PEPP Track 1 Qualification Criteria Checklist

Name of company: ________________________________________

Regional Location: ________________________________________
Plant Address: ________________________________________
Date of Evaluation: ________________________________________

General Criteria with Documentary Requirements YES NO Remarks/Proof of

Evidence/Justification
1. No case/s with the Pollution Adjudication
Board/LLDA within the last three (3) years prior to
application
a. Notice of Violation, if any, within the last 3 yrs
b. Cease and Desist Order, if any, within the last 3
yrs
c. Final Lifting Order, if any, within the last 3 yrs
2. In full compliance with all applicable
environmental laws issued by DENR and LLDA
a. ECC/CNC/LLDA Clearance
b. Valid Discharge Permit
c. Valid Permit to Operate Air Pollution Control
Installation
d. Hazardous Waste Generators ID
e. Valid Hazardous Waste Transport Permit
f. Hazardous Waste Certificate of Treatment
g. Solid Waste Management Plan
h. Pollution Control Officer Certificate of
Accreditation
i. Self Monitoring Report
j. Other Environmental Permits: DA, DOH, NMIS,
LGU, DTI, DOST, other government agencies
3. Proven records of superior Environmental
Performance
a. Photo/s or photocopy/ies of all Environmental
Awards and Citation
b. Photo or photocopy of Environmental Policy
c. One page write-up or less for each
implemented pollution prevention/cleaner
production technology/clean technology with
attached corresponding photodocumentation
d. Photos or photocopy of Management Systems
Certification (i.e. ISO 14001, OHSAS 18000, SA
8000, HACCP, etc) or latest audit report/s
e. Photocopy/ies of implemented Community
Social Responsibility Program/s
f. Optional: Extends/considers external parties (i.e.
Green Procurement and Green Products)
 Submitted by PCO of Track 1 applicant:

Signature over printed name: ________________________________________

Level of Accreditation: ________________________________________
Contact Nos: ________________________________________
Email Address: ________________________________________

Evaluated by PEPP TEC Team:

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

Signature over printed name: ________________________________________

Designation: ________________________________________

RECOMMENDATION:
Qualified
Not Qualified

Approved By:

_________________________________________
EMB Director