Upload
peprevilla
View
221
Download
1
Embed Size (px)
Citation preview
8/4/2019 Permitting Procedures Chemicals
1/44
TOXIC CHEMICAL SUBSTANCES
Permits Required
The use, storage, importation, sale, distribution, manufacture, transport or processing ofa chemical substance not listed in the Philippine Inventory of Chemicals and ChemicalSubstances (PICCS) after December 31, 1993 requires a permit granted by theDepartment/Bureau. (Section 17, DAO 29, Rules and Regulations of R.A. 6969)
The Chemical Control Order (CCO) issued for a priority chemical which poses anunreasonable risk or hazard to public health and environment. The CCO provides thatits importer, manufacturer, including distributor or user for some, need to registerand/orsecure importation clearancefrom the Bureau. Any person, entity or premises involvedin the treatment, storage, transport and disposal of such priority chemical-bearing orcontaminated wastes are also required to be registered. (Sec. 20, DAO 29- Rules and
Regulation of R.A. 6969 and relevant DAO-Chemical Control Order for specificsubstances and priority chemicals)
All waste generators are required to notify or registerwith the Department the type andquantity of waste generated; and to secure permitfor its transport and the premises forstorage, treatment, recycling, reprocessing or disposal (Sec. 26, 27 and 30, DAO 29,Rules and Regulations of R.A. 6969)
Finally, the importation and exportation of hazardous substances or wastes shall alsoobtain prior written approval from the Department or Bureau. (Sec. 31, DAO 29, Rulesand Regulations of R.A. 6969).
A. For Toxic Substances and Chemicals (Title II):
EMB REGIONAL OFFICE
I. Small Quantity Importation (SQI) Clearance
Certification for Small Quantity Importation is required prior to importation ofsmall quantity (less than 1000 kg) pure chemical substances or component
chemicals in percentage by weight of product, mixture not listed in the PICCS.
Requirements:
a. Accomplished and notarized application formb. Material Safety Data Sheet (MSDS).c. Submit PMPIN if amount exceeds SQI requirements
The Regional Office shall
a. Verify if the applied chemical components are in the PICCS, or in the PCL or
in the CCO.b. Review the MSDS of the applied chemical components specifically, on the
ecological and toxicological properties.c. Notify the applicant of its approval within (20) working days from date of
receipt of the application.
8/4/2019 Permitting Procedures Chemicals
2/44
d. Provide color coded copies of permits for the following: blue-applicant/importer, green-BOC, white-file copy of the regional offices (cc:EMB-CO)
e. Reserve the right to request proof of compliance during the approved period.f. Monitor that the amount of the chemicals does not exceeds 1,000 kg/yr.
Through the Bill of lading or Air Way Lading.g. Ensure that all information submitted on Small Quantity Importation (SQI) ofchemicals under RA 6969 are held confidential and shall be disclosed onlyupon approval by the EMB Director.
h. Submit Quarterly Report to the EMB-CO on issuance of SQI clearances.
Procedural Flow
Small Quantity Importation (SQI) Clearance
? Accomplished and notarizedapplication form
? Material Safety Data Sheet
? Submit PMPIN if amount exceeds SQIrequirements
Proponent
Screening Officer
(Application Form +Requirements)A
Complete?
PCD-CMS
No
Yes
2 days
2 days
1 day
ORD (Approval/Disapproval)
PCD
Records (Receiving)
Records (Releasing)
A
15 days evaluation** - which may include inspection/sampling
8/4/2019 Permitting Procedures Chemicals
3/44
Steps:
a. The applicant submits filled-up application form and complete requirements forSQI Clearance.
b. The Screening Officer of the Chemical Management Section (CMS) - PCDchecks completeness of application- If complete, pay the required fees (P500.00/chemical)- If not complete return to the applicant
c. Records section receives filled up application form and the completerequirements and forwards to CMS-PCD
d. The CMS evaluates application, prepares report and forwards to Chief, PollutionControl Division (PCD)
e. The Chief PCD reviews and recommends for issuance of SQI Clearance andforwards to Regional Director.
f. The EMB Regional Director approves/disapproves the Clearance
Note: A maximum of twenty (20) working days is required for the processing andissuance of SQI Clearance from the submission of complete documents.
8/4/2019 Permitting Procedures Chemicals
4/44
SMALL QUANTITY IMPORTATION (SQI)(Please type or print answers)
1. Type of application
? New
? Renewal (Previous EMB approval as Annex ______)2. Information on chemical importer in the Philippines
Registered business name and complete address in the Philippines
Name of contact personDesignationTelephone
Fax.E-mail
3. Type of importer ? Distributor ? End-user
Country of originName of manufacturer
Address of manufacturer
4. Information on chemical substance (subject of application)
Chemical nameCAS numberChemical/structural formula
Product Name Country of Manufacture
5. Inventory status of substance (Check all applicable chemical inventories where the chemical substanceis currently listed.)
? US TSCA ? Europe EINECS or ELINCS
? Australia AICS ? JAPAN MITI
? Canada DSL or NDSL ? Korea KECI
? China CICS
? Philippines not a PCL substance
6. Information on product/mixture, containing the chemical substance
Name of product/mixture (as it will appear on bill of lading)Concentration of SQI chemical in product/mixture (%)
Allowed annual import volume of product/mixture based on ?1000 kg/yr limit (kg)
Units of allowed import of product/mixture (e.g., gallons, drum, containers)
7. The Material Safety Data Sheet (MSDS) of the chemical substance is attached as Annex ______
Other attachments (Please specify.)
8. Signature over complete name of applicant Date submitted:
9. Signature over complete name of EMB receiving officer Date received:
10. Fees_______________________OR#_________________Date _________________
8/4/2019 Permitting Procedures Chemicals
5/44
II. Philippine Inventory of Chemicals and Chemical Substances (PICCS)Certification
PICCS Certification is issued upon request of the importers and manufacturers
for whatever purpose it may serve. Purposely, for information of the Bureau ofCustoms upon entry of the chemicals listed in PICCS.
Requirements:
a. Application formb. Letter of request for PICCS Certification stating reasons for such request.c. Material Safety Data Sheet (in ISO Format).d. Chemical Name (IUPAC Nomenclature).e. Common and other namesf. Trade Name
g. Molecular Formulah. If a component of a product, please include? Product name
? Other components of the product.i. Claims for confidentiality can be included.
Note:PICCS Certification can be made in the product name to facilitate dealings withthe Bureau of Customs.
The Regional Office Shall:
a. Check the chemical composition of the product from the Material Safety DataSheet (MSDS) which should be in its ISO format (16 items MSDS)
b. Verify the components chemical of the product in the PICCS together with itsChemical Abstract Service Registry Number (CAS RN).
c. When no CAS RN is indicated, verify from other existing databases (internetor other reference materials such as UN publications, among others.
d. Check whether the chemical is in the Priority Chemical Listing or subject to aChemical Control Order (CCO).
e. When the chemical components are in the PCL, refer to the EMB-Centraloffice for the submission of Biennial Report and DENR Hazardous Waste IDno.
f. When the chemical is subject under a CCO, refer to the specific DENRAdministrative Order for registration and importation clearance requirements.
g. When the chemical is not listed in both PCL and CCO, issuance of PICCSCertification maybe issued if requested by company. The PICCS Certificationstates that the chemical is in the PICCS, and is not a new chemical and canbe imported without any Pre-Manufacture Pre-Importation notification fromthe EMB-Central Office.
h. The PICCS Certification does not preclude other requirements from otherRegulatory agencies like the Fertilizer and Pesticides Authority (FPA),Philippine Drug and Enforcement Agency (PDEA) Philippine National Police(PNP), Bureau of Food and Drug (BFAD), etc.
i. Confidentiality should always be observed.
8/4/2019 Permitting Procedures Chemicals
6/44
Procedural Flow
Philippine Inventory of Chemicals and Chemical Substances (PICCS) Certification
Proponent
Screening Officer
(Application Form +Requirements)A
Complete?
PCD-CMS
No
Yes
2 days
2 days
1 day
ORD (Approval/Disapproval)
PCD
Records (Receiving)
PICCS Certification - Records
? Application form? Letter of request for PICCS
Certification stating reasons forsuch request.
? Material Safety Data Sheet (inISO Format).
? Chemical Name (IUPAC
Nomenclature).? Common and other names
? Trade Name? Molecular Formula
? If a component of a product,please includeo Product nameo Other components of the
product.? Claims for confidentiality can be
included.
A
10 days evaluation** - which may include inspection/sampling
8/4/2019 Permitting Procedures Chemicals
7/44
Steps:
a. The applicant submits filled-up application and complete requirements for PICCSCertification
b. The Screening Officer of the Chemical Management Section (CMS) checkscompleteness of application
- if compete, pay the required fees (P450.00/chemical)- if not complete return to the applicant
c. The records section receives the filled up application form and the competerequirements and forwards to the CMS-PCD
d. The CMS evaluates application, prepares report and forwards to the Chief,Pollution Control Division (PCD)
e. The Chief PCD reviews and recommends for issuance of PICCS Certificationand forwards to Regional Director.
f. The EMB Regional Director approves/disapproves the Certification
Note: A maximum of fifteen (15) working days is required for the processing andissuance of PICCS Certification from the submission of complete documents.
8/4/2019 Permitting Procedures Chemicals
8/44
PHILIPPINE INVENTORY OF CHEMICALS AND CHEMICALSUBSTANCES (PICCS) APPLICATION FORM
(Please Type or Print Answers )
A. Company Profile
Name of Applicant/Company : ________________________________________________________________________________________________
Business Address:__________________________________________________________________________________________________________________________
StorageFacility /Plant Address (if different from the above)_____________________________________________________________
Telephone No. : ____________________________Facsimile No. : ____________________________E-mail address : ____________________________Contact Person : _____________________________Designation : ______________________________
Category of Applicant : (Check one or more categories, as appropriate)
? importer? distributor? user / manufacturer
? transporter of chemical? others (pls. specify) _______________________________________
B. Chemical Information
Name of Chemical* CAS Registry No. ________________________ ___________________________ ________________________ ___________________________
* In the absence of CAS Registry No., use the IUPAC Nomenclature
Trade names/generic names are not acceptable
C. Attachment: Material Safety Data Sheet (MSDS)
D. Certification:
I certify that the data and information hereto stated in this form and attachmentsare true and correct. I understand that any false or misleading statements may result inpermanent denial of my/my companys application or cancellation of my/my companysregistration.
Date of application : _________________________________
Signature of Authorized Person : _________________________________
Printed Name : _________________________________
Title/Designation : _________________________________
Fees___________________OR #_____________________Date___________
8/4/2019 Permitting Procedures Chemicals
9/44
III. Registration for Importer/User/Manufacturer/Distributor/Transporter ofChemicals under Chemical Control Order (CCO)
Registration Certificate is required for importer, user, manufacturer andtransporter/distributor of those priority chemicals subjected to Chemical Control
Order (CCO) such as Cyanide, Mercury, and Asbestos.
Requirements:
a. Duly Accomplished and notarized CCO Application Form (as appropriate forAsbestos, or for Cyanide, Mercury
b. Current receipt of Business/Mayors Permitc. SEC/DTI Registration Certificated. Process/production flow chart for manufacturing operatione. Chemical Management Plan
f. Photo documentation of the plants operation, storage facilities, etc.
The Regional Office shall:
1. Screen initially the completeness of the submission according to all thenecessary documentary requirements i.e. payment of fees, relevantendorsements from Bureau of Fisheries and Aquatic Resources, Bureau ofMines and Geosciences.
2. Check compliance to the two environmental permits: Environmental ComplianceCertificate (ECC) for storage facility and Permit to Operate (PO)for AntiPollution Control Facilities.
3. Review the sufficiency of the documents according to the substantiveRequirements that is, referring to the specific DENR Administrative Order foreach subject Chemical Control Orders for Cyanide, Mercury, and Asbestos an
4. Verify and inspect the storage facility and the existing practices as stated in theSubmitted documents.
5. Verify the requested volume of importation per annum and validate thetruthfulness of the submitted registered users for importers.
8/4/2019 Permitting Procedures Chemicals
10/44
Procedural Flow
Registration for Importer/User/Manufacturer of Chemicals underChemical Control Order (CCO)
Proponent
Screening Officer
(Application Form +Requirements)A
Complete?
PCD-CMS
No
Yes
2 days
2 days
1 day
ORD (Approval/Disapproval)
PCD
Records (Receiving)
Records (Releasing)
? Duly Accomplished and notarized CCORegistration Forms (as appropriate forAsbestos, or for Cyanide and Mercury)
? Current Receipt of Business/Mayors Permit
? SEC Registration? Process/production flow chart for
manufacturing operation? Chemical Management Plan* Results of air monitoring data at the
workplace for manufacturing operation (forAsbestos only)
? Certification of liabilities of parties tocompensate for damage to life andproperties in case of emergencies andaccidents.
? Photo documentation of the plantsoperation, storage facilities, etc.
A
20-25 days evaluation** - which may include inspection/sampling
8/4/2019 Permitting Procedures Chemicals
11/44
Steps:
a. The applicant submits duly accomplished and notarized CCO Registration Form
(appropriately for Cyanide, Mercury and Asbestos) complete withrequirements
b. The Screening Officer of the Chemical Management Section (CMS) checkscompleteness of application
- if complete, pay the required fees (P2,250.00/chemical, renewalP1,450.00/chemical)
- if not complete return to the applicant
c. The records section receives the filled-up application form and the completerequirements and forwards to the CMS-PCD
d. The CMS evaluates, conducts site inspection, prepares report and forwards tothe Chief, Pollution Control Division (PCD)
e. The Chief PCD reviews and recommends for issuance of Registration andforwards to Regional Director
f. The EMB Regional Director approves/disapproves the Certification
Note: A maximum of thirty (30) working days is required for the processing andissuance of Registration from the submission of complete documents.
8/4/2019 Permitting Procedures Chemicals
12/44
CHEMICAL CONTROL ORDER REGISTRATION FORM
CYANIDE AND MERCURY APPLICATION
f(Please Type or Print Answers )
1. Name of Applicant/Company : ________________________________________________________________________________________________
2. Category of Applicant : (Check one or more categories, as appropriate )
? importer? distributor? user? transporter of chemical? waste transporter
? waste treater? waste disposer
3. Type of chemical(s) CAS No. and chemical compound (s) to behandled and the corresponding Chemical Abstract Service (CAS) No.
__________________________________________________________________________________________________________________________
4. Business Address:__________________________________________________________________________________________________________________________
StorageFacility /Plant Address (if different from the above)
__________________________________________________________________________________________________________________________
5. Telephone No. : ____________________________Facsimile No. : ____________________________E-mail address : ____________________________
6. Contact Person : _____________________________Designation : ______________________________
7. Business Permit No. Validity Date Region/City
________________ ______________ ___________
SEC Registration No. Validity Date Region/City
_________________ ______________ ___________
8/4/2019 Permitting Procedures Chemicals
13/44
8. Annual Chemical(s) Requirement (kg or MT)__________________________________________________________________________________
9. Status of Compliance to Environmental Permit
Date of issuance/ Region/Cityvalidity date
ECC No. _______________ __________ ____________Permit to Operate Number
air _______________ __________ ____________water ______________ __________ ____________
10. Attachments (Please attach a photocopy of the following)
Business Permit
SEC RegistrationChemical Management PlanCopy of Environmental Permits
11. Certification:
I certify that the data and information hereto stated in this form and attachmentsare true and correct. I understand that any false or misleading statements may result inpermanent denial of my/my companys application or cancellation of my/my companysregistration.
Date of application : _________________________________
Signature of Authorized Person : _________________________________Printed Name : _________________________________Title/Designation : ________________________________
_____________________________________________________________________DO NOT WRITE IN THIS SPACE
Chemical(s) Applied For : ________________________________Endorsement and Inspection Report Date:____________________Information checked by : ________________________________Fee : ________________ Official Receipt No. ___________First Verification Date : _________________
Second Verification Date : _________________
8/4/2019 Permitting Procedures Chemicals
14/44
ECCNo. _____________PO. No.______________
REGION _____________O.R. No. _____________
ASBESTOS REGISTRATION FORM
I. GENERAL INFORMATION
1. COMPANY NAME_________________________________________________
OFFICE ADDRESS__________________________________________________________________________________________________________________
PLANT ADDRESS/STORAGE FACILITY (If different from the above)_________________________________________________________________
__________________________________________________________________
2. TELEPHONE NUMBER ________________________________________________
FAX NUMBER ___________________________________________________
3. CONTACT PERSON/DESIGNATION
___________________________________________________________________________________________________________________________________
4. CATEGORY OF APPLICANT/TYPE OF BUSINESS
? Importer
? Manufacturer? Owner of industrial, commercial and institutional structures
With sprayed-on and friable asbestos
? Waste Service Provider (transporter, treater, disposer)
5. STATUS OF COMPLIANCE TO ENVIRONMENTAL AND OTHER PERMITS
Date Issued Validity Date
?
Environmental Compliance Certificate? Permit to Operate (air)? Permit to Operate (water)
? TSD Permit? SEC Registration
? Business Permit
II ASBESTOS SPECIFIC INFORMATION (For all categories, if applicable)
A. IMPORTATION/PRODUCTION INFORMATION
1. AVERAGE -ANNUAL/QUANTITIES IMPORTED/DISTRIBUTED ANDUSED________________________________________________________________
8/4/2019 Permitting Procedures Chemicals
15/44
2. QUANTITY OF PRODUCTS PRODUCED (In kilos/year) _________________
3. QUANTITY OF BULK ASBESTOS (In kilos/year) _______________________
4. LIST OF ASBESTOS CONTAINING PRODUCTS
IMPORTED/DISTRIBUTED AND/OR MANUFACTURED____________________________________ ________________ ton/kg.
____________________________________ ________________ ton/kg. _______________________________________ _________________ ton/kg. _______________________________________ _________________ ton/kg.
5. TYPE OR VARIETY OF ASBESTOS _________________________________
6. PROCESS FLOW CHART AND TYPE OF ACTIVITY EXPOSED TOASBESTOS (Use additional sheet, if necessary)
7. QUANTITY OF ASBESTOS WASTE PRODUCED/GENERATED
ANNUALLY/QUARTERLY? Friable (In Kilos/year) _____________________
? Non-Friable (In kilos/year) _________________
III. MANAGEMENT INFORMATION
1. TOTAL NUMBER OF WORKFORCE ___________________
2. NUMBER & CATEGORY OF EMPLOYEES THAT MAY BE EXPOSED TOASBESTOS RELEASES. ASSESS THE NATURE AND EXTENT OF
EXPOSURE TO ASBESTOS (INCLUDE MAXIMUM NUMBER OF
WORKERS AND MAXIMUM HOURS PER DAY OF EXPOSURE AND ANYMEDICAL SUPERVISION OF PERSONS WHO ARE EXPOSED TOASBESTOS)________________________________________________________________
3. EDUCATION AND TRAINING PROGRAM ORGANIZED FOR ASBESTOS
HANDLING OVER THE LAST THREE YEARS (NO.) __________________
DETAILS OF THOSE TRAINING PROGRAMS ORGANIZED?
Title/Name Organizer Date/Duration
_________________________ ____________________ _________________________________________ ____________________ _________________________________________ ____________________ ________________
_________________________ ____________________ ________________
IV. PREVENTIVE AND CONTROL MEASURES
1. DESCRIBE THE GENERAL PREVENTIVE AND CONTROL PROGRAM OFTHE COMPANY FOR ASBESTOS INCLUDING ITS VENTILATION SYSTEM.
______________________________________________________________________
______________________________________________________________________________________________________________________________________________
8/4/2019 Permitting Procedures Chemicals
16/44
2. DESCRIBE HOUSEKEEPING PRACTICES DEVELOPED AND IMPLEMENTED
________________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________________________________________________________________________________
3. IDENTIFY & DESCRIBE EQUIPMENT USED
______________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________
4. LIST OF RESPIRATORY PROTECTIVE EQUIPMENT AVAILABLE FORPERSONNEL/WORKER DURING HANDLING AT THE PREMISE AND
DURING TRANSPORTING._______________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
5. DESCRIBE IN BRIEF THE CONTINGENCY PROCEDURES/PLAN (In case ofemergency)
______________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________
V. TREATMENT, STORAGE & DISPOSAL INFORMATION (For all categories)
1. DESCRIBE STORAGE METHODS, PROCEDURES, FACILITIES ANDLOCATION.
________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
2. DESCRIBE PROCEDURES FOR TRANSPORTATION OF RAW FIBER ANDFINISHED PRODUCTS.
________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
3. ANY PLANNED RENOVATION(S) AND/OR REMOVAL OR MAJORIMPROVEMENTS TO BE MADE IN THE NEXT 12 MONTHS?
o Yes
o No
8/4/2019 Permitting Procedures Chemicals
17/44
4. LIST OF ATTACHMENTS0 Pertinent Environmental Permits 0 Process Flow Chart
0 Results of air monitoring data of asbestos 0 Bill of Lading of all shipment per year
0 Certification of liabilities of parties to compensate for damage to properties and lifeincase of emergencies & accidents..
0 Photo documentation of the plant's operation, storage facilities and others.
VI. NOTARIZED CERTIFICATION
THE UNDERSIGNED CERTIFY THAT THE INFORMATION PROVIDED IN THIS
FORM IS TRUE AND ACCURATE.
NAME ___________________________________
DESIGNATION/POSITION___________________
SIGNATURE______________________________DATE________________________
I acknowledge that this application form is a legally binding document, and I declare,
under the penalties of perjury, that the same has been accomplished in good faith, verifiedby me, and, to the best of my knowledge and belief, is true and correct pursuant to the
regulations issued under authority thereof.
____________________________(Notary Public)
8/4/2019 Permitting Procedures Chemicals
18/44
IV. Importation Clearance and Its renewal under Chemical Control Order (CCO)(Cyanide, Mercury and Asbestos)
Requirements:
a. Duly accomplished Application Form for Cyanide, Mercury and Asbestos by theconcerned Importers, Manufacturers and Distributors.b. Registration Certificate for Cyanide, Mercury and Asbestosc. Bill of Lading or Airway Ladingd. Copy of results of air monitoring data at the workplace for manufacturing
operation for Asbestos only.e. Certification of liabilities of parties to compensate for damage to life and
properties in case of emergencies and accidents. (as attachment to the form,)f. Bureau of Fisheries and Aquatic Resources Endorsement for Cyanide Importer
onlyg. Bureau of Mines and Geosciences Endorsement for Mercury Importer only
h. List of registered distributors/users for Importer of Cyanide and Mercury only.
The Regional Office shall:
1. Screen initially the completeness of the submission according to all thenecessary documentary requirements i.e. payment of fees, relevantendorsements from Bureau of Fisheries and Aquatic Resources (for Cyanideimporters), Bureau of Mines and Geosciences (for Mercury importers) andRegistration Certificate and the above-mentioned requirements.
2. Check compliance to the two environmental permits: Environmental ComplianceCertificate (ECC) for storage facility and Permit to Operate (PO) for AntiPollution Control Facilities.
3. Review the sufficiency of the documents according to the substantiverequirements that is, referring to the specific DENR Administrative Order foreach subject Chemical Control Orders for Cyanide, Mercury, Asbestos andOzone Depleting Substances
4. Verify and inspect the storage facility and the existing practices as stated in thesubmitted documents.
5. Review the results of air monitoring data at the workplace for manufacturingoperation for Asbestos only).
6. Verify the requested volume of importation per annum and validate thetruthfulness of the submitted registered users list from the previous submissionsand quarterly reports from other EMB Regional Offices i.e. in Cebu, Davao,National Capital Region, Region IV-A (CALABARZON), among others throughthe Focal Points.
7. Consider the compliance to the Terms and Conditions of the CCOs RegistrationCertificate and other post requirements as required i.e. Bill of Lading/AirwayLading and Notice of Commencement.
8/4/2019 Permitting Procedures Chemicals
19/44
Procedural Flow
Importation Clearance under Chemical Control Order (CCO)(Cyanide, Mercury and Asbestos)
Proponent
Screening Officer
(Application Form +Requirements)A
Complete?
PCD-CMS
No
Yes
2 days
2 days
1 day
ORD (Approval/Disapproval)
PCD
Records (Receiving)
Records (Releasing)
? Registration Certificate for Cyanide,Mercury and Asbestos by the concernedImporters, Manufacturers and Distributors.
? Verification of the requested volume ofimportation per annum in relation to theissued Registration Certificate.
? Bill of Lading, Airway Lading and otherpost condition requirements
? Bureau of Fisheries and AquaticResources (BFAR) Endorsement ForCyanide importer only
? Bureau of Mines and GeosciencesEndorsement for Mercury only.
? List of registered users for Cyanide andMercury only.
A
15 days evaluation** - which may include inspection/sampling
8/4/2019 Permitting Procedures Chemicals
20/44
Steps:
a. Importer/applicant submits duly accomplished form together with the completerequirements;
b. The Screening officer of the CMS-PCD checks completeness of application- if complete, pay the required fees (P700.00/chemical)- if not complete return to the applicant
c. EMB Records Section receives filled-up application form with completerequirements and forwards to CMS-PCD;
d. CMS-PCD evaluates, prepares report and forwards to Chief; Pollution ControlDivision (PCD)
e. The PCD Chief reviews and recommends approval to the Regional Directorf. The EMB Regional Director approves/disapproves clearance.
8/4/2019 Permitting Procedures Chemicals
21/44
IMPORTATION CLEARANCE FOR CHEMICALS WITH CHEMICAL CONTROL
ORDERS OF CYANIDE, MERCURY AND ASBESTOS
Date Appl ied : _____________
Application Control Number : _____________
Official Receipt Number : __________________
Registry Reference Code ______________________
Date Issued _________________________________
I. Applicants Name:___________________________________________________________________
II. Business Address: __________________________________ Contact Number: ______________
III. Contact Person: ___________________________________ Contact Number: ______________
IV. Position / Designation: ________________________________ Fax Number: _________________
V. Type of Importer / Distributor of: ____________________________________
Storage Facility Address: _________________________________ Contact Number: ______________
VI. Environmental and Other Permits IssuedECC No. ______________PO No. ______________Business Permit No. ______________
VII. List of Importers / End-users
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
Storage Facility Address: _________________________________ Contact Number: ______________
VIII Data on Substance Subject to Importation:
Brand / Trade / Commercial Name ______________________________________________Quantity (in kg): ________________________Intended Use: _______________________________________________________________________
IX Shippers Information / Transaction Data
Country of Origin __________________________________________
Name of Exporting Company ___________________________________________________________
Business Address ___________________________________________________________________Mode of Shipment (by air/by sea) _______________________
Expected Port of Entry/Loading _________________________________
Port Address _______________________________________________________________________
Expected Date of Arrival ____________________
X. Present Inventory of Same Substance Subject for Importation (under applicants custody)
Quantity (in kg): __________________________ Size of Storage Area (in m2): ___________________
XI. Attachments : Certificate of Accountability, Proporma Invoice and other documents as required inthe Permits Terms and Conditions
XII. Fees__________________OR #__________________ Date___________________
I acknowledge that this application form is a legally binding document, and I declare, under thepenalties of perjury, that the same has been accomplished in good faith, verified by me, and, to the best ofmy knowledge and belief, is true and correct pursuant to the regulations issued under authority thereof.
___________________________________(Authorized Signature over Printed Name)
8/4/2019 Permitting Procedures Chemicals
22/44
EMB CENTRAL OFFICE
I. Pre-Manufacturing and Pre-Importation Notification (PMPIN)
Certification/ Interim Status Permit
The chemical or chemical substance subject of manufacture or importationneeds prior notification/registration, and the corresponding PMPIN Certificationissued at least Ninety (90) to One Hundred Eighty (180) days from the time ofsubmission of complete requirements. Under special circumstances, the EMBCentral may issue an interim status permit (ISP) for import or manufacturer of anew chemical. This will be issued only to manufacturers and importers of newchemicals provided that the premise has completed and submitted theappropriate PMPIN form and paid the fee at the time of notification.
Requirements:
a. Duly accomplished PMPIN Form (Abbreviated or Detailed as appropriatepursuant to Sec. 15, DAO 29) (Forms A are as shown below)
b. Material Safety Data Sheet (MSDS)c. Certification/Relevant Studies as attachments to the PMPIN Form.
8/4/2019 Permitting Procedures Chemicals
23/44
PROCEDURAL FLOW:
Pre-Manufacturing and Pre-Importation Notification (PMPIN) Certification
ProponentFill up forms notarized andcom lete the re uirements
Screening Officer checkscompleteness and
sufficiency
EQD-CQMSSchedule for Chemical
Review Committee
Meeting
No
Yes
Director, EMBApproval and Issuance
of PMPIN Certificate
ProponentSubmit Additional
Information
Records (Receiving)
Reviews of submitteddocuments by Inter
agency ChemicalReview Committee
EQD - CMSAdditional
Information
A
? Duly accomplished PMPIN Form(Abbreviated or Detailedas appropriate)
? Material Safety Data Sheet (MSDS)
? Certification/Relevant Studies asattachments to the PMPIN Form.
A
8/4/2019 Permitting Procedures Chemicals
24/44
Steps:
a. The applicant submits a duly accomplished and notarized PMPIN Form(Abbreviated or Detailedas appropriate) in four (4) copies with the prescribedrequirements as stated above.
b. The Screening Officer of the Chemical Management Section (CMS) checkscompleteness of the application/notification:
- If complete, pay the required fees (Abbreviated formP2,150.00/chemical, Detailed form P3,750.00/chemical)- If not complete return to applicant
c. The Record Officer receives the application and forwards to Environmental
Quality Division (EQD)
d. The EQD-CMS schedules a meeting of the Chemical Review Committee(CRC). The CRC review PMPIN documents and subsequent additionalinformation as requested.
e. CRC recommends approval of PMPIN Certification to the Director
f. EMB Director approves/disapproves PMPIN Certification
Note: A maximum of one hundred eighty (180) working days is required for theprocessing and issuance of the PMPIN Certification.
8/4/2019 Permitting Procedures Chemicals
25/44
FORM A:
PMPIN ABBREVIATED FORM
Section A: Premise Information CBI ( )
1. Premise Name (in case of joint submission, the principal premise is required tocomplete this section)
2. Premise Physical Location and Telephone Number
3. Name of the Responsible Authority
4. Mailing Address and Telephone/Fax Number
5. Circle: Manufacture Import
Section B: Chemical Identification Information CBI ( )
6. Chemical Name:
CAS Registry Name IUPAC Common Name
7. CAS Number (if available)
8. RTECS Number (if available)
9. Molecular Formula
10.Synonyms for the New Chemical
11.Trade Name of the New Chemical
Section C: Production, Import and Intended Use CBI ( )
12.Total quantity produced or imported in the first 12 months (Kg)
13. Estimate the quantity of the new chemical used in any of the
following categories (kg):
Site Limited Industrial Commercial Consumer
Section D: Regulatory Status in Other Countries
14. Country Name:
15.Regulatory Status of the New Chemical in that country:
16.Is MSDS available for the new chemical in the country referred: Yes (attach MSDS)No
(Use a separate page if there are more than one country)
8/4/2019 Permitting Procedures Chemicals
26/44
PMPIN ABBREVIATED FORM
Section E: Statement on Physicochemical Characteristics (if available)
Boiling Point Vapor PressureMelting Point Purity
S. Gravity Water/Octanol PartitionCoefficient Solubility in Water
Section F: Statement on Toxicological Effects of the Chemical
(Refer to instruction for the type of test results required)
Section G: Statement on Environmental Effects of the Chemical
Section H: List other companies and their address if this is a joint submission
Section I: List of Attachments
Certification:
I hereby certify that all the information provided in this form and the supportdocuments attached are true and accurate.
Signed:
Name: Position: Date:
8/4/2019 Permitting Procedures Chemicals
27/44
8/4/2019 Permitting Procedures Chemicals
28/44
PMPIN DETAILED FORM
Section F: Statement on Toxicological Effects of the Chemical
14. Country Name:
15. Regulatory Status of the New Chemical in that country:
16. Is MSDS available for the new chemical in the country referred:
Yes (attach MSDS) No
(Use a separate page if there are more than one country)
Section G: Physiochemical Test Results
17. Tests Conducted by (Name and Address of the Laboratory):
18. Test Results Attached Yes No
(Refer to instruction for the type of test results required)
Section H: Toxicological Effects Test Results
19. Tests Conducted by (Name and Address of the Laboratory)
20. Test Results Attached Yes No
(Refer to instruction for the type of test results required)
Section I: Environmental Effects Test Results
21. Tests Conducted by (Name and Address of the Laboratory)
22. Test Results Attached Yes No
(Refer to instruction for the type of test results required)
Section J: List other companies and their address if this is a joint submission
Section K: List of Attachments
Certification:
I hereby certify that all the information provided in this form and the support documentsattached are true and accurate.
Signed:
Name: Position: Date:
8/4/2019 Permitting Procedures Chemicals
29/44
Confidential Business Information (CBI)Mark X if you claim CBI for any of sections A, B, or C. Please provide in separate page justification for claiming CBI andattach.
Section A
Fill in the information about the premise/firm that is considered the principal submitter of this form.
Section B
Provide the chemical identity information. Consult DENR if you need assistance in obtaining the information required. Theresults of an X-ray diffraction (non-organic chemicals) or Mass Spectrum (organic chemicals) analysis must be submitted along
with this form to enable DENR review committee for correct identification of the chemical notified.
Section C
Estimate the total quantity of new chemical to be manufactured or imported during the first 12 months of operations. Undersubsection 13 estimate how much of the intended production or import will be used in any of the four categories on an annual
basis (the total should be equal to the figure provided in subsection 12).
Section D (not applicable to importers)
Estimate the type of activities the workers will be engaged in the use and production of the new chemical. For each type ofactivity provide information about the maximum number of workers and maximum hours per day that they will be exposed to the
new chemical.
Section E (not applicable to importers)
Estimate the quantity of the new chemical that will possibly be released through air, surface water, groundwater, and soil. Also,provide a brief statement regarding release control measures planned.
Section F
Submission of the information concerning the regulatory status of this chemical in other countries will expedite the reviewprocess.
Section G
Provide any test results on the physicochemical characteristics of the new chemical notified. Documented research data fromother countries will be helpful. Notifiers with such information will assist DENR to expedite the review process. The test resultsshould include:
Boiling Point, Vapor Pressure, Melting Point, Purity, S. Gravity, Water/Octanol partition Coefficient, Solubility in Water, andsolubility in organic compounds.
Section H
Present the test results of potential toxicological effects of the new chemical and provide any document describing those effects.
Submit documented research data and journal articles from academia in the Philippines and other countries. When you submit
the test results, ensure that the full name and address of the laboratory which conducted the tests in the Philippines or in othercountries are clearly indicated. The health effects data may include carcinogenicity, mutagenicity, teratogenicity, sensitization,acute and chronic toxicity and irritation. Notifiers with such information will assist DENR to expedite the review process.
DENR may require full meeting of the new chemical notified if it determines that the information submitted is not adequate toassess the potential risk of the new chemical.
Section I
Present the test results of potential environmental effects of the new chemical and provide any document describing those effects.
Submit documented research data and journal articles from academia in the Philippines and other countries. When you submitthe test results ensure that the full name and address of the laboratory which conducted the tests in the Philippines or in othercountries are clearly indicated. Environmental effects may include acute and chronic toxicity to animals (fish in particular) andterrestrial plant toxicity. Information concerning the fate of the chemical upon release to environment will be important and must
be submitted if available. Notifiers with such information will assist DENR to expedite the review process. DENR may requirefull testing of the new chemical notified if it determines that the information submitted is not adequate to assess the potential riskof the new chemical.
8/4/2019 Permitting Procedures Chemicals
30/44
II. Certificate of Registration for the Importation of Ozone DepletingSubstances (ODS) and Alternative Chemical Substance
Any person, natural or juridical, who imports ozone-depleting substance (regardlessof source as allowed under agreements of the Montreal Protocol) in any of the forms
defined under Article I paragraph 4 of the Montreal Protocol as clarified underDecisions I/12A and II/4, respectively, of the First and Second Meetings of theParties, and with respect to any industry or activity of which list was derived fromAnnex D of the Montreal Protocol must be duly registered with and may be granted aCertificate of Registration by DENR-EMB. (Sec. 4, DAO 2000-18, CCO for ODS)
Requirements:
a. Duly accomplished Application Form for Registration(shown below)b. ECC
c. SEC Registration or DTI Registrationd. Certification as to capability on effective Handling and Storage of Chemicalse. Certificate of Awareness on Ozone Layerf. Material safety Data Sheet (MSDS)
8/4/2019 Permitting Procedures Chemicals
31/44
PROCEDURAL FLOW
Registration for the Importation of Ozone-Depleting Substances andAlternative Chemical Substances
8/4/2019 Permitting Procedures Chemicals
32/44
Important Note:Accomplish this form in three (3) copies, each with aphotocopy of the previous EMB Certificate ofRegistration for the Importation of ODS and AlternativeChemical Substances (if applicable). To facilitateprocessing, all information must be supplied accurately.
AAPPPPLLIICCAATTIIOONN FFOORR RREEGGIISSTTRRAATTIIOONN FFOORR TTHHEE IIMMPPOORRTTAATTIIOONN OOFFOOZZOONNEE--DDEEPPLLEETTIINNGG SSUUBBSSTTAANNCCEESS AANNDD AALLTTEERRNNAATTIIVVEE CCHHEEMMIICCAALL SSUUBBSSTTAANNCCEESS
Date Applied : _____________
Registration Number : _____________
Document Number : _____________
I. Applicants (Juridical) Name: _______________________________________________________________
II. Business Address: _________________________________________ Contact Number: ______________
III. Point Person : __________________________________ Contact Number: ______________
Position / Designation : __________________________________
IV. Training / Seminar / Workshop Attended by the Point Person (attach a photocopy of the Certificate)
Date: Title of Training / Seminar / Workshop: Conducted by: _________________ _______________________________________ _____________________
V. SEC / DTI Registration Number (attach a photocopy of SEC/DTI Registration Certificate with list of officers):______________________________________________________________________________________
VI. Type of Importer: (please mark X the appropriate box/boxes and fill-up the fields corresponding to it/them)
Importer - Distributor
Address of Storage Facility : __________________________________ Contact Number: ______________Importer - End-user
Address of Storage Facility : __________________________________ Contact Number: ______________
VII. Environmental Compliance Certificate (ECC) / Certificate of Non-Coverage (CNC) Number (attach aphotocopy of the ECC / CNC): _____________________________________________________________
VIII. Profile of Business: ______________________________________________________________________
IX. Data on Substance Subject to Importation:Brand / Trade / Commercial Name/s (attach the appropriate Material Safety Data Sheet or MSDS for each):
______________________________________________________________________________________
Intended Use: __________________________________________________________________________
(please mark X the appropriate box and fill-up the fields corresponding to it)
Substance of Single Chemical Composition
Generic Name: _____________________________ Chemical Formula: _____________
Substance of Multiple Chemical Composition Blend Generic Name: __________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Republic of the PhilippinesDepartment of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU
PHILIPPINEOZONEDESK2nd Floor, Human Resources Development Training Center
DENR compound, Visayas Avenue, Diliman, Quezon City
Tel. Nos.:925-2344 / 928-1244E-mail Add.:[email protected]
8/4/2019 Permitting Procedures Chemicals
33/44
X. Size of Storage Area (in m2): ______________________________________________________________
XI. Chemical Handler : __________________________ Position / Designation: ________________________
XII. Training / Seminar / Workshop Attended by the Chemical Handler (attach a photocopy of the Certificate)Date: Title of Training / Seminar / Workshop: Conducted by:
_________________ _______________________________________ _____________________
XIII Fee: _____________ OR # __________________________ Date: ____________________
I acknowledge that this application form is a legally binding document, and I declare, under thepenalties of perjury, that the same has been accomplished in good faith, verified by me, and, to the best of
my knowledge and belief, is true and correct pursuant to the regulations issued under authority thereof.
__________________________________(Authorized Signature over Printed Name)
8/4/2019 Permitting Procedures Chemicals
34/44
Steps:
a. Importer applicant submits duly accomplished Application Form for Registrationtogether with the complete requirements;
b. Screening Officer checks the filled up application and the complete requirements- if complete pay the required fees (P2,250.00/chemical)- if not complete return to the applicant
c. EMB Records Section receives filled up application form and completerequirements and assigns Document No. and forwards to Philippine Ozone Desk(POD);
d. POD evaluates/processes application, prepares Certificate of Registration andsubmits to EMB- Environmental Quality Division (EQD);
e. The EMB-EQD further reviews and recommends issuance Certificate ofRegistration to the EMB Director
f. EMB Director approves/disapproves Certificate of Registration
Note: The applicant also submits requirements for Pre-Shipment ImportationClearance (PSIC) simultaneously
Maximum of fifteen (15) working days for processing of the Certificate ofRegistration
8/4/2019 Permitting Procedures Chemicals
35/44
III. Pre-shipment Importation Clearance of Ozone-Depleting Substances (ODS)And Alternative Chemical Substances
The substances listed as Annex C and Annex E of the Montreal Protocol are notcovered by the control measures and phase-out schedules provided under Section 3of the CCO for ODS until such time that the Senate of the Philippines ratifies theamendments and adjustments to the Protocol. However, any importation of thesesubstances (Annex C and E) is subject registration and issuance of Pre-ShipmentImportation Clearance from the EMB prior to entry in any area within the PhilippineTerritory. (Sec 2.2 and 6, DAO 2000-18: CCO for ODS)
Requirements:
a. A copy of approved Certificate of Registration (per chemical substance), for old
applicant; if new applicant, apply for a Certificate of Registration for Importationof ODSb. Form A (Application for Pre-shipment Importation Clearance of ODS and
Alternative Chemical Substances) attached with Pro-forma Invoicec. Form B (Record of actual Arrival of Shipment, RAAS) with Bill of Lading and
Commercial Invoiced. Form C (Summary of Transaction for Previous Inventory and Immediately
Proceeding Importation of Same Substance)e. Form D (List of Intended Buyers and/or Users)f. Copy of Material Safety Data Sheet (MSDS)g. Certificate of Conformance from the DTI Bureau of Product Standards for
alternative or substitute substances
8/4/2019 Permitting Procedures Chemicals
36/44
PROCEDURAL FLOW.
Pre-shipment/Importation Clearance for Ozone-Depleting Substances (ODS)Alternative Chemical Substances
8/4/2019 Permitting Procedures Chemicals
37/44
Steps:
a. Importer applicant submits duly accomplished Forms (A, B, C, D) together withthe aforementioned requirements;
b. Screening officer of POD checks the filled-up application and the completerequirements:- if complete, pay the required fees (P700.00/chemical)- if not complete return to the applicant
c. EMB Records Section receives application form with complete requirements andassigns Document No. and forwards to Philippine Ozone Desk (POD);
d. POD evaluates applications, prepares report and forwards to Chief;Environmental Quality Division (EQD)
e. The Chief, EQD further reviews and recommends approval to the EMB Directorf. EMB Director approves/disapproves clearance.
8/4/2019 Permitting Procedures Chemicals
38/44
Important Note:Accomplish this form in three (3) copies, each with aphotocopy of ProformaInvoice. To facilitate processing,all information must be supplied accurately. Please takenote of the correct units of measure for each entry. For
clarification and/or additional information, do not hesitateto contact POD-EMB-DENR.
FORM AAAPPPPLLIICC AATTIIOONN FFOORR PPRREE--SSHHIIPPMMEENNTT IIMMPPOORRTTAATTIIOONN CCLLEEAARRAANNCCEE OOFF
OOZZOONNEE--DDEEPPLLEETTIINNGG SSUUBBSSTTAANNCCEESS AANNDD AALLTTEERRNNAATTIIVVEE CCHHEEMMIICCAALL SSUUBBSSTTAANNCCEESS
Original Copy
Date Applied : _____________
ProformaInvoice Number : _____________
Application Control Number : _____________
Document Number : _____________
I. Applicants (Juridical) Name: _______________________________________________________________
II. Business Address: _________________________________________ Contact Number: ______________
III. Point Person : __________________________________ Contact Number: ______________
Position / Designation : __________________________________
IV. Type of Importer: (please mark X the appropriate box/boxes and fill-up the fields corresponding to it/them)
Importer - Distributor
Address of Storage Facility : __________________________________ Contact Number: ______________
Importer - End-user
Address of Storage Facility : __________________________________ Contact Number: ______________
V. Data on Substance Subject to Importation:
Brand / Trade / Commercial Name: _________________________________________________________
Quantity (in kg): __________________________Purchase Price (in $ / kg): _____________________
Intended Use: __________________________________________________________________________
(please mark X the appropriate box and fill-up the fields corresponding to it)
Substance of Single Chemical Composition
Generic Name: _____________________________ Chemical Formula: _____________
Substance of Multiple Chemical Composition Blend Generic Name: ___________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
Percent: ______ Generic Name: _____________________________ Chemical Formula: _____________
VI. Transaction Data:
Name of Manufacturing Company: __________________________________________________________
Business Address: _________________________________________ Contact Number: ______________
Name of Exporting Company: ______________________________________________________________
Republic of the PhilippinesDepartment of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU
PHILIPPINEOZONEDESK2nd Floor, Human Resources Development Training Center
DENR compound, Visayas Avenue, Diliman, Quezon City
Tel. Nos.:925-2344 / 928-1244E-mail Add.:[email protected]
8/4/2019 Permitting Procedures Chemicals
39/44
Business Address: _________________________________________ Contact Number: ______________
Port of Loading: ______________________ Port Address: ______________________________________
Expected Date of Arrival: _________________________________________________________________
Expected Port of Arrival: _______________ Port Address: ______________________________________
VII. Present Inventory of Same Substance Subject for Importation (under applicants custody)
Quantity (in kg): _____________________________ Size of Storage Area (in m2): ___________________
VIII. Fees; ____________________OR # _________________________Date__________________
I acknowledge that this application form is a legally binding document, and I declare, under thepenalties of perjury, that the same has been accomplished in good faith, verified by me, and, to the best of
my knowledge and belief, is true and correct pursuant to the regulations issued under authority thereof.
___________________________________(Authorized Signature over Printed Name)
8/4/2019 Permitting Procedures Chemicals
40/44
8/4/2019 Permitting Procedures Chemicals
41/44
Important NoteThis document provides information relevant to theimmediately preceding importation for the samesubstance applied for and is a vital requirement forprocessing any subsequent import application. It mustbe fully accomplished and submitted with the appropriate
FORM BRREECCOORRDD OOFF AACCTTUUAALL AARRRRIIVVAALL OOFF SSHHIIPPMMEENNTT ((RRAAAASS))
Enclosure / Attachment of
Application Control Number: _____________
1. Company Name : ___________________________________________________________________
2. Preceding Pre-Shipment Importation Clearance Information
a. Application Control Number : ____________________________________________________
b. Brand / Trade / Commercial Name : ____________________________________________________
c. Issued Quantity (in kg) : ____________________________________________________
d. Date Issued : ____________________________________________________
e. Expiration Date : ____________________________________________________
3. Actual Arrival of Import
Bill of Lading (please mark X the box if Bill of Lading is attached)
a. Date of Actual Arrival : _______________________Unit Cost / Net Weight (in kg): _______________
b. Actual Arrival Quantity / Net Weight (in kg) : _______________________________________
c. Bill of Lading No.: ___________________________ Bill of Lading Quantity: ____________________
d. Invoice No. of : ______________________________ Invoice No. Quantity: _____________________
4. Port of Arrival and Address: ____________________________________________________________
5. Substance Identity
a. Single or Multiple Chemical Composition : _____________________________________________
b. For Single Chemical Composition
Generic Name: ________________________________ Chemical Formula: _____________
c. For Multiple Chemical Composition Blend Generic Name: ______________
Percent: ______ Generic Name: ________________________________ Chemical Formula: _____________
Percent: ______ Generic Name: ________________________________ Chemical Formula: _____________
Percent: ______ Generic Name: ________________________________ Chemical Formula: _____________
Percent: ______ Generic Name: ________________________________ Chemical Formula: _____________
Percent: ______ Generic Name: ________________________________ Chemical Formula: _____________
AUTHORIZED SIGNATURE :
____________________________________________________________
NAME : ____________________________________________________________
POSITION : ____________________________________________________________
DATE : ____________________________________________________________
8/4/2019 Permitting Procedures Chemicals
42/44
Important NoteThis document describes how previous inventory andimportation of the same substance applied for weredistributed to suppliers and end-users. This is crucial incross-checking the previously declared actualtransactions. All information must be supplied
FORM C
SSUUMMMMAARRYY OOFF TTRRAANNSSAACCTTIIOONNSS FFOORR PPRREEVVIIOOUUSS IINNVVEENNTTOORRYY AANNDD IIMMMMEEDDIIAATTEELLYYPPRREECCEEDDIINNGG IIMMPPOORRTTAATTIIOONN OOFF TTHHEE SSAAMMEE SSUUBBSSTTAANNCCEE
Enclosure / Attachment of
Application Control Number : _________________
BRAND / TRADE / COMMERCIAL NAME: _______________________________________________________
PRECEDING PRE-SHIPMENT IMPORTATION CLEARANCE
APPLICATION CONTROL NUMBER: ________________________________________________PREVIOUS INVENTORY QUANTITY (in kg)_______________________________________________QUANTITY APPLIED (in kg) : ________________________________________________ACTUAL ARRIVAL QUANTITY (in kg): ________________________________________________
TOTAL QUANTITY DISTRIBUTED (in kg) : ______________________________________________
Name ofPerson orCompany
AddressContactNumber
Nature ofEnterprise (dealer
and/orend-user)
Intended Use(for end-
user)
QuantityDistributed (in kg)
OfficialReceiptNumber
Date ofSale
DATE ACCOMPLISHED: _____________________________________________________________________
SIGNATURE : ______________________________________________________________________
NAME : ______________________________________________________________________
POSITION : ______________________________________________________________________
8/4/2019 Permitting Procedures Chemicals
43/44
TOTAL QUANTITY DISTRIBUTED (in kg) : ________________________________________________
Name ofPerson orCompany
AddressContactNumber
Nature ofEnterprise (dealer
and/orend-user)
Intended Use(for end-
user)
QuantityDistributed (in kg)
OfficialReceiptNumber
Date ofSale
DATE ACCOMPLISHED: _____________________________________________________________________
SIGNATURE : ______________________________________________________________________
NAME : ______________________________________________________________________
POSITION : ______________________________________________________________________
8/4/2019 Permitting Procedures Chemicals
44/44
Important NoteThis document enumerates all persons, natural or
juridical, to whom the substance to be imported will bedistributed. The same will be validated by thetransaction records to be appended on the succeedingapplications.
FORM D
LLIISSTT OOFF IINNTTEENNDDEEDD UUSSEERRSS FFOORR TTHHEEPPRREE--SSHHIIPPMMEENNTT IIMMPPOORRTTAATTIIOONN CCLLEEAARR AANNCCEE AAPPPPLLIICCAATTIIOONN
Enclosure / Attachment of
Application Control Number: _____________
BRAND / TRADE / COMMERCIAL NAME: _______________________________________________________
QUANTITY TO BE IMPORTED (in kg) : __________________________________
TOTAL QUANTITY INTENDED TO BE DISTRIBUTED (in kg) : __________________________________
Name of
Person orCompany
AddressContactNumber
Nature ofEnterprise
(dealerand/or
end-user)
Intended Use(for end-user)
IntendedQuantity to beDistributed (in
kg)
Purchase Order
Number Coveredby Transaction
DATE ACCOMPLISHED: _____________________________________________________________________
SIGNATURE : ______________________________________________________________________
NAME : ______________________________________________________________________
POSITION : ______________________________________________________________________