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Screening Form Checklist of Requirements For Pco New Applications

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Department of Environment and Natural Resources

ENVIRONMENTAL MANAGEMENT BUREAU


Region VII

SCREENING FORM CHECKLIST OF REQUIREMENTS FOR PCO NEW


APPLICATIONS
Proponent’s Information

Name of Firm :
Address :
Contact :
Person

SCREENING DATE

1st
REMARKS
SCR.

1. Letter of appointment/designation as PCO of the


establishment
2. Duly accomplished application form (download at
r7.emb.gov.ph>PCO corner>New Application>Form
1)
3. Curriculum vitae with ID Picture of the
appointed/designated PCO
4. Notarized Affidavit of Joint Undertaking of the PCO
and the Managing Head (download at
r7.emb.gov.ph>PCO corner>New Application>Form
2)
5. Proof of the appointee’s qualification such as
Certificate of Training of Basic PCO Training
6. Certificate of eight (8) hour training on environmental
management of the Managing Head
7. Valid Professional Regulation Commission license, if
applicable, for Category B Establishments
8. Duly accomplished Establishment Categorization
checklist form (download at r7.emb.gov.ph>PCO
corner>New Application>Form 3)
NOTE: APPLICATION IS STILL SUBJECT FOR SUBSTANTIAL REVIEW

REMINDERS:

1. Always review your submitted requirements and read and understand carefully the details being asked in the
application form, affidavit of undertaking, as well as the instructions per item in the Establishment Categorization
Checklist form to avoid returning your application.
2. The name of establishment and establishment address of the PCO and the Managing Head in the Application Form
and in the Affidavit should be the same as they belong to one establishment and address.
3. The home address of the PCO in the application form and residence in the Affidavit should be the same.
4. For reference as to the correct establishment category, always refer to Table 1 section 5 of DENR Administrative Order
(DAO) 2014-02 or the Revised Guidelines for Pollution Control Officer Accreditation. You may google and download
it.
5. If you are in doubt or could not understand the remarks in the screening form, kindly call us at (032) 260-9777 local
118, 09662705718, 09365475931, or 09365475943 and look for the undersigned or any staff from the Air and Water
Permitting Section (AWPS) for clarification.

RECOMMENDATIONS:

[] PLEASE PROVIDE THE LACKING INFORMATION/DOCUMENTS ABOVE WITH “X” MARK.

Prepared by:

_______________
Screening Officer

Banilad, Mandaue City, Cebu, Philippines, 6014


Tel. Nos. (+6332) 260-9777 Telefax No. 3469426
Website: r7.emb.gov.ph Email: r7@emb.gov.ph

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