Republic of the Philippines

Department of Environment and Natural Resources

ENVIRONMENTAL MANAGEMENT BUREAU
Cordillera Administrative Region
DENR Compound, Gibraltar, Baguio City
(074)665-2904 local 12, local 11; (074)446-6440

MEMORANDUM

FOR : THE REGIONAL DIRECTOR

THRU : THE CHIEF

Environmental Monitoring and Enforcement Division

FROM : MELISSA A. BAUTISTA – EMS II

Chemical and Hazardous Waste Management Section

SUBJECT : COMPLIANCE MONITORING REPORT FOR

PRIORITY PROJECT UNDER R.A. 6969 (HAZARDOUS
WASTE MANAGEMENT) WITH PERMIT TO
OPERATE AND ENVIRONMENTAL COMPLIANCE
CERTIFICATE

DATE : January 23, 2023

REPORT CONTROL NO. : HCF-MR-04-2023

1. GENERAL INFORMATION
Name of Establishment: CORDILLERA KIDNEY SPECIALISTS, INC.
Project Address: 16 Kisad Road, G/F Hamada Building, Geo Coordinates:
Baguio City N: 1624’33”
E: 12035’34”
Nature of Business: Private Medical Activities
PSIC Code: 86221 Product / Service: Dialysis Center Year Established: June
01, 2010
Operating hours/day: Operating days/week: Operating days/year:
14-17 hours/day 6 days/week 312 days/year

Services Lines Current Service Rate

Authorized No. of Stations: 90 patients
15 Dialysis Stations

Name of Managing Head: Sharron E. Manzano

Name of PCO: Janine S. Cabanero
PCO Accreditation No.: COA No. 2018- Date of Effectivity:
CAR-025 March 18, 2018
Phone/ Fax: 09264377485 Email: N/A

2. PURPOSE OF INSPECTION
Verify accuracy of information submitted by the establishment pertaining to new permit
applications, renewals or modification

 Determine compliance status with environmental regulations, permit conditions, and

other requirements
Investigate community complaints
Check status of voluntary commitment
______ Industrial EcoWatch
______ Philippine Environmental Partnership Program (PEPP)
______ Pollution Adjudication Board (PAB)
______ Others __________________________________________________________
Name of Contact Person Janine S. Cabanero
Position/ Designation Pollution Control Officer
Contact No. 09129206125 / jcsalda.2008@gmail.com
Date of Monitoring January 11, 2023

3. COMPLIANCE STATUS
3.1 DENR Permits/Licenses/Clearances
Environmental Permits Date of Issue Validity
Law
PD 1586 ECC: Operation of the
Dialysis Center, ECC-CAR -1411- November 24, ---
Cordillera Kidney 0159 2014
Specialists, Inc.
represented by Dr.
Vivianne Untalan
RA 6969 DENR Registry ID : OL-GR-CAR-11- October 15, ---
Cordillera Kidney 003121 2020
Specialists, Inc.
Permit to Transport (N/A) (N/A) (N/A)
RA 8749 One (1) unit 50 kVA 2016-POA-B- February 18, February 17,
"Greaves Power" 141109-289 2016 2021
Standby Diesel Engine (with online
Generator Set application)
RA 9003 ECC for Sanitary (N/A) (N/A) (N/A)
Landfill
RA 9275 Discharge Permit (N/A) (N/A) (N/A)

COMPLIANCE INSPECTION CHECKLIST FOR HAZARDOUS WASTE

MANAGEMENT
I. GENERAL HAZWASTE GENERATOR INFORMATION*
Hazwaste OL-GR-CAR-11-003121 Date of Issue: October 15, 2020
Generator ID:
Types of Hazardous Waste Generated based on the Generators Registration
Waste Generating Process Type of Hazardous Waste Quantity Unit
Dialysis Center Operations M501 – Pathological / infectious 3.773 MT
wastes
M503 – Expired Pharmaceuticals 0 -
/ drugs
D407 – Mercury and Mercury 0 -
Compounds Waste (Busted
General Building Operation and Bulbs)
Maintenance Activities I101 – used Industrial Oil 0 -
including Sludge
I104 – Oil-contaminated 0 -
Materials
D406 – Lead Compounds 0 -

M506 – Waste Electrical and 0 -

Electronic Equipment (WEEE)
*To be accomplished prior to site inspection

Compliance Monitoring Report for Priority Project under RA 6969 Page 2 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Legal Compliance Requirements Compliant Remarks
Referenc Y N N
e /
A
(DAO 2013-22)
Chapter Is the establishment registered  Cordillera Kidney Specialists, Inc. is a
3.3 with EMB-DENR as DENR Registered HW Generator,
Hazardous Waste Generator? with ID OL-GR-CAR-11-003121,
issued October 15, 2020.
Has the establishment paid the 
Application fee?
DENR ID No. OL-GR-CAR-11-003121
Category: Large Small

Chapter Has the establishment 
3.3 (a) designated a Pollution Control
Officer (PCO)?
Name of PCO:  Janine S. Cabanero
PCO Accreditation No.:  COA No. 2018-CAR-025
(ongoing renewal)
Chapter Is the establishment registered  Cordillera Kidney Specialists, Inc.
3.3 (b) online? (CKS, Inc.) is already registered in the
online Hazardous Waste Management
System
Chapter Does the establishment have a  CKS, Inc. is not in the operation /
3.3 (c) permit to construct or operate construction of a TSD Facility.
hazardous waste TSD
premises? (If yes, accomplish
Compliance Inspection
Checklist for TSD Facilities)
Has the establishment  The Dialysis Center regularly submits
submitted the Hazardous their SMRs. The Fourth (4th) Quarter
Waste Management Module CY 2022 SMR has been submitted in
of the SMR? the Online system.
Has the establishment 
submitted the Hazardous The center’s Fourth (4th) Quarter CY
Waste Generators Quarterly 2022 SMR Submission forms part of
Report Form? (Quarterly for the basis of the monitoring period.
Large, Annual for Small)
III. HAZARDOUS WASTE MANAGEMENT
Chapter Does the establishment  CKS, Inc.’s Storage Area is located at
3.3 (d) comply with the Hazardous the back area of the center for the
Waste Storage and Transport following:
Requirements
▪ Pathological / Infectious
Waste; and
▪ Busted Fluorescent Lamps.

Temporary Storage Bins were noted

within the Dialysis Center for other
Infectious wastes like Syringes,
Dialyzer Caps, Bloodline Covers and
the like.

Cleanway Environmental
Management Solutions, Inc. (OL-TP-

Compliance Monitoring Report for Priority Project under RA 6969 Page 3 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 R3-69-000091 and OL-TR-R3-69-
000063) has been contracted for the
Transport and Treatment of their
Hazardous Waste.

Chapter Does the establishment  Transport and treatment activities for

3.3 (f) comply with the Hazardous the management of CKS, Inc.’s
Waste Transport Manifest hazardous waste are coursed through
System? the Online Manifest System.

CKS, Inc.’s recent Treatment and

Disposal of 2.697 MT of Pathological
/ Infectious Waste (M501) is
documented with Permit to Transport
OL-PTT-R3-69- 073197 and Manifest
No. M-CAR-2022-12-201609 last
December 7, 2022.
Chapter Does the establishment 
3.3 (h) communicate the hazards
posed by improper handling,
storage, transport and use of
hazardous wastes and their
containers to employees?

III – A. Storage Requirements

Chapter Are the establishment’s Storage facilities:
6.1.1
Chapter Accessible in case of 
6.1.1 (a) emergency and for
purposes of inspection and
monitoring?
Chapter Enclosed but adequately  Back door may be opened for
6.1.1 (b) ventilated? ventilation.
Chapter Equipped with floors that 
6.1.1 (c) are impermeable to liquids
and resistant to attack by
chemicals, not slippery,
and constructed to retain
spillages?
Chapter Properly secured and not 
6.1.1 (d) easily accessed by
unauthorized persons?
Chapter Equipped with proper  Hazardous wastes shown to be in
6.1.1 (e) waste segregation separate storage bins / containers
according to chemical according to type.
properties and waste type?
Chapter Proper drum handling and storage:
6.1.1 (f)
Are drums in upright  Containers stored upright and sealed,
position and stacked not stacked not more than two containers
more than two drums high? high.

Are drums placed on 

pallets that allow passage
of water and circulation of

Compliance Monitoring Report for Priority Project under RA 6969 Page 4 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 air?
Are drums leak-free? 
Are filled drums not stored 
on their side?
Are drums stored  Provision of horizontal racks not
horizontally on racks implementable as provided
provided with support for space/storage is adequate.
the entire length of the
drum?
Are drums that are stored  No polyethylene permeating substances
with materials that in storage.
permeate polyethylene
provided with adequate
ventilation?
Are adequate safety  No collection / transport during the time
precautions observed at all of inspection.
times when handling filled
drums?
Chapter Is the establishment equipped  Fire extinguishers installed.
6.1.1 (g) with full emergency response
equipment?
Chapter Does the establishment  Latest documented Treatment and
6.1.2 maintain maximum number of Final disposal of Pathological/
years for accumulation/ Infectious wastes last December 7,
storage of hazardous waste? 2022 within the prescribed storage
(Not more than one year for period. Logs accessed in the online
small generators) manifest system.
III – B. Packaging Requirements
Chapter Does the establishment use 
6.1.3 appropriate types of The following are not in use or
containers for each type of storage:
waste? ➢ Acids and Bases;
Does the establishment use  ➢ Flammable Solvents and
polyethylene drums for acids Paints; and
and bases? ➢ Granular Materials
Does the establishment use 
metal drums for flammable,
solvents and paints?
Does the establishment use 
fiber drums for granular
materials?
Chapter Does the establishment follow 
6.4 proper packaging materials?
Chapter Are vessels, containers, tanks and containment buildings used for storage of
6.4.1 hazardous wastes:
Chapter In good condition without 
6.4.1 (a) leaks or damage?
Chapter Made from materials 
6.4.1 (b) suitable for the
characteristics of the
wastes to be stored?
Chapter Equipped with a strong lid 
6.4.1 (c) or cap to prevent spillage
during transport?

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 III – C. Labeling Requirements
Chapter Are the labels within the  Containers with the appropriate labels
6.2.1 (a) required minimum size (20cm and placards as prescribed in the
x 30cm) or readable five (5) DAO.
meters from the vehicle?
Chapter Are the colors of the label 
6.2.1 (b) (yellow for background and
black for letters)
conspicuously marked in
paint or other permanent form
of marking?
Chapter Are the materials of the labels 
6.2.1 (c) scratch proof and resistant to
tampering and weathering?
Chapter Are the labels attached to the 
6.2.2 side of the vessel, container,
or tank?
Chapter Are the labels accompanied 
6.2.1 (e) by a placard corresponding to
the characteristics of wastes
contained in the vessel,
container, tank, or
containment building?
Chapter Are placards within the  Placards for replacement in
6.3.1 (a) minimum size (25cm x 25cm) accordance to the prescribed shape,
for vessels, containers, and for the next monitoring period.
tanks or readable from five
(5) meters afar? Placard posted on the door of the
Chapter Are placards for waste  storage room, while other labelling
6.3.1 (b) transporting vehicles readable requirements for verification in the
from 10 meters? transport of the firm’s hazardous
Chapter Are the placards square and  waste.
6.3.1 (c) rotated 45 degrees to form a
diamond?
Chapter Do the placards have a 
6.3.1 (d) parallel line on each of the
four sides drawn to form inner
diamond 95% of the outer
diamond?
Chapter Do the colors of the placard 
6.3.1 (e) follow the colors specified
according to the class of
hazardous waste?
Chapter Are the placards attached to 
6.3.2 the side of the vessel,
container or tank?
III – D. Waste Transport/ Treatment Requirements
Chapter Does the establishment ensure  Cordillera Kidney Specialists Inc. has
3.5 (3) that transporters and treaters contracted DENR Accredited
hired are duly accredited by Transporter and Treater (OL-TP-R3-
DENR? 69-000091 & OL-TR-R3-69-000063)
Cleanway Environmental
Management Solutions Inc. for the
Transport, Treatment and Final
Disposal of their hazardous waste.

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 CKS, Inc.’s recent Treatment and
Disposal of 2.697 MT of Pathological
/ Infectious Waste (M501) is
documented with Permit to Transport
OL-PTT-R3-69- 073197 and Manifest
No. M-CAR-2022-12-201609 last
December 7, 2022.
Chapter Does the establishment  Certificate of Treatment and Final
6.5 (4) comply with online hazardous Disposal (COT-R3-2022-12-201609)
waste manifest system in of the 2.697 MT of Pathological /
transporting hazardous waste Infectious Waste (M501) last
for offsite treatment, storage December 14, 2022 prepared.
and disposal?
Chapter Does the establishment ensure  Transport and treatment activities for
6.5 (5) that treatment/disposal is the management of CKS, Inc.’s
completed? hazardous waste are coursed through
the Online Manifest System.
EMERGENCY CONTINGENCY REQUIREMENTS
Chapter Has the establishment  The Emergency Contingency Plan
3.7 submitted an Emergency forms part of their submission in their
Contingency Plan to EMB? application in the online system.

Chapter 8 Does the Emergency Contingency Plan include:

Chapter Emergency Response 
8.2.1 Organizational Structure
(including member of their
organization and their
responsibilities)
Chapter List of potential emergency 
8.2.2 scenarios?
Chapter Specific procedure for 
8.2.3 responding to spills or
chemical releases?
Chapter Schedule and conduct of 
8.2.4 drills?
Chapter Training on Emergency 
8.3 Response organization?
Chapter Does the establishment have 
8.4 records of all response
organization?
Chapter Does the establishment update  No updates to the submitted
8.5 the Contingency Program Contingency Program to date.
based on change in process of
operations, use of new
chemicals and/or generation
of new hazardous waste,
change in emergency
response organizational
structure, actual release of
chemicals, and/or significant
change in response
procedure?
Chapter Does the establishment have a Spill Response Plan that includes:
3.5 (2)
Immediate reporting to 
EMB-DENR?

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Securing/containing of the 
affected area?
Cleaning up of spilled or 
leaked hazardous waste?
V. PERSONNEL TRAINING REQUIREMENTS
Chapter 9 Does the establishment train staff and personnel on:
Chapter 9 Hazardous waste 
(a) management
Chapter 9 Contingency Plan? 
(b)
Chapter 9 Compliance monitoring 
(c) procedure?
Chapter Does the establishment use a 
7.1 manifest form from the EMB The Online Hazardous Waste
Regional Office having Manifest Forms are prepared for
jurisdiction over it? every transport, under the approval
Does the establishment  and jurisdiction of the Regional Office
complete in duplicate required concerned, in particular, Region III.
portions for waste generators?
Does the establishment give a  CKS, Inc.’s recent Treatment and
copy of the Spill Response Disposal of 2.697 MT of Pathological
Plan and the 2nd to 6th copies / Infectious Waste (M501) is
of the manifest to the documented with Permit to Transport
recognized waste transporter? OL-PTT-R3-69- 073197 and Manifest
Does the establishment retain  No. M-CAR-2022-12-201609 last
st December 7, 2022.
and store the 1 copy of the
manifest 24 months from the
date of receipt by the Duplication of copies excluded with
Regional Office having the online system.
jurisdiction over the location Acknowledgement/approval conducted
of the waste generator? online, unless otherwise prescribed.
Does the generator confirm 
the designated waste treater’s
acceptance of the hazardous
waste by receiving 4th copy of
the manifest from the
designated waste generator?
VI. HAZARDOUS WASTE MANIFEST SYSTEM
Chapter Does the generator confirm  Duplication of copies excluded with
7.1 the designated waste treater’s the online system.
completion of recycling, Acknowledgement/approval conducted
reprocessing, treatment, or online, unless otherwise prescribed.
disposal of the hazardous
waste by receiving a
certification of completion
issued by the designated
waste treater with a
th
photocopy of the 6 copy of
the manifest attached?
Hazardous Waste Record 
(Online)?
Has the generator paid the 
corresponding fees upon
receipt of notification via
email (get copy of OR)?

Compliance Monitoring Report for Priority Project under RA 6969 Page 8 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Does the generator have the 
copy of Notice of Acceptance
from EMB-RO notifying of
the approval of their
application?

MODULE EIA01: COMPLIANCE INSPECTION CHECKLIST FOR ENVIRONMENTAL

IMPACT ASSESSMENT (EIA)
Legal Compliance Requirements Compliant Remarks
Reference Y N N
(Revised DAO /
2003-30) A
Chapter 2-3 19) Does the establishment submit  Proponent submits their
a) (i) Compliance Monitoring Report CMRs.
(CMR) semi-annually to EMB?
Does the CMR include an  Ongoing process of
assessment of the following: submitting the CMR
through the Online System,
a) Performance against the ECC while an advanced copy
Conditions? has been submitted for
b) Performance against the  reference, covering the 2nd
Environmental Management Semester of 2022 last
Plan? January 14, 2022.
c) Performance against the 
monitoring of actual impacts CMR Submission includes
(including residual impacts) as measures for safeguarding
against predicted impacts in impacts of the center’s
the Environmental Impact generation of hazardous
Assessment Report (EIA) waste.
Report and as related to current
project operations?
DAO 2003-30 Does the establishment submit to  Cordillera Kidney
Chapter 2-3 19a the concerned EMB Regional Specialists, Inc. regularly
(ii) and DAO Office detailed report on submits their SMRs
No. 2003-27 compliance to environmental through the Online System.
standards specific to
environmental laws through
quarterly Self-Monitoring Report
(SMR)?
Chapter 2-3 19a Does the establishment submit  CMRs submitted separately
(iii) semi-annual CMRs as part of on a semi-annual basis.
Module 5 of the second and fourth
quarter SMRs?
Does the second CMR include  No significant
simple trend analysis of the environmental and social
summary of the cumulative annual parameters established for
and historical performance / simple trend analysis.
compliance analysis on key
environmental and social
parameters?
Chapter 2-3 19a Was the first CMR submitted mid-  Parallel to previous
(iv) year after the start of project notations.
implementation (except ECC
commitments/ conditions, which
need to be submitted prior to
project startup)?

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Did the establishment notify EMB 
on the start-up date of project
implementation?
Is the establishment required a  Project is a non
Multi-Partite Monitoring Team Environmentally Critical
(MMT) (ECC Condition)? Project.
Has an MMT been established 
through a signed Memorandum All succeeding sections
Agreement (MOA)? hereunder not applicable
Is the MMT MOA in accordance  with a Non-ECP Project.
with the prescriptions?
Has the establishment facilitated 
the operationalization of an MMT
Manual of Operations (MOO)
based on prescribed guidelines
including the use of Compliance
Monitoring and Validation Report
(CMVR)?
Has an Environmental Monitoring  Project is a non
Fund (EMF) been established and Environmentally Critical
operationalization based on Project.
prescribed guidelines?
Is the establishment required an  All succeeding sections
Environmental Guarantee Fund hereunder not applicable
(EGF) (ECC Condition)? with a Non-ECP Project.
Has an EGF been established? 
Chapter 2-3 19b Does the establishment address  No complaints have
(iii) complaints, exceedance of cropped up in the previous
standards, and/or suspicious data? inspections

Compliance to ECC Conditions and EMP Commitments (Revised DAO 2003-30)

ECC/EMP Relevant ECC Condition/s (if Compliant
Condition/ any)
Requirement No Description Y N N Proof of Compliance
/
A
1) Project R1 Project operation shall be  Cordillera Kidney Specialists,
coverage / in accordance with the Inc. operates a 15-station
limits submitted documents. Dialysis Center.
Major modifications
from the submitted No major modification noted
documents and/or for the operation of the
expansion shall be Dialysis Center.
subject to the
Environmental Impact
Statement (EIS) System
requirement.

Compliance Monitoring Report for Priority Project under RA 6969 Page 10 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 2) Components PD The project entails the 
operation of a dialysis
center located within the
leased portion of Hamada
Publishing Corporation
Building located along
Kisad Road, Burnham-
Legarda, Barangay,
Baguio City and/or, as
described in the
submitted documents.

The said laboratory is

geographically centered
at approximately
1624’33” North Latitude
and 12035’34” East
Longitude.
3) Other EM Proper handling,  Cordillera Kidney Specialists
sectoral 3 collection, transport, Inc. has contracted DENR
requirements treatment, storage and Accredited Transporter and
mandated by disposal of healthcare Treater (OL-TP-R3-69-000091
other agencies wastes shall be & OL-TR-R3-69-000063)
to be complied implemented pursuant to Cleanway Environmental
with the provisions of DENR- Management Solutions Inc. for
DOH Joint the Transport, Treatment and
Administrative Order No. Final Disposal of their
2 hazardous waste.
B.1 Provision of Laboratory  Temporary Storage Bins were
wastes (garbage) noted within the Dialysis Center
collection and disposal for other Infectious wastes like
scheme consistent with Syringes, Dialyzer Caps,
the DENR-DOH joint Bloodline Covers and the like.
Administrative Order No.
02, series of 2005 and CKS, Inc.’s recent Treatment
with the Ecological Solid and Disposal of 2.697 MT of
Waste Management Pathological / Infectious Waste
(ESWM) Program of the (M501) is documented with
Permit to Transport OL-PTT-
City of Baguio
R3-69- 073197 and Manifest
B.2 Chemical treatment /  No. M-CAR-2022-12-201609
disinfection and safe last December 7, 2022.
burial of healthcare
wastes following the Certificate of Treatment and
guidelines under the Final Disposal (COT-R3-2022-
DOH Healthcare Waste 12-201609) of the 2.697 MT of
Management Manual Pathological / Infectious Waste
(M501) last December 14,
2022 prepared.

GC Secure necessary  Cordillera Kidney Specialists,

2 permit(s) / clearances Inc. has secured License to
relative to the project Operate (LTO No. 14-146-
implementation as 2224-DC-2) for the operation
required by other of a 15-station capacity
concerned agencies Dialysis Center, valid from
January 1, 2022 through

Compliance Monitoring Report for Priority Project under RA 6969 Page 11 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 December 31, 2024.
4) EMP and - N/A  No modifications / updates.
updates as
deemed
required
5) Conduct of GC Proponent shall allow  Proponent allows the conduct
baseline, 3 entry of EMB-CAR of on-the-spot monitoring.
compliance personnel into the project
and impact site at all times to conduct
self-monitoring monitoring and to validate
project’s compliance to
the ECC conditions
stipulated therein and
EMP Mitigating Measures
6) Multi- - Establishment of a Multi-  Project is a non
sectoral Partite Monitoring Team Environmentally Critical
Monitoring (as (MMT) Project.
may be
required)
7) Regular GC The proponent shall  Proponent submits their
reporting 4 submit semi-annually to CMRs.
EMB-CAR a
Compliance Monitoring
Report within one (1)
month after every
semester. Compliance
with the said
requirements shall be
coordinated with EMB-
CAR
8)Institutional GC Proponent shall allow  Proponent allows the conduct
arrangements 3 entry of EMB-CAR of on-the-spot monitoring.
necessary for personnel into the project
implementatio site at all times to conduct
n monitoring and to validate
project’s compliance to
the ECC conditions
stipulated therein and
EMP Mitigating Measures
C7 The proponent shall cause  For the proponent’s
the implementation of any compliance of a Notice of
undertaking which may be Violation to be imposed for an
imposed by the DENR- infraction of some of their
CAR as a result of Permit to Operate Conditions,
Technical Conference /s details of which are found in
called relative to the succeeding sections of this
environmental issues Report.
arising from the
implementation of the
project
9) Standard R2 Any transfer of  No changes in project
DENR ownership of the project ownership to date.
requirement on carries the same
transfer of conditions and
ownership restrictions in this ECC
for which a written
notification to EMB-

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 CAR shall be made by
the transferee within
fifteen (15) days from
such transfer
10) Standard R3 In case of abandonment,  Dialysis Center in operation.
DENR the Proponent shall notify
requirement on the EMB Regional Office
abandonment concerned within three (3)
months prior to the
abandonment and the
Proponent shall submit its
abandonment mitigation
plan
11) Impact EM Ensure that all  Mitigating measures for the
Mitigation 1 commitments and operation of the dialysis center
Plan or mitigating/ enhancement to safeguard impacts from the
Construction measures described in the hazardous waste generated
Contractors’ EIA documents and other under implementation.
Environment submissions shall be
instituted and strictly
implemented throughout
the project operation;
12) Social - N/A 
Development
Plan
13) IEC Plan - IEC Initiatives 
14)Contingenc - Contingency /  Follow procedures in case of
y / Emergency Emergency Response fire, spill and emergencies.
Response Plan Plan
or equivalent
risk
15) N/A 
Abandonment -
Plan (when
applicable)
16) - Environmental  N/A
Environmental Monitoring Plan
Monitoring Plan
(EMoP)
17) (Others) EM The proponent shall  Inhouse waste segregation in
2 effect solid waste place.
management at source
encompassing the Temporary Storage Bins were
segregation, recycling noted within the Dialysis Center
and composting of for other Infectious wastes like
wastes; Syringes, Dialyzer Caps,
Bloodline Covers and the like.

EM Open burning of  No open burning of wastes.

4 laboratory wastes and/or
other similar acts shall
strictly be prohibited
GC The legal requirements  CKS, Inc. has secured a Permit
1 pursuant to RA 9275 or to Operate for their One (1)
the Philippine Clean unit 50 kVA "Greaves Power"
Water Act of 2004 and Standby Diesel Engine
RA 8749 or the Generator Set, with Permit to

Compliance Monitoring Report for Priority Project under RA 6969 Page 13 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Philippine Clean Air Act Operate (2016-POA-B-
of 1999 shall be secured 141109-289).
whenever applicable.
Compliance with the said An application for the above
requirements shall be Permit’s Renewal has been
coordinated with the initiated through the Online
Clearance and Permitting Permitting and Monitoring
Division of EMB-CAR, System (OPMS) last March 12,
DENR 2021, beyond the 30-day
prescribed period. A detailed
report for the APSE is found in
the succeeding sections of this
Report.

MODULE AQM01: PRE-INSPECTION INFORMATION SHEET FOR EMISSION

SOURCES
Emission Source Data Information
Emission Source No. 2016-POA-B-141109-289
Type (Brand/Model) Greaves Power
Rated Capacity 50 kVA
Fuel Type Diesel
Quantity One (1) unit
Photo of the APSE

MODULE AQM08: COMPLIANCE INSPECTION CHECKLIST FOR AIR QUALITY

MANAGEMENT
Legal Reference Compliance Requirements Compliant Remarks
Y N N/A
DAO 2004-26
Rule 19 Section 1 All emission sources have a  Permit to Operate (2016-
valid Permit to Operate POA-B-141109-289) for
the One (1) unit 50 kVA
"Greaves Power" Standby
Diesel Engine Generator
Set has expired last
February 17, 2021.

Application No. 116430

was lodged (late) in the
Online Permitting and
Monitoring System

Compliance Monitoring Report for Priority Project under RA 6969 Page 14 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 (OPMS) for the
abovementioned APSE last
March 12, 2021. As of
writing, Renewal Process
at the timestamp of June
22, 2022.

Rule 19 Section 3 As built design of the  No modifications to the

installation conforms with
submitted engineering plans and
specifications
Declared control facilities are 
installed and operational
Installation is located as 
proposed in the vicinity map
(plant and machinery layout)
Facility design capacity is within 
the capacity declared in
application for Permit to Operate
Rule 19 Section 5 Temporary Permit to Operate is
still valid
Rule 19 Section 6 Application for Renewal has
been filed for expiring Permit to
Operate thirty (30) days before
Permit Expiration Date
engine or pollution source
device reported.
Generator set operated
within the specified Rated
Capacity of 50 kVA.
Standby generator set
located near at the back
area of the dialysis center.
Generator set operated
within the specified Rated
Capacity.
 No Temporary Permit to
Operate issued.
 Permit to Operate for their
One (1) unit 50 kVA
"Greaves Power" Standby
Diesel Engine Generator
Set, with Permit to Operate
(2016-POA-B-141109-
289) has expired last
February 17, 2021.

An application (No.
116430) for the above
Permit’s Renewal has been
initiated through the
Online Permitting and
Monitoring System
(OPMS) last March 12,
2021, beyond the 30-day
prescribed period.

Rule 19 Section 9 Permit to Operate displayed  Permit to Operate posted.

conspicuously upon the
installation or in an
accessible/visible place near the
installation
Conditions of the Permit to  Violation of Permit
Operate are complied with condition No. 4
Rule 19 Section Plant operational problems  No problem has occurred
11 notification submitted to EMB with the operation of the
within 24 hours of occurrence APSEs, per submitted
operations logbook.
Rule 19 Section Quarterly submission of self-  Fourth (4th) Quarter CY
12 monitoring report 2022 SMR submitted
through the EMB Online
SMR Services.

Compliance Monitoring Report for Priority Project under RA 6969 Page 15 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 DAO 2000-81
Part 7 Rule 25 Person in charge of the plant /
Section 5a (1) equipment has sufficient
measure to ensure that no dark
smoke is discharging from any
stack in the establishment.
E.g.: window view of stack, mirror
to reflect top of stack, smoke
density indicator, CCTV, etc.
Part 7 Rule 25 All oil -burning equipment have
Section 5a (2) to heaters capable of heating oil to
Section 13 d a temperature appropriate for the
oil and burner
 Equipment’s capacity and
operation does not require
the installation of visual
monitoring devices and the
like.
 No oil burning equipment.
APSE with an internal
combustion engine for the
diesel fuel.

Part 7 Rule 25 Miscellaneous equipment like  No miscellaneous

Section 5b re-heating furnace, smoke oven, equipment or pollution
bake oven, coffee heaters, control facilities installed
varnish kettles, etc. are installed
with pollution control facilities
Part 7 Rule 25 Establishment has precautionary  See EIA Compliance
Section 13 a controls for dusts generated Monitoring in the
during vehicular movement, previous sections of this
transportation of materials, Report.
construction, etc. (List controls
identified)
Part 7 Rule 25 Establishment has precautionary  No identified sources for
Section 13 b controls for volatile organic VOC’s or organic solvents
compounds or organic solvent in storage, for handling
emissions generated during nor for transport.
storing, pumping, handling,
processing, etc. (List controls
identified)
Part 7 Rule 25 No open burning activity in the 
Section 13 d establishment

EMB Memorandum Circulars

MC 2007-003 (2) Boiler rated at less than 50 HP; No employed, nor diesel
Diesel generators rated at less generators below 300 kW
than 300 kW; and other sources and other sources with
that have the potential to emit significant emission

less than 10 tonnes per year of potential.
an air pollutant regulated under
the Act do not require emission
testing for permitting purposes.
MC 2007-003 (2) Boiler rated at 99 HP or less; No boilers employed, nor
Diesel generator rated at 599 standby generator sets
KW or less; and other sources rated at 599 KW or less
that have potential to emit at with significant emission
least 10 tons per year but less  potential that require
than 30 tons per year of biennial emission testing.
regulated pollutant undergo
biennial emission testing (with 3
test runs)
MC 2007-003 (2) Boiler rated between 100 to 250  No boilers employed, nor

Compliance Monitoring Report for Priority Project under RA 6969 Page 16 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 HP; Diesel generator rated 600 standby generator sets
to 1,249 KW; and other sources rated 600 - 1249 KW or
that have potential to emit less with significant
greater than 30 but less than 100 emission potential that
tons per year of regulated require annual emission
pollutant undergo annual testing.
emission testing (with 3 test
runs)
MC 2007-003 (2) Boiler rated at greater than or No boilers employed, nor
equal to 251 HP; Continuously continuously operated
Operating Gensets with capacity generator sets with
greater than or equal to 1,250 significant emission
KW; and other sources that have potential that require
potential to emit equal to or biennial emission testing.
greater than 100 tons per year of 
regulated pollutant; and sources No Bunker Fuel Oils used.
using Bunker Fuel Oil, blended
fuels involving Bunker Fuel Oil,
or sulfur content of 1% or more
undergo bi-annual emission
testing (with 3 test runs).
MC 2009-004 Standby Gensets with capacity  No standby generator sets
greater than or equal to 1,250 ≥ 1,250 Kw.
KW undergo annual emission
testing (with 3 test runs). These
gensets should not have the
potential to emit more than 100
tons / year of regulated pollutant.
Appendix F (Quality Assurance Procedures)
Section 6 (5) Quality assurance and quality  Quality Assurance
control procedures for CEMS Procedures under
are compliant with 40 CFR Part Appendix F not applicable
60 Appendix F (Quality with the following:
Assurance Procedures) ➢ No Continuous
Section 6 (6) Relative Accuracy Test Audit  Emission
(RATA) is performed annually Monitoring System
by industries in the presence of (CEMS) in place;
EMB personnel. ➢ No facilities/
Section 6 (7) Calibration gases are subject to  systems requiring
audit or relative accuracy audit the use of
test every quarter. calibration gases
Section 6 (7) Other alternative quarterly audits  for conduct of
employed by the establishment RATA
are approved by EMB.
Section 6 (9) EMB Director and Regional 
Director have been notified of
CEMS malfunction that lasted
seven (7) consecutive days.
Section 7 (2) Records of audits, performance 
testing, evaluations, calibration
checks, adjustments and
maintenance of any continuous
emission monitors that have
been installed pursuant to Rule
IX Section 5 of DAO 2000-81
are available in the

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Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 establishment
Section 8 (3) SMR includes information on 
time and date for each period
during which the continuous
monitoring system was
inoperative and the nature of
system repairs and adjustments
made in the CEMS
Section 8 (4) SMR data measurements are 
within 75% data capture rate.
Section 8 (2) SMR includes information on  The air pollution source
the averaging period used for equipment’s capacity /
data reporting corresponding to rating does not require the
the averaging period specified in conduct of emission
the emission test period used to testing.
determine compliance with an
emission standard for the
pollutant / source category in
question.
Section 7 (1) Records of occurrence and  No occurrences of
duration of any start-up, shut- malfunction during the
down or malfunction in the monitoring period
operation of any source or
control facility is available in the
establishment.
Section 8 (1) SMR includes data on the time  No CEMS in place.
intervals, date and magnitude of
excess emissions, nature and
cause of the excess, corrective
actions taken and preventive
measures adopted.

Compliance Monitoring Report for Priority Project under RA 6969 Page 18 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Remarks and Recommendations:

A previous site inspection conducted last January 21, 2022 revealed that Cordillera Kidney
Specialists, Inc. was in continuing offense/violation of R.A. 8749, otherwise known as “The
Philippine Clean Air Act of 1999.” Foregoing premises considered, for the issuance of a Notice of
Violation (NOV) for failure to renew their Permit to Operate within the prescribed period.

Further, Cordillera Kidney Specialists, Inc. compliance with their Hazardous Waste Management
and issued Evironmental Compliance is substantiated in this report.

In such manner, priority project under Hazardous Waste Management (R.A. 6969), including the
Facilities, Equipment and Project Components elaborated in this Report are covered by the
Implementing Rules and Regulations of R.A. 6969 and P.D. 1586 respectively. For Compliance
Monitoring to be conducted annually.

In consideration of the above findings, for Cordillera Kidney Specialists, Inc. to be issued an
Notice Violation (NOV) for the continuing offense/violation of R.A. 8749, otherwise known as
the “The Philippine Clean Air Act of 1999.” as follows:

FINDINGS VIOLATED PROVISIONS

Failure to renew Permit to Operate (2016- Permit to Operate Condition No. 4:
POA-B-141109-289) for the One (1) unit
50 kVA “Greaves Power” Diesel Engine An application for renewal of this Permit shall
Generator Set within the prescribed period. be filed not less than thirty (30) days before the
expiry date indicated, February 17, 2021.
Application No. 116430 was lodged (late) in
the Online Permitting and Monitoring System
(OPMS) for the abovementioned APSE last Pursuant to Section 47, Chapter VI of RA
March 12, 2021. As of writing, Renewal 8749, as amended by PAB Resolution No. 1
Process at the timestamp of June 22, 2022. Series of 2019, a fine of Nineteen Thousand
Five Hundred (Php 19,500.00) shall be imposed
for every five (5) years of violation.

For information.

Submitted by:

MELISSA A. BAUTISTA
EMS – II

Reviewed by: Noted by:

ENGR. ESTER L. AGUILAR ENGR. RAUL G. CUBANGAY

Engineer IV / Chief, CHWMS Engineer IV
Chief, EMED

Compliance Monitoring Report for Priority Project under RA 6969 Page 19 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City
 Photos

Hazardous Waste Storage

Dialysis Center Site Photos

Compliance Monitoring Report for Priority Project under RA 6969 Page 20 of 20

Cordillera Kidney Specialist, Inc. || Hamada Building, Baguio City