ENGINEER’S REPORT

(Permit to Operate)

I. GENERAL INFORMATION

Name of Company : ___________________________

Business Address : ___________________________
Contact Person/PCO : ___________________________
Contact Number : ___________________________

II. DESCRIPTION OF OPERATION

This provides the summary of process/operation of the establishment.

2.1. Process Flow Diagram

2.2. Raw Material and Product Information

Raw Material Quantity Product Quantity

2.3. Material Balance

III. LIST OF AIR POLLUTION SOURCE EQUIPMENT (APSE) AND

CORRESPONDING AIR POLLUTION CONTROL FACILITY WITH
SPECIFICATIONS

Air Pollution Sources Equipment (APSE) for Fuel Burning Subject for Permitting

Control
APSE Capacity Brand Name Type of Fuel APCD Capacity
Efficiency

Air Pollution Sources Equipment (APSE) for Non-fuel Burning Subject for Permitting

Control
APSE Capacity Brand Name Type of Fuel APCD Capacity
Efficiency
IV. EMISSION CHARACTERIZATION
V. DETAILED DESCRIPTION OF THE PRESENT POLLUTION CONTROL
SCHEME
VI. COMPUTATION OF AIR POLLUTANTS EMITTED BY APSE
VII. DETAILED REPORT OF AIR EMISSION CHARACTERISTICS

Prepared by:

_______________________

Name of PCO/Engineer

Conform by:

___________________________

General Manager