Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
Department of Environment and Natural Resources
Environmental Management Bureau
Regional Office No. 1, Government Center, Sevilla, City of San Fernando
1st QUARTER SELF MONITORING REPORT
(January to April 2016)
MODULE 1. GENERAL INFORMATION
Name of the Plant: CORAL JEM GASOLINE STATION
Please provide the necessary revised, corrected or updated information not contained in your
General Information Sheet
(use additional sheet/s if necessary)
DENR Permits/Licenses/Clearances
Environmental
Permits
Laws
A/C No.
P.D. 984
R.A. 9275
PD 1586
RA 6969
RA 8749
PO No.
PO No.
ECC 1
ECC 2
ECC 3
DENR
Registry ID
CCO Registry
Importer
Clearance No.
Permit to
Transport
A/C No.
PO No.
RO1 1405 - 0095
Date of
Issue
Expiry date
May 13, 2014
POA-
Module 1: General Information
Page 1 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
Operation
Average
Maximum
Operating hours/day
8
10
Operating days/week
7
7
# of shift/day
1
1
Operation/ Production/capacity:
Average Daily Volume
Sales Output (Liters)
Total Sales Output this Quarter (Liters)
Premium Gasoline
450 Liters
Premium Gasoline
40,500 liters
Regular Gasoline
500 Liters
Regular Gasoline
45,000 liters
Diesel Fuel
Total water
Consumption this
Quarter (cubic
meters)
625 Liters
Diesel Fuel
Total Electricity
Consumption this
Quarter (KWH)
56,250 liters
30 cu. m.
2,750 kwhr
Please use additional sheet/s if necessary
Module 1: General Information
Page 2 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
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)
0.5
Process
wastewater
(cubic meters/day)
Others:
__________
(cubic meters/day)
Wash water, floor
(cubic meters/day)
Record of Cost of treatment (separate entries for separate facilities)
October
November
December
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 in
house laboratory
New additional
Investments in WTP
( ) Description
Cost of New/Add
Investments
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
Third Party
Testing
Third Party Testing Third Party Testing
None
None
None
None
None
None
WTP Discharge Location
Outlet
Location of the outlet
number
1
Septic Tank
2
3
Name of receiving water Body
None
Module 3:P.D. 984 (Water pollution)
Page 3 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
Detailed Report of Wastewater characteristics for other Pollutants
Outlet No. Septic Tank
DATE
Effluent
BOD5
Flow
(name) (name) (name) (name) (name) (name) (name)
rate
Mg/L
(M3/day
(unit)
(unit)
(unit) (unit)
(unit)
(unit)
(unit)
)
Please fill-up/accomplish separate form/s for other outlet/s.
Please use additional sheet/s if necessary.
Page 4 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
Module 3:P.D. 984 (Water pollution)
Summary of APSE/APCF
Process Equipment
# of Hrs of
Operations
920
920
920
Location
1 Premium Gasoline Fuel Dispenser
2 Regular Gasoline Fuel Dispenser
3 Diesel fuel dispenser
4
Fuel burning
Location
equipment
Refilling Station
Refilling Station
Refilling Station
1. 46 KW Isuzu C190 Diesel Engine
Generating Set
2.
3.
4.
5.
6.
Pollution Control Facility
Fuel used
Quantity
consumed
# of Hrs of
Operations
Diesel Fuel
9 Liters
Location
Front corner of the refilling station
1. Underground tank vent (20 ft high)
3.
4.
# of Hrs of
Operations
920
Cost of treatment
October
November
December
none
none
None
Total consumption of
water (cubic meters)
60
45
60
Total cost of chemicals
n/a
n/a
n/a
Used (e.g.,activated)
Carbon, KMnO4)
n/a
n/a
n/a
Total consumption of
electricity (KWH)
n/a
n/a
n/a
Administrative and
overhead costs
n/a
n/a
n/a
Improvement or
modification, if any.
(description
none
none
None
Cost of improvement of
modification
none
none
None
Cost of person
Employed (salary)
Module 4:RA 8749 (Air pollution)
Page 5 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
Emission Estimates for the Quarter
EG (ton/quarter) = ER (mg/L) * Vgd (L/mo) * 3 mo. * CF
Where:
EG = Annual Gas Emission (ton/quarter)
Vgd = Volume of dispersed gasoline (Liters/ Quarter)
CF conversion factor ( 1 ton/ 9.07 x 108 mg)
Combined volume of Premium and Unleaded Regular Gasoline for the
Quarter is 85,500 liters.
Emissio
Emission
n Rate,
Computations
for this
mg/l
Quarter
Filling underground tank (Stage I)
Submerged Filling
880
(880 x 85,500)/ 9.07 x 108
0.082955
Underground
tank breathing
120
(120 x 85,500)/ 9.07 x 108
and emptying
0.011312
Vehicle refueling operations (Stage II)
Displaced losses
1,320
(1,320 x 85,500)/ 9.07 x 108
(uncontrolled)
0.124432
8
Spillage
80
(80 x 85,500)/ 9.07 x 10
0.007541
Total >>>
0.22624
Diesel Engine Generating Set Air Emission Estimates
Emissions
Pollutants
Computations
(This
Quarter)
NOx
18.848 x 46 kw x 9 hrs 9.07 x 105
0.0086
5
CO
4.0614 x 46kw x 9 hrs 9.07 x 10
0.0019
SOx
1.2464 x 46 kw x 9 hrs 9.07 x 105
0.0006
5
PM10
1.368 x 46 kw x 9 hrs 9.07 x 10
0.0006
CO2
699.2 x 46 kw x 9 hrs 9.07 x 105
0.3191
Aldehydes
2.815 x 46 kw x 9 hrs 9.07 x 105
0.0013
Emission
Source
TOC
Exhaust
Crankcase
1.5018 x 46 kw x 9 hrs 9.07 x 105
2.6813 x 46 kw x 9 hrs 9.07 x 105
0.0007
0.0012
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 6 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Reference No.
MODULE 5: PD. 1586
Amblent Air Quality Monitoring (if required as part of ECC conditions)
Description/Location of
Monitoring Station
DATE Noise
CO
Level
(mg/Ncm)
(db)
(mg/Ncm)
NO
Particulates
(mg/Ncm)
(Name)
(Name)
(Name)
(mg/Ncm (mg/Ncm (mg/Ncm
)
)
)
NO AVAILABLE PORTABLE EQUIPMENT FOR NOISE TESTING
(Name)
(mg/Ncm)
(Please accomplish one table per monitoring station)
Amblent Air Quality Monitoring (if required as part of ECC conditions)
Description/Location of
Sampling station
DATE
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(unit)
(unit)
(unit)
(unit)
(unit)
(unit)
(unit)
(Please accomplish one table per sampling station)
Module 5:P.D. 1586 (EIS System)
Page 7 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
Other ECC Conditions
ECC Condition/s
Status of Compliance
Yes
No
Reference No.
Actions Taken
(Please use additional sheet/s if necessary)
Environmental Management Plan/Program
Enhancements/Mitigatio
n Measures
1. Periodic inspection of
underground tanks for
leaks
2. Periodic maintenance
of all fuel dispensers
for a leak free refilling
of fuel to vehicles
Status of
Implementation
Yes
No
Actions Taken
Proper monitoring of
dispensed
fuel
against inventory.
Coordination
with
the
supplier
for
proper maintenance
of fuel dispensers
quarterly.
Yes
Yes
(Please use additional sheet/s if necessary)
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
Brief Description of
Solid waste
Management plan
(e.g., waste reduction,
Segregation, recycling)
Total Quantity of Solid
Wastes Generated this
Quarter
10 kgs
30 kgs
Municipal garbage collector
30 kgs
Segregation of waste according
to classifications
n/a
Module 5:P.D. 1586 (EIS System)
Page 8 of 9
Name of Plant /Establishment: CORAL JEM GASOLINE STATION
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
NONE FOR THE QUARTER
# of Personnel
Trained
I hereby certify that the above information are true and correct.
Done this _______ day of January 2016 in Laoag City, Ilocos Norte.
IMELDA B. CRISTOBAL
Pollution Control Officer
DR.MODESTY IRMINA A. CORPUZ
OWNER
SUBSCRIBED AND SWORN before me, a Notary Public, this __________ day of
__________________, affiants exhibiting to me their Government Issued ID:
Name
Govt. Issued ID
Issued at
Issued on
DR. MODESTY IRMINA A. CORPUZ ______________
____________
________________
IMELDA B. CRISTOBAL
________ .
________________
______________
NOTARY PUBLIC
Page 9 of 9
