Olddc Module2

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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


I101 Used Industrial Liquid T/F 0 kg 0 kg
Oil
D407 Mercury and Solid C/R 0 kg 28 kg
Mercury
Compounds
M506 Waste Electrical Solid T/C 0 kg 12 kg
and Electronic
Equipment

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

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

Storage
Name : Golden ABC Incorporated (P3 MRF Method :Used oil are transferred in drums
Area) and stored in a designated area
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:

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

Storage
Name : Golden ABC Incorporated (P1 Method :Stored in a designated area
Storage Area)
Transporter
Name . : Date :
Treater
Name . : Method : Date :
Disposal
ID .: Name: Method:
HW Details
HW No.: M506 Qty of HW Treated : Unit :

Storage
Name : Golden ABC Incorporated (11f and Method :Stored in a designated place
P1 Storage Area)
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
2022-01-24 Storage Area at P1 and MRF No adverse finding on all area N/A
area at P3
2022-02-22 Storage Area at P1 and MRF No adverse finding on all area N/A
area at P3
2022-03-28 Storage Area at P1 and MRF No adverse finding on all area N/A
area at P3
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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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