Environmental Impact Assessment Form

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Email *

Company name *

company logo/address *

company's profile *

year of cooperation *

company CAC *

production capacity *

company's organogram *

operational process/flow chart for the various production line and products *

company's associated facility and infrastructure *

company's recent health, safety and environment policy duly signed by the managing director (soft copy) *

the company's department/sections with corresponding staff strength and distribution *

source of energy distribution company (name) *

lists of generators, brand, capacity and diesel/gas consumption for the company *

proposed lists of equipment and machines used in each department/section *

source of raw materials............local/international

proposed list of raw material/input material for production *

proposed lists of final products and their average storage quantities *

source of water supply (public, private or borehole) *

capacity of borehole........... metered?..............reservoir types (water, gas, diesel, PMS and others)their capacities and locations *

proposed water use and water quantification *

proposed company's safety measures and equipment *

proposed annual consumption of lubricant *

waste water (effluent) if any *

proposed health facilities *

material balance sheet for showing list of input and output materials and quantity *

methods of refuse disposal/sanitation *

how do you dispose your generated wastes, solid, liquid and hazardous (if any)? *

waste quantification/identified waste components *

summary of waste management strategies *

project summary and activities *

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