MODULE 2: RA 6969

A. CCO Report

CCO Item No. CCO Substance Common CAS No. Trade Name Intended Use Quantity Issued (in
Name/IUPAC/CAS CCO)
Index Name
No records found

For importers only

CCO Item Importation Quantity Quantity Date of Port of Entry Country of Country of Total Total
No. Clearance Issued (in IC) Imported Arrival Origin Manufacture Quantity Quantity
No. Requested Received
(annual) (annual)
No records
found

For Distributors (importers/non-importers)

CCO Item No. Name of Client License No. Quantity Date of Country of Country of Total Quantity
Distribution Origin Manufacture Distributed
No records
found

For non-importer users

CCO Item No. Name of Distributor Quantity Date of Purchase Total Quantity Purchased
from Distributor
No records found

For Producers

CCO Item No. Average Daily Production Total Output this Quarter Quantity of Stock Quantity of Stock
Output Inventory (Start of Quarter) Inventory (End of Quarter)
No records found

CCO Item No. Name of Buyer Quantity Date of Purchase Total Quantity Sold
No records found

Used in Production (please fill up only if chemical/substance is not main product)

CCO Item No. Average Daily Production Total Output this Quarter Average Quantity Used Total Quantity Used this
Output per month Quarter
No records found

Describe any changes in Production/Process/Operations

Stock Inventory/Waste Chemical Generated

 CCO Item No. Average Quantity of Waste Total Quantity of Waste Quantity of Stock Quantity of Stock
Chemical Generated per Chemical Generated this Inventory(Start of quarter) Inventory(End of quarter)
month Quarter
No records found

Other Information

Manner of Handling Hazardous Wastes Changes in Safety Management System Chemical Substitute Plan

B. Hazardous Wastes Generator

HW Generation

HW No. HW Class HW Nature HW Cataloguing Quantity Unit Quantity Unit

D406 used lead acid Solid T/F 0.0750 0
batteries
D407 Busted Solid Toxic (T) 0.05226 0.00095
fluorescent
lamps and
busted light
bulbs
I102 Used vegetable Liquid T/F 0.365 .056
oil
I101 Used Engine Oil Liquid T/R 0.18700 0.0264
M506 waste electric Solid Corrosive (C) 0.0300 0
and electronic
equipment
H802 sludge Solid Toxic (T) 0.14420 .195
J201 pesticide paint Solid Toxic (T) 0.004 0
and chemicals
empty
contatiners
I104 Oil Solid Toxic (T) 0.01020 .006
Contamincated
Materials

Waste Storage, Treatment and Disposal(please fill-up one table per HW)

HW Details
HW No.: D406 Qty of HW Treated :0.0750 Unit :

Storage
Name : hazwaste room Method :stacked and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: D407 Qty of HW Treated :0.05626 Unit :

Storage
 Name : hazwaste room Method :stacked and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: I102 Qty of HW Treated :0.469 Unit :

Storage
Name : drum Method :Contained sealed and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: I101 Qty of HW Treated :0.213 Unit :

Storage
Name : drum Method :contained sealed and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: H802 Qty of HW Treated :0.339 Unit :

Storage
Name : drum Method :contained, sealed and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: J201 Qty of HW Treated :0.004 Unit :

Storage
Name : hazwaste room Method :boxed, stacked and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
 ID .: Name: Method:

HW Details
HW No.: I104 Qty of HW Treated :0.016 Unit :

Storage
Name : hazwaste room Method :contained sealed and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

HW Details
HW No.: M506 Qty of HW Treated :0.18700 Unit :

Storage
Name : hazwaste room Method :stacked and labelled
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

On-site self Inspection of Storage Area

Date Conducted Premises/Area Inspected Findings and Observations Corrective Action Taken
2023-01-17 hazwaste room, cart barn and worn out label re label worn out labels
receiving area
2023-03-31 hazwaste room, cart barn and cleaning underneath cleaning surroundings and under
receiving area the drums
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C. Hazardous Wastes Treater/Recycler

HW Stored and/Untreated as of End of Quarter

Type of Waste HW Number Wastes Date of Transport Quantity Type of Storage Time Table for
Generator Transport Permit/Date of Container/# of Treatment
Issue Containers

HW Treated and/or Recycled as of End of Quarter

 Type of Waste HW Number Wastes Date of Transport Quantity Type of Quantity of
Generator Transport Permit/Date of Treatment of Recycled or
Issue Recycling Treated Product
Process

Residual Wastes Generated from the Treatment and/or Recycling Operation

Type of Waste HW Number Process by which Quantity Type of Storage Disposal Option Time Table for
the Waste is Containers/# Disposal
Generated Number of
Containers

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