Professional Documents
Culture Documents
CHECKLIST OF REQUIREMENTS
LPG RETAILER
APPLICATION FOR ISSUANCE OF LICENSE TO OPERATE (LPG)
6.3. Business registration for the applied business activity from the Securities and Exchange Commission or Department of Trade and Industry or
Cooperative Development Authority (whichever is applicable);
Reminder/ Instruction:
1. Submit one (1) Certified True Copy of all the required supporting documents.
Energy Center, Rizal Drive cor. 34th Street, Bonifacio Global City, Taguig City, Philippines 1632 Tel. No. (Trunkline) (632) 8479-2900;Website: http://www.doe.gov.ph; E-mail: info@doe.gov.ph
Department of Energy-Mindanao Field Office Annex G-2
Energy Industry Management Division(EIMD) September 2022
COMPANY PROFILE
LPG RETAILER
Expansion Program/s
COMPANY PROFILE
LPG RETAILER
OUTLET PROFILE
LPG RETAILER
Designation Designation
Retail Outlet Classification (X one): Pure LPG Retailer With other merchandise
I. ESTABLISHMENT PROFILE:
Establishment Business Name: GPS Coordinates:
Business Address Number, Street Barangay Municipality/City Province Region
GPS Coordinates: Longitude: Latitude:
Telephone (landline) No.: Email Address:
Date of Start of Operation: Cost of Investment (PhP):
Type of Ownership (X one): Single Proprietorship Partnership
Corporation Cooperative
Total Number of Personnel in the Facility: Male Female
II. EXECUTIVE MANAGEMENT ORGANIZATIONAL STRUCTURE
Name Designation
Reminder/ Instruction:
LPG RETAILER
If Contracted, Company
Plate / Motor Vehicle File Bulk Transport or In Company-Owned or If Contracted, Independent
Type of Vehicle Issued Date OR Number Valid Until Issued Date Valid Until Name of the Independent LTO Validity
Number Cylinder or Cartridge Contracted Hauler LTO Number
Hauler
1. Certificate of registration and official receipt per motor vehicle from LTO with corresponding picture of the front of vehicle with plate number; and
2. Conveyance Permit per motor vehicle from the Bureau of Fire Protection.
Energy Center, Rizal Drive cor. 34th Street, Bonifacio Global City, Taguig City, Philippines 1632 Tel. No. (Trunkline) (632)8479-2900;Website: http://www.doe.gov.ph; E-mail: info@doe.gov.ph
Department of Energy-Mindanao Field Office Annex G-5
Energyl Industry Management Division (EIMD) September 2022
Typical Retail Outlet Layout Design
Top View Front View
Empty LPG Cylinders Filled LPG Cylinders
Isometric View
ROAD
Fire Extinguisher
Ventilation Area
Gas Detector
Structural Requirements:
4.) Minimum floor area for filled and empty LPG cylinders is two (2) square meters. (excluding area for
1.) Building shall be made up of predominantly non-combustible material (Concrete/Steel); cashier's booth and display area);
2.) Building should not be part of a Theatre, School, Hotel, Supermarket or a place of worship; 5.) The gas leak detector must be mounted (0.5 to 1.0m - to be verified) from the floor; and
3.) Store should be well ventilated; 6.) No Drains or opening shall be allowed in the floor of the building.