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Republic of the Philippines

Department of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU
Region VII
Greenplains Subdivision, Banilad Mandaue City
Tel No: (032) 346-94-26

APPLICATION FOR PERMIT TO OPERATE

Air Pollution Source Installations

A. General Information
Application No. 252368
Application Type New
Name of Owner FELIBERTA FEGARIDO MUBARAK OBAID
Name of Establishment DXB POULTRY FARM
Mailing Address Caipilan Lower Becerril Boljoon Cebu, Lower Becerril, Boljoon, Cebu
Zip Code 6024
Mailing Tel.No. 032-4829287 Mailing Fax No. N/A
Plant Name DXB POULTRY FARM
Plant Address Caipilan Lower Becerril Boljoon Cebu, Lower Becerril, Boljoon, Cebu
Plant Zip Code 6024
Plant Geolocation 9.617812162784311,123.4464938713021
Plant Tel.No. 032-4829287 Plant Fax No. N/A

B. Company Information
TIN 154-826-184-000 Nature of Owndership Sole Proprietorship
EIA Classification Agriculture industry
Nature of Business POULTRY(BROILER) COTRACT GROWER
Authorized Capital Php 27000000.00 Paid up capital Php 15000000.00
Date of Start of Operation Dec. 6, 2011
ECC Number RO7-0901-0030-116A
CNC Number N/A
Managing Head FELIBERTA MUBARAK OBAID Tel. No. 032-482 9287
Name of PCO BASIL AVISO FEGARIDO Tel. No. 09223922393
PCO Designation Appointed
PCO Application Submission Feb. 22, 2023

C. Other Company Related Information

Office Operation (hrs/day) 4 Office Operatation (days/week) 7
Production Operation (hrs/day) 8 Production Operation (days/week) 7
Total Employees 10
Land Area 19129 m2 Land Use Agricultural
Land Ownership Owned

D. Raw Material and Product Information

Raw Material Quantity Product Quantity
There are no raw materials defined
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E.1 Air Pollution Sources Installation (APSI) for Fuel Burning Subject for Permitting
Standy
APSI Brand Type of Date Technical
APSI Generator Capacity Remarks
Name Name Fuel Installed Description
Set?
Yes

1 UNIT
Operating
200KVA
Other Hours: USE AS
GENERATOR Dec. 10, CUMMINS
sources of 0.3 hr/day 200.0 KVA CUMMINS DEISEL BACKUP
SET 2012 DEISEL
air pollution 2.3 POWER
FIRED
days/week
GENSET
121.7
hr/year

E.2 Air Pollution Sources Installation (APSI) for Non Fuel Burning Subject for Permitting
Technical
APSI APSI Name Capacity Brand Name Raw Material Date Installed
Description
There are no sources defined

E.3 Air Pollution Control Device (APCD) Subject for Permitting

APCD Description Capacity Remarks
There are no devices defined

E.4 Stacks
Name Height Diameter Temperature Velocity
There are no stacks defined

F. APSI APCD Mapping

Connected APSIs Connected APCDs Connected Stacks
ID APSI
(<name> (id)) (<name> (id)) (<name> (id))
1 GENERATOR SET (1) None None None

Connected APSIs Connected APCDs Connected Stacks

ID APCD
(<name> (id)) (<name> (id)) (<name> (id))
There are no mappings defined

NOTARIZED CERTIFICATION

We hereby certify that the above information are true and correct to the best of my knowledge. Done this
________ day of ______________________ of ______________.

BASIL AVISO FEGARIDO FELIBERTA MUBARAK OBAID

Pollution Control Officer Managing Head

SUBSCRIBE AND SWORN to before a Notary Public this _______ day of ___________________________.
Affiant exhibiting to Officer Officer me his/her government issued ID with no. ________.
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NOTARY PUBLIC