Requirements before Issuance of Sanitary Permit

FOR FOOD ESTABLISHMENTS:

□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ Certificate of Attendance to the Food Handler’s Class from the City Health Office
□ Monthly Bacteriological and Semi-Annual Physical-Chemical test result of drinking water source (MCWD or Water
Refilling Station) with Certificate of Potability from Local Health Office
□ Insect and Vermin Control Measures
□ Environmental Compliance Certificate, Certificate of Non-Coverage (for Large-scale Establishments)
□ Trained Pollution Control Officer (PCO) with Contract of Employment and Certificate of Accreditation from DENR(for
Large-scale Establishments e.g. Food Processing)

FOR WATER REFILLING STATION:

□ Sanitary Engineer’s Report & Plan
□ Bacteriological Test (Monthly) (Raw & Finished Product)
□ Physical-Chemical Test (Every 6 mos.)
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ Certification Course for Water Station & Plant Operators (40 hrs. Training). If none, letter of willingness to be
trained.
□ Certificate of Health Related Device Registration issued by the Department of Health – Regional Health Office 3
□ Certificate of Potability
□ Drinking Water Site Clearance
□ Application Letter for Operational Permit
□ Endorsement Letter from the City Health Office to the Provincial Health Office
□ Endorsement Letter from the Provincial Health Office to the Department of Health – Regional Health Office 3
(if water source is from Deep Well)
□ Operational Permit issued by the Department of Health – Regional Health Office 3

FOR NON-FOOD ESTABLISHMENTS:

□ Barangay Clearance
□ Business Name – DTI or SEC (Address must be on actual location)
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam

FOR INDUSTRIAL ESTABLISHMENTS (POULTRIES/PIGGERIES):

□ Photocopy of Barangay Clearance
□ Zoning Permit
□ DENR Clearances – ECC, CNC, License to Operate, Discharge Permit, Hazardous Waste Generator’s Registration
□ Waste water testing results (BOD, COD, TSS)
□ Trained Pollution Control Officer (PCO) with Contract of Employment and Certificate of Accreditation from DENR
□ Sanitary Plan – Drainage/Waste Water Treatment/Sewage Treatment Plan/Water supply system
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam

FOR PHARMACIES:
□ Chest X-ray
Recent Results of all employees for Issuance of Health Certificate
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 □ Urinalysis
□ Stool Exam
□ Updated PRC License of Pharmacist
□ Updated Permit to Operate from the Food and Drug Administration (FDA)
□ Certificate of Attendance of Seminar on Implementation of A.O. No.34 or latest

FOR NIGHT CLUBS/ VIDEOKE BAR:

□ Pink Card (to be issued after 4 consecutive weekly smears at Rural Health Unit 2 Dau (Reproductive Health and
Wellness Center)
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam

FOR INDUSTRIAL ESTABLISHMENTS:

□ DENR Clearances – ECC, CNC, License to Operate, Discharge Permit, Hazardous Waste Generator’s Registration
□ Waste water testing results (Based on classification of establishment)
□ Photocopy of Barangay Clearance
□ Business Name – DTI or SEC (Address must be on actual location)
□ Trained Pollution Control Officer (PCO) with Contract of Employment and Certificate of Accreditation from DENR
□ Sanitary Plan – Drainage/Waste Water Treatment/Sewage Treatment Plan/Water supply system
□ Engineers report and plan of water supply source (3” dia. & above) & Operational Clearance
□ HLURB zoning permit / SB Resolution
□ Chest X-ray
Recent Results of all employees for Issuance of
□ Urinalysis
□ Stool Exam Health Certificate

FOR FUNERAL PARLORS:

□ Sanitary Plan of Building
□ Waste Water Facility Plan
□ Photos of Establishments with adjacent area shown
□ Updated License/ Registration of Embalmer from Department of Health
□ Health Certificate Requirements – Stool, Urine, and Chest X-ray (all workers)
□ Certificate of a Health Care Waste Management Seminar from the Department of Health
□ ECC (Environmental Compliance Certificate), CNC ( Certificate of Non-Coverage)
□ Copy of Contract/MOA with Health Care Waste Transporter and/or Treater
□ License to Operate/ Permit to Discharge
□ DENR Accredited Pollution Control Officer(PCO)

FOR LAUNDRY SHOPS:

□ Barangay Clearance
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ DENR Clearance – ECC (Environmental Compliance Certificate)/CNC ( Certificate of Non-Coverage)

FOR HOSPITALS, BIRTHING HOMES AND CLINICAL LABORATORIES:

□ Proof of Ownership
□ Business Name – DTI (Address must be on actual location) or SEC Registration
□ Sanitary Plans – Drainage/ Waste water treatment/ STP/ Water Supply System (for Hospitals and Laboratories)
□ Engineers report and plan of water supply source (3” dia. & above) & Operational Clearance (for Hospitals and
Laboratories)
□ Waste water testing results (Based on classification of establishment)
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 □ DENR Clearances – ECC, CNC, License to Operate, Discharge Permit, Hazardous Waste Generator’s Registration
□ Trained Pollution Control Officer (PCO) with Contract of Employment and Certificate of Accreditation from DENR
□ Certificate of a Health Care Waste Management Seminar from the Department of Health
□ Copy of Contract/MOA with Health Care Waste Transporter and/or Treater
□ License to Operate from DOH-BHFS thru DOH-REGIONAL HEALTH OFFICE 3(for hospitals, laboratories, dialysis
clinics,birthing homes,infirmaries,psychiatric hospitals,dentalprosthetic laboratories,blood banks, ambulatory
clinics,and drug treatment and rehabilitation centers)
□ Certificate of Accreditation from DOH-BHFS thru DOH-REGIONAL HEALTH OFFICE 3(for OFW medical
clinic,surgical clinic, drug testing laboratories,HIV testing laboratories, water testing laboratories,water testing
laboratories,medical technologist intern training centers and training centers for embalmers)
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam

FOR MEDICAL, DENTAL AND VETERINARY CLINICS:

□ DENR Clearance – ECC, CNC
□ Proof of Ownership
□ Business Name – DTI (Address must be on actual location)
□ Certificate of a Health Care Waste Management Seminar from the Department of Health
□ Copy of Contract/MOA with Health Care Waste Transporter and/or Treater
□ Chest X-ray
Recent Results of all employees for
□ Urinalysis
□ Stool Exam Issuance of Health Certificate

FOR PRIVATE SCHOOL, SCHOOL CANTEENS:

□ Barangay Clearance
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ Vermin Abatement Program (in accordance with P.D.856 Chapter 6 Section 6.7 Vermin Control)

FOR LPG DEALERS, REFILLERS, RETAILERS, AND DISTRIBUTORS:

□ Barangay Clearance
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ Standard Compliance Certificate in compliance w/ the Department of Energy Department Circular No.2014-01-
0001

FOR HEALTH CARE WASTE TREATMENT, STORAGE, DISPOSAL (TSD) FACILITIES/TRANSPORTERS:

(In accordance with the Joint DENR-DOH A.O. No. 02 series of 2005)
□ Proof of Ownership
□ Business Name – DTI (Address must be on actual location) or SEC Registration
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ Sanitary Plans – Drainage/ Waste water treatment/ STP/ Water Supply System
□ Trained Pollution Control Officer (PCO) with Contract of Employment and Certificate of Accreditation from DENR
□ Registration with EMB as healthcare waste transporter.
□ Transport Permit from DENR-EMB Regional Office
□ ECC (Environmental Compliance Certificate)
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 □ Registration as TSD Facility based on the IRR of RA6969
□ Technology Approval from the EMB
□ Permit to Operate, Discharge Permit
□ Updated Certificate of Product Registration for equipment or devices from DOH-BHDT
□ Certificate of Technical Evaluation for equipment or devices
□ Operating Permit from DOH-RHO3

FOR JUNKSHOPS:
□ Barangay Clearance
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ DENR Clearance – ECC (Environmental Compliance Certificate), CNC ( Certificate of Non-Coverage)

FOR LAUNDRY SHOPS:

□ Barangay Clearance
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam
□ DENR Clearance – ECC (Environmental Compliance Certificate), CNC ( Certificate of Non-Coverage)

FOR MEMORIAL PARK/ CEMETERY:

□ B.H. Form 83
□ Barangay Resolution and Clearance
□ City Resolution and Mayor’s Certification
□ DENR – Environmental Compliance Certificate (ECC)
□ HLURB – Location / Zoning Clearance
□ PHILVOCS – Certification
□ Natural Water Resource Board Clearance
□ Transfer Certificate of Title (TCT)
□ Tax Declaration of Real Properties
□ Department of Trade and Industry (DTI) – Certificate of Registration
□ City Engineer Certification and Building Development Permit
□ NIA – Certification, Conversion/ DILG Certification
□ Joint-Venture Agreement (if any)
□ Corporation Papers/ SEC Registration
□ Topography Map/ Location Plan/ Lot Plan
□ Architectural/ Engineering Plans and Details
□ Cost Estimates/ Specifications
□ Endorsement and Recommendation Letter of the Rural Health Physician/ City Health Officer
□ Inspection Report of Sanitary Inspector assigned
□ Certification of the Provincial Sanitary Engineer
□ Endorsement and Recommendation Letter of the Provincial Health Officer
□ Chest X-ray
□ Urinalysis Recent Results of all employees for Issuance of Health Certificate
□ Stool Exam

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