SELF-MONITORING
REPORT (SMR)
SYSTEM
▪ DENR Administrative Order (DAO) Amending
DAO 26, DAO 29 and DAO 2000-81 among
others on the preparation and submission of
Self-Monitoring Report (SMR)
provides background
information about the
establishment, including changes
or modifications of Module 0
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
Department of Environment and Natural Resources
Environmental Management Bureau
Sugbo Corporation was established in January 1990 with a land area of 10,267 m2 and
geographical coordinates 10°18’42.78”N:123°55’16.53”E and 15 meters altitude.
The company employs 120 employees, 40% of which are female and 60% are male. All are
regular employees with 20 assigned to managerial and administrative functions and the
remaining 100 involved in manufacturing.
Operation
Operation/Production/Capacity:
Average Daily 20 units Total Output this 1, 560 units
Production Output Quarter
Total Water
Total Electric
Consumption this 309 13,700,000
Consumption this
Quarter (cubic
Quarter (KwH)
meters)
SUB-MODULES
A. CCO-related requirements
B. Hazardous waste generators
C. Hazardous waste treaters &
recyclers
MODULE 2.A
CCO REPORT
details of the substances imported,
distributed, produced, used and
generated by the plant which are under
CCO
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
Common Name/IUPAC/CAS Index Name. ________________________________________
__________________________ CAS No. _______________________________________
Trade Name ________________________________________________________________
For importers only:
Import Country
Quantity Date of Quantity Country of
Clearance Port of Entry of
Requested Arrival Received* Manufacture
No. Origin
Total (Please
Quantity
use additional sheet/s if necessary) Total Quantity
Requested (annual) Received
(annual)
*attach copy/s of Bill of Lading
Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
For Producers
Average Daily Total Output this
Production Output Quarter
Quantity of Stock Quantity of Stock
Inventory (Start of Inventory (End of
Quarter) Quarter)
Name of Buyer Quantity Date of Purchase
Other Information:
Manner of handling storage on-site Treatment on-site
hazardous wastes storage off-site Treatment off-site
Changes in Safety Yes (please attach copy of revised plan)
Management System No
Yes (please attach copy if not submitted/included in
Chemical Substitute
previous report/s or had been revised)
Plan
No
(Please use additional sheet/s if necessary) Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 2: RA 6969
A. CCO Report (please accomplish this section for each chemical/substance)
The establishment currently does not handle any
chemicals under CCO
Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No: J201 (Empty paint containers)
Qty of HW Treated: 0.03 Unit: tons
HW Details
TSD Location: Off-site
Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No: J201 (Empty paint thinner drums)
Qty of HW Treated: 0.003 Unit: tons
HW Details
TSD Location: Off-site
Wastes
Dec 4, 2014 accumulating Contact Contractor
Temp Storage Room Need to make
for the schedule
inventory
for scheduled
hauling/treatment
Domestic
Process wastewater
wastewater (cubic 2.61 (cubic meters/day)
0.1 (recycled)
meters/day)
Outlet
1
No.
Effluent DO
Oil & Temp
Flow BOD TSS (name)
DATE Color pH Grease rise
Rate (mg/L) (mg/L) mg/L
(mg/L) (ºC)
(m3/day) (unit)
Please fill-up/accomplish separate form/s for other outlet/s. Page ___of ____
Name of Plant: SUGBO CORPORATION
Kaoshiung St., NRA, Mandaue City, Cebu Reference No:
MODULE 3: RA 9275 (Water Pollution)
Detailed Report of Wastewater Characteristics for Other Pollutants
Outlet
1
No.
Effluent COD _____ _____ _____ _____ _____ _____
Flow (name) (name) (name) (name) (name) (name) (name)
DATE
Rate mg/L _____ _____ _____ _____ _____ _____
(m3/day) (unit) (unit) (unit) (unit) (unit) (unit) (unit)
10/15/15 3.5 90
MODULE 6: OTHERS
Accidents & Emergency Records
Findings and
Date Area/Location Actions Taken Remarks
Observation
Clean-up and
Generator Set Spill of stored installment of
9/30/2015
area used oil secondary
containment
MEG S. MODEQUILLO
Name/Signature of PCO-COA No. 2015-RO7-xxxx
SUBSCRIBED AND SWORN before me, a Notary Public, this 12th day of October, 2015, affiants
exhibiting to me their Community Tax Receipts:
Name ID No. Issued at Issued on
JUAN DELA CRUZ Passport 12345 Cebu City March 25, 2014
MEG MODEQUILLO Passport 45678 Cebu City May 5, 2014 4
Attachments
1. Supplemental WTF Form (required)
2. Wastewater analysis
3. SST Results
4. Certificates of Treatment
5. Hazardous Waste Manifest Form
6. Pictures to supplement information
7. Copies of Permits (POs, DP, TPs, etc)
8. Copy of ECC
9. PCO Accreditation Certificate
SMR Requirements
specific to
CENTRAL VISAYAS
ONLINE SUBMISSION