Republic of the Philippines

Department of Environment and Natural Resources

ENVIRONMENTAL MANAGEMENT BUREAU
CALABARZON Region
6th Flr. DENR by the Bay Bldg., Roxas Blvd., Ermita Manila
Tel. Nos.: 536-3095; 522-8177; 536-9784

POLLUTION CONTROL OFFICER ACCREDITATION

1 TYPE OF APPLICATION
NEW RENEWAL COA NO. ______________________________
Date of Expiration ______________________
2 INFORMATION OF APPLICANT
Name of Applicant
Name of Firm/Establishment
Plant Location/Address
Type of Industry
Telephone
Fax
e-mail
3 TYPE/CRITERIA OF ESTABLISHMENT
Criteria Category A P Category B P
Chemical Usage Using, storing, and/or handling chemicals Using, storing, and/or handling
Storage and/or which are not listed in the Priority chemicals which are listed in the
Handling Chemical List (PCL). Annex 1 Priority Chemical List (PCL)
regardless of quantity.

Hazardous Waste Small quantity generator as defined in • Large quantity generator as

Generated Annex 2 defined in Annex 2 .;
• Accredited Transporter; or
• Accredited Treatment, Storage
and Disposal (TSD) facility.

Air Emissions Boilers rated less than 50 HP Diesel • Small, medium, large-sized,. Or
generator less than 300 KW, or other environmentally significant
sources that have the potential to emit existing sources as defined in EMB
less than 10 tons per year of an air MC 2007-003; or
pollutant regulated under RA 8749, or
establishments not required to undergo
stack sampling.
• Establishment s required to
undergo stack sampling.
Solid Waste Generates more than 30 kg/day of • Centralized MRF; or
aggregates solid waste
• Solid waste treatment or
processing facilities; or
• Sanitary Landfill or with sanitary
landfill
Wastewater Less than 30 m3/day and witheffluent • Equal to or greater that 30
Discharged qual;ity parameters not listed in Annex 3. m3/day; or
• With effluent quality parameters
listed in Annex 3; or

• Classified as Strong Wastewater

(with effluent BOD ≥ 3,000 mg/L);
or
• Transporter or treater of
wastewater, sewage an d/or
septage

Sludge generated n/a • Transporter or treater of sludge

4 CERTIFICATION
I certify that the enclosed information is true and correct record as available that the same has been accomplished in good
faith to the best of my knowledge and belief.

_____________________________________________________ _______________________________________
Signature of Pollution Control Officer Signature of Managing Head

Processing Fee : Php 500.00