| MANILA WATER COMPANY, INC. |  | | ☐ OFFERED/PROGRAMMED | |
| MWSS Administration Building | | ☐ REQUESTED | |
| 489 Katipunan Road, Balara, Quezon City 1105 | | | | | | | | | | | | | | |
| Customer Service Hotline 1627 | www.manilawater.com | | | | | | | | | | | | | | |
| SEPTIC TANK DESLUDGING JOB ORDER AND MANIFEST FORM |
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| BUSINESS AREA | | | MRU | | | DMZ | | | BZ | | | JOB ORDER NO. |
| DATA PRIVACY CLAUSE |
| All answers to this form will be treated with full confidentiality in accordance with the Data Privacy Act of 2012 (RA 10173). Information about you that will be collected will be aggregated and will only be accessible to Manila Water Company, Inc. (MWCI), Metropolitan Waterworks and Sewerage System - Regulatory Office (MWSS-RO), Metropolitan Waterworks and Sewerage System - Corporate Office (MWSS-CO), Department of Health (DOH) and its respective line and attached agencies, Department of Environment and Natural Resources (DENR) and its respective line and attached agencies, and to the Local Government Unit (LGU) with jurisdiction over your establishment. Names and other unique identifiers will neither be released publicly nor shared with unauthorized third parties/entities. | |
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| CUSTOMER INFORMATION | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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| OWNER NAME | | ADDRESS (STREET ADDRESS , BARANGAY , MUNICIPALITY, ZIP CODE) |
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| OWNER CONTACT NO. | | CONTRACT ACCOUNT NO. | | SEPTIC TANK IDENTIFIER | | RATE CODE | HH | ST | WSC | |
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| DATE LAST DESL. | | LOCATION OF ST | | DIST. TO ACCESS ROAD | | ACCESS THROUGH | | |
| ☐ | OFFERED/
PROGRAMMED | | | | |
| LAST DESL. DONE BY | ☐ | REQUESTED | | | |
| | | | | | | | | | | | | | | REMARKS FOR SCHEDULING | | |
| OPERATION INFORMATION | | |
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| DATE ISSUED | | SCHEDULE OF DESL. | | JOB COMPLETED (Y/N)? IF N, WHY? | | SKETCH |
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| ACTUAL DESL. DATE | | DEPARTURE TIME | | ARRIVAL TIME | | START | | FINISH | | INIT. ODOMETER | | FINAL ODOMETER |
| | | | | | | | FROM FACILITY TO SITE | | DESLUDGING TIME | | | | | | | | | | | | | |
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| INITIAL | | FINAL | | VOL. HAULED | | INITIAL ST DEPTH | | FINAL ST DEPTH | | COMPUTED ST AREA | | COMPUTED ST VOL | | DEPARTURE TIME | | ARRIVAL TIME | |
| TRUCK VOLUME | | | | | | | | | | | | | | | | | | | | | | FROM SITE TO FACILITY | |
| INSPECTION AND ACCEPTANCE (JOB SITE) |
| I have read this form and understand its content and voluntarily give my consent for the collection, use, processing, storage and retention of my personal data or information to Manila Water Company, Inc. (MWCI) for the purpose of availing desludging services. I also understand that my consent does not prevent the existence of other criteria for lawful processing of personal data and does not waive any of my rights under RA 10173 – Data Privacy Act of 2012 and other applicable laws. | ☐ AGREE | |
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| ☐ DISAGREE | |
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| NAME AND SIGNATURE OF OWNER/AUTHORIZED REPRESENTATIVE | | CONTACT NUMBER |
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| NAME AND SIGNATURE OF DESL. HELPER | | NAME AND SIGNATURE OF DESL. DRIVER | | DRIVER'S LICENSE NO. | | PLATE NO. | | VEHICLE TYPE |
| INSPECTION AND ACCEPTANCE (DISPOSAL SITE) | DATE OF ACCEPTANCE | | |
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| DAY TRIP NUMBER | | START | | END | | INITIAL | | FINAL | | VOL. DISPOSED | | NAME AND SIGNATURE OF PERSONNEL |
| | | | DISPOSAL TIME | | FLOW METER READING | | | | | | | | | | | | | | | | | |
| TREATMENT DESTINATION |
| FACILITY NAME AND ADDRESS: | ☐ | | San Mateo (North) Septage Treatment Plant, Abuab I St., Brgy. Gitnang Bayan II, San Mateo, Rizal |
| ☐ | | FTI (South) Septage Treatment Plant, Langka cor Rambutan Rds., FTI Complex, Brgy. Western Bicutan, Taguig |
| TYPE OF TREATMENT: | | | Screw Press Dewatering and Conventional Activated Sludge Treatment |
| This also serves as the CERTIFICATE OF TRANSPORT and CERTIFICATE OF TREATMENT of the hauled sludge from your establishment, in compliance with the provisions of Chapter XVII of Code on Sanitation of the Philippines (PD 856). | |
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