ANNEX 3-1

PRO-FORMA PROPONENT COMPLIANCE MONITORING REPORT (CMR): Semi-annual Module 5

of SMR

EMERITA C. GALLINERO
PROPONENT’S NAME

MONITORING PERIOD COVERED: ___________________________

I. BASIC PROJECT INFORMATION AND UPDATES

ECC Control No/REFERENCE Code No: 0600-0808-120

Project Title: GMI GASOLINE STATION
Project Type: REFILLING STATION
Location: FUNDA DALIPE SAN JOSE,ANTIQUE
Project Coordinates: __________________________
Project Stage/Phase: (i.e. construction; commissioning, etc.) ____________________
Contact Person: EMERITA C. GALLINERO
EMP Approval:  During ECC Application Stage
 Updated after ECC Issuance; approved on __________________
Changes in Project Design (if any): ___None______________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

II. EXECUTIVE SUMMARY

There were no major activities that influenced the monitoring parameters during the monitoring period. All operations
conducted were all routine and in line with the nature of operation. Monitored parameters were the usual and no external
activities affected or altered the monitoring.

Table II-1. Summary of Major Findings for the Monitoring Period

Condition / Requirement / Commitment Compliance Status & Recommendation/Commitme
Summary of Actions taken nt for the next reporting
Compliance with ECC ECC is complied.
Compliance with EMP EMP is complied.
Implementation of appropriate & effective env’tal impact No major activity causing
remedial actions in case of exceedances excessive environmental
impact.
Complaints Management Complaints management
updated and efficient.
Realistic and sufficient budget for conducting the Budget for monitoring and
environmental monitoring and audit activities audit is prioritized in the
operational expenditures.
Accountability - qualified personnel are charged with the Personnel are well trained
routine monitoring of the project activities in terms of and updated of various
education, training, knowledge and experience of the environmental issues and
environmental team remedial actions as per EMP.
Others . . .
 ANNEX 3-1
PRO-FORMA PROPONENT COMPLIANCE MONITORING REPORT (CMR): Semi-annual Module 5
of SMR

III. RESULTS AND DISCUSSIONS

A. Compliance Monitoring

All ECC Conditional ties are met and EMP commitments are attained except those who are not applicable to the
nature and limitations of the operations of the establishment.
Table 1. Summary Status of ECC & EMP Compliance

ECC/EMP Condition/Requirement Relevant ECC Condition/s (if Status of

Categorization any) Compliance REMARK
#/s Requirement Description ( if complying) S
1) Project coverage/limits/ N/A N/A N/A
2) Components N/A N/A N/A
3) Other sectoral requirements mandated by
Complied satisfactorily Complied. None.
other agencies to be complied with
4) EMP and updates as deemed required N/A N/A N/A
5) Conduct of baseline, compliance and
Complied satisfactorily Complied. None
impact self-monitoring
6) Multi-sectoral Monitoring (as may be required) N/A N/A N/A
7) Regular reporting Complied Satisfactorily Complied N/A
8) Institutional arrangements necessary for
implementation of environmental Complied Satisfactorily Complied N/A
management measures
9) Standard DENR requirement on transfer of
N/A N/A N/A
ownership
10) Standard DENR requirement on
N/A N/A N/A
abandonment
11) Impact Mitigation Plan or Construction/
N/A N/A N/A
Contractor’s Environmental Program
12) Social Development Plan (SDP) N/A N/A N/A
13) IEC Plan N/A N/A N/A
14) Contingency/Emergency Response Plan or
N/A N/A N/A
equivalent Risk Management Plan
15) Abandonment Plan (when applicable) N/A N/A N/A
16) Environmental Monitoring Plan (EMoP) N/A N/A N/A
17) (Others)

B. Impact Monitoring

Not applicable.

i. Summary of Previous Monitoring

Not applicable.

ii. Current Monitoring Results and Findings

Not applicable.

Table 2. Summary Status of Environmental Impact Management and Monitoring Plan Implementation

Stand Remarks
Envt’l
ard/ (EQPL*
Mgmt.
Sampling & Measurement EIS commitm
Monitoring Envt’l Envt’l Monitoring Mea-
Predict ent, if
Objective Aspect Impact Parameter sure
ion any)
Stn/ Results
Locn Previous Current

*EQPL-Environmental Quality Performance Level

o Alert or Red Flag - early warning
o Action Level-point where management measures must be employed so as not to reach the regulated threshold or limit level, or to reduce
deterioration of affected environmental component to pre-impact or optimum environmental quality
o Limit Level-regulated threshold of pollutant (standard that must not be exceeded); point where emergency response measures must be employed to
reduce pollutants to lower than standard limit.
 ANNEX 3-1
PRO-FORMA PROPONENT COMPLIANCE MONITORING REPORT (CMR): Semi-annual Module 5
of SMR

o NOTE: Section on EQPLs may be filled out as a Proponent’s draft commitment or after these have been established and mutually agreed upon
among Proponent, EMB and other MMT members. Otherwise, only the LIMIT Level shall be the reference for regulatory compliance. This means that
environmental management measures are formulated at the “ACTION level” so as not to exceed this regulated threshold.
Table 3. Report on Status of Environmental Budget Allocations and Expenses

Budget Actual Expenses

Expense Item* Direct Co.
Direct from Co. Budget for MMT MMT expenses
Expense
A. Implementation of Management Plans & Programs
1) Environmental Impact Mitigation Plan √ √
2) Social Development Plan √ √
3) IEC Plan √ √
4) Enhancement Programs (if any) √ √
B. Implementation of Monitoring Plans
1) Self-Monitoring √ √
2) Environmental Monitoring Fund (with
√ √ √ √
MMT)
3) Environmental Guarantee Fund √ √ √ √
TOTALS
*For mining projects, equivalent cost items shall be adopted, e.g. SDMP in lieu of SDP.

IV. CONCLUSIONS AND RECOMMENDATIONS

Self-Monitoring Report satisfactorily completed. All parameters as to the routine operations of the establishment is
complied. All environmental impact are monitored and no significant effects to the environment.

A. Compliance Status
Compliances to all statutory requirements are all met and complied.

B. Environmental Quality Status (applicable only if EQPLs have been set by the Proponent as its commitment
or if opted to be mutually agreed upon by Proponent with the EMB and other members of the MMT)
Not applicable.

C. Environmental Management Plan Status

EMP provisions satisfactorily met.

D. ENVIRONMENTAL RISK CATEGORIZATION

Not applicable.

E. WORK PLAN FOR NEXT MONITORING PERIOD

No changes in monitoring parameters except if there will be amendments in the operations.

V. ATTACHMENTS

Please have the following documents attached:

a) Laboratory Results of Analysis from DENR-EMB recognized laboratory;
b) Approved Impact Mitigation Plan in the EIS/other EIS Update Documents; and
c) Approved Environmental Monitoring Plan in the EIS/other EIS Update Documents

PREPARED BY: NOTED BY:

_________________________ _________________________
Name/Position Name/Position

_________________________ _________________________
Proponent/Company Name Proponent/Company Name

_________________________ _________________________
Date Date