Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

GENERAL INFORMATION SHEET 3rd Quarter 2011

Name of the Establishment/Facility Establishment/Facility Address
(NOT the company of head office)

LEANNES FARM Street # & Street Name: Bigain South Area Barangay: Bigain South Province: LEANNES FARM Street # & Street Name: 15014 SAINT Francis St. Dona Soledad Extension Barangay: Moonwalk Province: (02) 526-0452 Fax Number Cell:0929-3057565 City/Municipality: Paranaque City/Municipality: San Jose Batangas

Name of Owner/Company Address

(if address is not the same as previous address)

Phone Number e-mail address

Philippine Standard Industry Classification Code No. Type of Business/ Industry Classification Philippine Standard Industry Descriptor: Agriculture ___ CEO/President. Stephen Lloyd Leuterio Tel #: (02) 526-0452 Responsible Officer/s: e-mail address: Plant Manager: Stephen Lloyd Leuterio Tel #: (02) 526=0452 e-mail address: Name. Danilo Reyes Junio Pollution Control Officer Tel #: (02) 526-0452 e-mail address: X single proprietorship Legal Classification pvate domestic corporation Multi-national partnership government corporation ___ Fax #: Cell# 0929-3057565 Fax #: Cell# 0929-3057565 Fax #:

We hereby certify that the above information are true and correct.

Stephen Lloyd Leuterio Name/Signature of CEO/President

Danilo Reyes Junio Name/Signature of PCO

Module 1: General Information

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Department of Environment and Natural Resources Environmental Management Bureau

QUARTERLY SELF-MONITORING REPORT

MODULE 1: GENERAL INFORMATION

Name of the Plant LEANNES FARM Please provide the necessary revised, corrected or updated information not contained in your General Information Sheet

All information submitted in the General Information sheet remain the same to date.

(use additional sheet/s if necessary)

DENR Permits/Licenses/Clearances
Environmental Laws
A/C No.

Permits

Date of Issue

Expiry Date

P.D. 984
PO No. ECC 1

ECC-4A-2005-0353-1213

Aug. 11, 2005

PD 1586

ECC 2 ECC 3 DENR Registry ID CCO Registry

NA NA NA NA

RA 6969

Importer Clearance No Permit to Transport A/C No.

RA 8749
PO No.

2010-POA-0410-650

Sept. 09, 2010

Aug. 26, 2011

Module 1: General Information

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Operation
Operating hours/day Average Maximum 8 hrs/ day Operating days/week 6 days/ week # of shift/day 1 shift only -

Operation/Production/Capacity:
Average Daily Production Output Total Water Consumption this Quarter (cubic meters) Not applicable for Piggery farm 100 m3 Total Output this Quarter Total Electric Consumption this Quarter (KwH) 30 heads 1167kw-Batelec

Please use additional sheet/s if necessary

Module 1: General Information

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

MODULE 2: RA 6969 A. CCO Report (please accomplish this section for each chemical/substance)
___ CAS No.: Trade Name: ___ ___

Common Name/IUPAC/CAS Index Name.

For importers only:

Quantity Requested Import Clearance No. Date of Arrival Quantity Received* Port of Entry Country of Origin Country of Manufacture

Total Quantity Requested (annual) * attach copy/s of Bill of Lading

Total Quantity Received (annual)

For distributors (importers/non-importers)

Name of Client License No. Quantity Date of Distribution

Total Quantity Distributed

For non-importer users:

Name of Distributor Quantity Date of Purchase

Total Quantity Purchased from Distributor

Module 2B: RA 6969 (Hazardous Wastes Generator)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

For producers
Average Daily Production Output Quantity of Stock Inventory (Start of Quarter) Name of Buyer Total Output this Quarter Quantity of Stock Inventory (End of Quarter) Quantity Date of Purchase

Total Quantity Sold

Used in Production (please fill up only if chemical/substance is not main product)

Average Daily Total Output this Quarter Production Output Average Quantity Used Total Quantity Used this per month Quarter Describe any changes in Production/Process/Operations:

Stock Inventory/Waste Chemical Generated:

Average Quantity of Waste Chemical Generated per month Quantity of Stock Inventory (Start of Quarter) Total Quantity of Waste Chemical Generated this Quarter Quantity of Stock Inventory (End of Quarter)

Other Information:
Manner of handling hazardous wastes Changes in Safety Management System Chemical Substitute Plan storage on-site storage off-site Yes (please attach copy of revised plan) No Yes (please attach copy if not submitted/included in previous report/s or had been revised) No Treatment on-site Treatment off-site

B.

Hazardous Wastes Generator

Module 2B: RA 6969 (Hazardous Wastes Generator)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

HW Generation:
HW No. HW Class HW Nature HW Cataloguing Remaining HW from Previous Report Quantity Unit HW Generated Quantity Unit

Waste Storage, Treatment and Disposal:(Please fill-up one table per HW)
HW No,: HW Details Qty of HW Treated: TSD Location: Storage Name: Method: ID: Date: ID: Method: ID: Date: Name: Date: Name: Date: Name: Unit: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Transporter

Treater

Disposal

HW No,: HW Details Qty of HW Treated: TSD Location: Storage Name: Method: Transporter ID: Date: ID: Method: ID: Date: Name: Date: Name: Date: Name: Unit:

___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Treater

Disposal

On-Site Self Inspection of Storage Area:

Module 2B: RA 6969 (Hazardous Wastes Generator) page____ of ____

Name of Plant:

LEANNES FARM San Jose Batangas City

Date Conducted Premises/Area Inspected

Reference No:
Corrective Action Taken (if any)

Findings & Observations

Module 2B: RA 6969 (Hazardous Wastes Generator)

page____ of ____

Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

C.

Hazardous Wastes Treater/Recycler

HW Stored and/or Untreated as of End of Quarter:

HW Number Wastes Generator Date of Transport Transport Permit/Date of Issue Valid until Quantity Type of Storage Container/ # of containers Time Table for Treatment

HW Treated and/or Recycled as of End of Quarter:

Type of Wastes HW Number Wastes Generator Date of Transport Transport Permit/Date of Issue Quantity Type of Treatment or Recycling Process Type & Quantity of Recycled or Treated Product

Residual Wastes Generated from the Treatment and/or Recycling Operation:

Type of Wastes HW Number Process by which the Wastes is Generated Quantity Type of Storage Container/ # of containers Disposal Option Time Table for Disposal

Module 2C: RA 6969 (Hazardous Wastes Treater/Recycler)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

MODULE 3: P.D. 984 (Water Pollution) Water Pollution Data

Domestic wastewater (cubic meters/day) Cooling water (cubic meters/day) Wash water, equipment (m3/day) 0.70 m3 Process wastewater (cubic meters/day) Others: Recycled (cubic meters/day) Wash water, floor (cubic meters/day) 0.3 m3 1 m3 -

Record of Cost of Treatment (Separate entries for separate facilities)

Month 1 Person employed, (# of employees) Person employed, (cost) Cost of Chemicals used by WTP Utility Costs of WTP (electricity & water) Administrative and Overhead Costs Cost of operating inhouse laboratory New/Additional Investments in WTP (Description) Cost of New/Add Investments 2 5,000.00 each n/a 10,000.00 2 5,000.00 each n/a 10,000.00 Month 2 2 5,000.00 each n/a 10,000.00 Month 3

WTP Discharge Location

Outlet Number Location of the Outlet One (1) Three (3) chambers Septic Vault (biogas harvester) to One (1) Three (3) chambers Lagoon Behind Piggery Building 1 & beside Building 2 Name of Receiving Water Body After Lagoon water goes to Creek which discharges to unnamed river that finally discharges to taal lake

1 2 3 4 5

Module 3: P.D. 984 (Water Pollution)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Detailed Report of Wastewater Characteristics for Conventional Pollutants

Outlet No. DATE Effluent Flow Rate (m3/day) BOD (mg/L) TSS (mg/L) Color pH Oil & Grease (mg/L) ________ Temp rise (C) Normal Temperature of water is discharged as all gas and fumes are harvested and used as biogas for kitchen utilities same same same same Same same
(name) (unit)

Jan-Mar, 2010

1.9 m3/day

7mg/L estimated average

15mg /l estimated average

Light brown Clear but A little hazy water

Apr-June, 2010 July-Sept, 2010 OctDecember, 2010 Jan-Mar, 2011 Apr-June 2011 July-Sept, 2011

same same same same same same

same same same same same same

same same same same same same

same same same same same same

Detailed Report of Wastewater Characteristics for Other Pollutants

Outlet No. DATE Effluent Flow Rate (m3/day) ________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

Please fill-up/accomplish separate form/s for other outlet/s. Please use additional sheet/s if necessary.

Module 3: P.D. 984 (Water Pollution)

page ______ of

Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

MODULE 4: R.A. 8749 (Air Pollution) Summary of APSE/APCF

Process Equipment 1. 2. 3. 4. Fuel Burning Equipment 1. 1 set Small Generator 2. 3. 4. 5. 6. Pollution Control Facility 1.Noise silence and 2 set muffler for generator 2. 3. 4. Set of generator Location # of hrs of operations 0 hrs used this quarter Location Farm Site back up only Fuel Used Diesel Quantity Consumed Not used this quarter # of hrs of operations 0 hrs used 1 set Small Generator Location Farm at Batangas, back up only # of hrs of operations Not used this quarter

Cost of Treatment
Month 1 Cost of Person employed, (salary) Total Consumption of Water (cubic meters) Total Cost of chemicals used (e.g., activated carbon, KMnO4) Total Consumption of Electricity (KwH) Administrative and Overhead Costs Cost of operating inhouse laboratory, if any Improvement or modification, if any. (Description) Cost of improvement of modification N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Month 2 N/A N/A N/A N/A N/A N/A N/A Month 3

N/A

N/A

N/A

Module 4: RA 8749 (Air Pollution)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Module 4: RA 8749 (Air Pollution)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Detailed Report of Air Emission Characteristics

Description/Location of PCF DATE Flow Rate (Ncm/day) CO (mg/Ncm) NOx (mg/Ncm) Particulates (mg/Ncm) ________
(name)

________
(name)

________
(name)

________
(name)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

(mg/Ncm)

Please fill-up/accomplish separate form/s for other PCF/s. Please use additional sheet/s if necessary.

Module 4: RA 8749 (Air Pollution)

page ____ of ____

Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

MODULE 5: P.D. 1586 Ambient Air Quality Monitoring (if required as part of ECC conditions)
Description/Locatio n of Monitoring Station DATE Noise Level (dB) CO (mg/Ncm ) NOx (mg/Ncm ) Particulate s (mg/Ncm) ________
(name)

________
(name)

________
(name)

________
(name)

(mg/Ncm )

(mg/Ncm )

(mg/Ncm )

(mg/Ncm )

(Please accomplish one table per monitoring station.)

Ambient Water Quality Monitoring (if required as part of ECC conditions)

Description/Location of Sampling Station ________ DATE
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

________
(name) (unit)

(Please accomplish one table per sampling station.)

Module 5: P.D. 1586 (EIS System)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Other ECC Conditions

Status of Compliance ECC Condition/s
Yes No

Actions Taken

1.Refer to submitted ECC June 16 to December 15, 2010 2. 3. 4. 5. 6.

Please use additional sheet/s if necessary.

Environmental Management Plan/Program

Enhancement/Mitigation Measures 1.Refer to submitted ECC June 16 to December 15, 2010 2. 3. 4. 5. 6.
Please use additional sheet/s if necessary.

Status of Implementation
Yes No

Actions Taken

Solid Waste Characterization/Information:

Average Quantity of Solid Wastes Generated per month Average Quantity of Solid Wastes Collected per month Entity in charge of collecting solid wastes 5,234 kilos pig waste Total Quantity of Solid Wastes Generated this Quarter Total Quantity of Solid Wastes Collected this Quarter 15, 702 kilos this quarter 15, 702 kilos this quarter

5,234 kilos pig waste

Three (3) Chamber Septic Vault Biogas harvester

Module 5: P.D. 1586 (EIS System)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Brief Description of Solid Waste Management Plan (e.g., waste reduction, segregation, recycling)

After cleaning the pig pens, solid waste and waste water go to our 3 chamber septic vault size 5x5x5 meters. It stays there to produce biogas, gas is then collected by a pipe which goes straight to our gas stove used for cooking, boiling, etc. After waste is no longer due to gas emitions, an exhaust pipe in opened which brings the waste water to our 3 chamber lagoon for sedimentation and oxidation which is used as fertilizer on trees and plants and remaining waste water (clear) is then discharged to a creek which leads to an unknown river and finally ends up in taal lake.

Module 5: P.D. 1586 (EIS System)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

MODULE 6: OTHERS Accidents & Emergency Records

Date Area/Location Findings and Observation Actions Taken Remarks

None

Personnel/Staff Training
Date Conducted Course/Training Description # of Personnel Trained

January 2006

One (1) farm Cleaning and waste attendant three management of Piggery (3) officers farm. Pig husbandry and general care for piglets, growers and sows. Immunization and medical care

I hereby certify that the above information are true and correct. Done this 4th day September 2011 in Manila City.

Danilo Reyes Junio Name/Signature of PCO Stephen Lloyd Leuterio Name/Signature of CEO

SUBSCRIBED AND SWORN before me, a Notary Public, this ________ day of ______________________, affiants are exhibiting to me their Community Tax Receipts: Name CTR No. Issued at Issued on _____________________ _____________ _______________ ______________ _____________________ _____________ _______________ ______________

Module 5: P.D. 1586 (EIS System)

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Name of Plant:

LEANNES FARM San Jose Batangas City

Reference No:

Attached herewith:
Note: Some pages were deemed not applicable for our type of industry as we dont use any chemicals and other hazardous waste products.

Discharge Permit Permit to Operate

Module 5: P.D. 1586 (EIS System)

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