Department of Environment and Natural Resources

Environmental Management Bureau

Reference No:
GENERAL INFORMATION SHEET

Name of the
Establishment/Facility
ZPI Plastic Corporation
Establishment/Facility Street # & Street Name: Lot 15, Block 20, Phase IV ___
Address
(NOT the company of head Barangay: CEPZ City/Municipality: Rosario ___
office)
Province: Cavite
Name of
ZPI Plastic Corporation
Owner/Company
Street # & Street Name: (Same as above) ___
Address
(if address is not the same as Barangay: City/Municipality: ___
previous address)
Province:

Phone Number (046) 971-0646 Fax Number (046) 437-2595

e-mail address zpi@zpiphil.com

Type of Business/ Philippine Standard Industry Classification Code No.

Industry Classification Philippine Standard Industry Descriptor: Manufacturing Industry

CEO/President: Mr. Katsuhiko Sasaki

Tel #: (046) 437-0646 / 971-1100 to 03 Fax #: (046) 437-2595
e-mail address: sasaki@zpiphil.com
Responsible Officer/s:
General Manager - Operations:
Tel #: Fax #:
e-mail address:

Name: Engr. Robert E. Ulatan

Pollution Control
Tel #: (046) 437-0646 / 971-1100 to 03 Fax #: (046) 437-2595
Officer
e-mail address: robertulatan@gmail.com or sasaki@zpiphil.com

 single proprietorship  partnership

Legal Classification  private domestic corporation  government corporation

 Multi-national 

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

Engr. Robert E. Ulatan Mr. Katsuhiko Sasaki

Name/Signature of PCO Name/Signature of President

1
 Department of Environment and Natural Resources
Environmental Management Bureau
Reference No:
MODULE 3: P.D. 984 (Water Pollution)

Water Pollution Data

Domestic wastewater Process wastewater
11.88 m3
(cubic meters/day) (cubic meters/day)
Cooling water Others: ___________
11.72 m3
(cubic meters/day) (cubic meters/day)
Wash water, equipment Wash water, floor
0.15 m3
(m3/day) (cubic meters/day)

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

Month 1 Month 2 Month 3
Person employed, (# of
-NA- -NA- -NA-
employees)
Person employed, (cost) -NA- -NA- -NA-
Cost of Chemicals used
-NA- -NA- -NA-
by WTP
Utility Costs of WTP
-NA- -NA- -NA-
(electricity & water)
Administrative and
-NA- -NA- -NA-
Overhead Costs
Cost of operating in-
-NA- -NA- -NA-
house laboratory
New/Additional
NONE NONE NONE
Investments in WTP
(Description)
Cost of New/Add NONE NONE NONE
Investments

WTP Discharge Location

Outlet
Location of the Outlet Name of Receiving Water Body
Number
1
2
3
4
5

2
 Department of Environment and Natural Resources
Environmental Management Bureau
Reference No:
Detailed Report of Wastewater Characteristics for Conventional Pollutants
Outlet No.

Effluent Oil & ________

DATE BOD TSS Temp rise (name)
Flow Rate Color pH Grease
(mg/L) (mg/L) (ºC)
(m3/day) (mg/L) (unit)
15-15-05 46 72 80 8.97 2 25
3-30-10 8 55 50 8.78 1.5 25

Please fill-up/accomplish separate form/s for other outlet/s.

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

Done this 19th of July 2010, in PEZA-CEZ, Rosario, Cavite.

Engr. Robert E. Ulatan Mr. Katsuhiko Sasaki

Name/Signature of PCO Name/Signature of CEO/President

SUBSCRIBED AND SWORN before me, a Notary Public, this __________________

______________________, affiants exhibiting to me their Community Tax Receipts:

Name CTR No. Issued at Issued on

Mr. Katsuhiko Sasaki TZ562001 Manila, Phil. June 23, 2008
Engr. Robert E.Ulatan CC1200915813383 Gen. Trias Jan. 11, 2010

Doc. No. : ________

Page No. : ________
Book No.: ________
Series of : ________