Registration Form For Hw Generator Page 4

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DENR Hazardous Waste Registration
A4. Information of HW Treatment Premises
1. DENR ID:
2. Date of issued (D/M/Y):
/
/
3. Name of Firm:
4. Address of TSD:
5. Treatment method and Capacity:
A: Physico-Chemical treatment
B: Thermal treatment
C: Solidification
D: Storage
E: Disposal
F: Recycle
Method Date of permit to
Treatment Capacity
Type of HW can be treated
operate
(ton/day)
/
/
/
/
/
/
/
/
/
/
Please append the following:
¨
(1) Copy of Environmental Compliance Certificate (ECC)
¨
(2) Copy of Valid Permit to Operate pollution control facilities
¨
(3) Initial Environmental Examination (IEE) or Environmental Impact Statement (EIS) submitted to
the EMB Regional offices
¨
(4) Process flow Diagram and detailed description of each treatment/recycling process identifying
all/by-products, end-products and residues
(5) Pollution control officer accreditation certificate
¨
(6) Storage management plan for raw materials, residues, by-products and end-products
¨
(7) Photograph/s of the facilities showing processing areas, storage areas
¨

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