Republic of The Philippines

City Quezon
Barangay Sto. Niño
ENVIRONMENTAL PROTECTION AND WASTE MANAGEMENT DEPARTMENT

QC ENVICODE NOTICE OF VIOLATION

NAME____________________________________ District_________________________
MIDDLE NAME_____________________________ Date __________________________
SURNAME________________________________
BUSINESS NAME_____________________________________________________________________________________
ADDRESS____________________________________________________________________________________________
Based on the ocular inspection and/or monitoring conducted by this office on this ______________ day of
________________________, 2017 in your vicinity, we found out that you have committed the following violation/s against SP2350
s. 2014:

[ ] Dirty Premises (Chap. IV Sec. 2) [ ] Unsegregated electronic waste (Chap. IV Sec. 5i)
[ ] Dirty vacant lot (Chap. IV Sec. 3a) [ ] Open burning (Chap. IV Sec. 10)
[ ] Garbage dumped on vacant lot (Chap. IV Sec. 3b) [ ] No environmental clearance (Chap. IV Sec. 12a)
[ ] Non-segregation of waste at source (Chap. IV Sec. 4a) [ ] No septic tank ((Chap. IV Sec. 12d)
[ ] No proper garbage storage area (Chap. IV Sec. 4c) [ ] No parking area (Chap. IV Sec. 12e)
[ ] Waste out not in front of premises (Chap. IV Sec. 4f) [ ] No proper signboard (Chap. IV Sec. 12f)
[ ] Improper disposal of tree cuttings (Chap. IV Sec. 5c) [ ] No Environment Friendly Notice (Chap. IV Sec. 14a)
[ ] Unsegregated busted fluorescent & spent batteries (HHW) (Chap. IV Sec. 5e)
[ ] others _________________________________

In view whereof, you are advised to comply or cause the removal/clearing of the violation within:
[ ] 24 Hours [ ] 48 Hours [ ] 72 Hours
Our Environment Enforcers and Inspectors will be in your vicinity to issue Environmental Violation Receipts (EVR’s) for your
violation of the provision on the above-mentioned ordinance after the indicated grace lapsed.
For your information
Remarks: ______________________________________
_____________________________________
_______________________________
Enforcer/Inspector
Received by: ___________________________________
Date received: _________________________________

Republic of The Philippines

City Quezon
Barangay Sto. Niño
ENVIRONMENTAL PROTECTION AND WASTE MANAGEMENT DEPARTMENT

QC ENVICODE NOTICE OF VIOLATION

NAME____________________________________ District_________________________
MIDDLE NAME_____________________________ Date __________________________
SURNAME________________________________
BUSINESS NAME_____________________________________________________________________________________
ADDRESS____________________________________________________________________________________________
Based on the ocular inspection and/or monitoring conducted by this office on this ______________ day of
________________________, 2017 in your vicinity, we found out that you have committed the following violation/s against SP2350
s. 2014:

[ ] Dirty Premises (Chap. IV Sec. 2) [ ] Unsegregated electronic waste (Chap. IV Sec. 5i)
[ ] Dirty vacant lot (Chap. IV Sec. 3a) [ ] Open burning (Chap. IV Sec. 10)
[ ] Garbage dumped on vacant lot (Chap. IV Sec. 3b) [ ] No environmental clearance (Chap. IV Sec. 12a)
[ ] Non-segregation of waste at source (Chap. IV Sec. 4a) [ ] No septic tank ((Chap. IV Sec. 12d)
[ ] No proper garbage storage area (Chap. IV Sec. 4c) [ ] No parking area (Chap. IV Sec. 12e)
[ ] Waste out not in front of premises (Chap. IV Sec. 4f) [ ] No proper signboard (Chap. IV Sec. 12f)
[ ] Improper disposal of tree cuttings (Chap. IV Sec. 5c) [ ] No Environment Friendly Notice (Chap. IV Sec. 14a)
[ ] Unsegregated busted fluorescent & spent batteries (HHW) (Chap. IV Sec. 5e)
[ ] others _________________________________

In view whereof, you are advised to comply or cause the removal/clearing of the violation within:
[ ] 24 Hours [ ] 48 Hours [ ] 72 Hours
Our Environment Enforcers and Inspectors will be in your vicinity to issue Environmental Violation Receipts (EVR’s) for your
violation of the provision on the above-mentioned ordinance after the indicated grace lapsed.
For your information
Remarks: ______________________________________
_____________________________________
_______________________________
Enforcer/Inspector
Received by: ___________________________________
Date received: _________________________________