollution Control Device
ALTERNATOR SPECIFICATIONS
Brand Name
Model No.
Capacity KVA
Phase
Voltage
Frequency
Power Factor/ Cos 
ATTACHMENTS YES
Emission Computation 
Vicinity Map 
Certificate of Registration Issued by the SEC or DTI 
Pictures of air pollution source and control installations 
Pollution Control Officer (PCO) appointment with conformance including 
Bio-data and Diploma/Official Transcript of Records

CERTIFICATION

This is to certify that all the information given above are true, accurate and complete. Should I /
we learn if any information which would make this Engineering Report inaccurate, I / we should
bring said information to the attention of the Environmental Management Bureau Regional
Office.

__________________________
Preparer
Attested by: (Mechanical Engineer)

______________________
Owner

SUBSCRIBED AND SWORN TO before me this _______day of _____________, at

_________________________, Philippines.

__________________________