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COMPLIANCE INSPECTION REPORT
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* Indicates required question
NAME OF INSPECTOR
*
Your answer
APPLICABLE ENVIRONMENTAL LAWS.
*
P.D. 1586 (ENVIRONMENTAL IMPACT STATEMENT SYSTEM)
R.A. 9275 (WATER QUALITY MANAGEMENT)
R.A 4850 (AN ACT CREATING THE LAGUNA LAKE DEVELOPMENT AUTHORITY)
Required
DATE OF INSPECTION
*
MM
/
DD
/
YYYY
NAME OF ESTABLISHMENT
*
Your answer
NATURE OF BUSINESS
*
Your answer
BLDG./LOT/BLOCK/PHASE/STREET/SUBD./INDUSTRIAL PARK (SPECIFIC ADDRESS)
*
Your answer
BARANGAY
*
Your answer
CITY ADDRESS
*
Choose
QUEZON CITY
MANILA
TAGUIG
PARAÑAQUE
PATEROS
LAS PIÑAS
CALOOCAN
MUNTINLUPA
PASAY
MARIKINA
PASIG
MANDALUYONG
VALENZUELA
SAN JUAN
MALABON
NAVOTAS
MAKATI
LATITUDE example. 14.48456
*
Your answer
LONGTITUDE example. 121.121545
*
Your answer
POLLUTION CONTROL OFFICER ACCREDITATION (SELECT BOTH EMB & LLDA IF APPLICABLE)
*
EMB
LLDA
NONE
Required
PERMITS/CLEARANCE (PD 1586) (ENVIRONMENTAL IMPACT STATEMENT SYSTEM)
*
ECC
CNC
Without Permit
JURISDICTION
*
EMB
LLDA
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