FILLING INSTRUCTIONS

REGISTRATION IN THE REGISTER OF ACTIVITIES CAPABLE OF DEGRADING THE ENVIRONMENT IN THE

ACTIVITY OF GENERATING MATERIALS, HAZARDOUS WASTES, ATMOSPHERIC EMISSIONS
LIQUID EFFLUENTS.
Page 1 of 2
Nombre del Formulario:INSCRIPCIÓN EN EL REGISTRO DE ACTIVIDADES CAPACES DE DEGRADAR EL AMBIENTE EN LA ACTIVIDAD DE GENERACIÓN DE
MATERIALS, HAZARDOUS WASTES, AIR EMISSIONS, AND LIQUID EFFLUENTS.
Code: F: OPP/DO/001/V1/08-2016
Dependency: General Directorate of Environmental Quality Management
Objective: To register in the Register of Activities Capable of Degrading the Environment (RACDA) the Companies Generating Materials, Hazardous Waste, Emissions
Atmospheric and Liquid Effluents.
Carefully read the instructions and fill in each of the fields presented below.
1. COMPANY DATA
No. Fields Description
1.1 Name or Business Name: Indicate the name or the Corporate Name of the Company.

1.2 Ref: Please indicate the company's Rif number.

Domicilio Fiscal: Estado/ Ciudad/ Municipio/ In the Tax Address field, fill in the subfields: state, city, municipality, sector, number of
Sector/ Teléfono(s)/ Fax/ Correo telefono, número de fax, correo electrónico, área total (m2),área construida (m2), área de
1.3 Electronic/Total Area (m)2) / Built Area open-air activities of the company.
(m2/Open Air Activities Area (m2):

Land Use Zoning where Mark with an (X) in the corresponding box the Land Use Zoning where it is located.
1.4 the Company.
the Company:
Otros (Especifique): Indicate another land use zoning where the company is located, as stipulated by the
1.5 zoning of the authority that defines the land use planning of its municipality and state entity.

2. DETAILS OF THE LEGAL REPRESENTATIVE

2.1 Surnames and Names: Write the Last Names and First Names of the Legal Representative.

2.2 Identity Card: Write the Identity Card of the Legal Representative.

2.3 Cargo: Write the position you hold in the company.

2.4 Fax: Please write the company's Fax number.

2.5 Teléfono(s): Write the company's phone number.

2.6 Correo Electrónico: Write the email of the legal representative.

3. COMPANY DOCUMENTS AND PERMITS

Commercial Register: Please indicate the name of the Articles of Incorporation, number, and date of creation assigned to you by the
3.1
Commercial Registry of your Jurisdiction
Last Assembly: Señale el nombre de la Última Asamblea, la fecha en que se realizó y el número que le fue
3.2
assigned by the Mercantile Registry of your jurisdiction.
Conformidad de Uso / Número / Fecha: Indicate the permit granted by the competent authority for the use of spaces or occupation of
3.3 according to the activity carried out, the number of the assigned permit and the date it was granted to you
granted.

4. BUSINESS ACTIVITY
(According to the 'International Standard Industrial Classification of All Economic Activities' by the United Nations).

4.1 Title: Write the name or the business name of the Company.
Description of the Type of Process: Describe the type of process involved in the activity of generating materials, waste.
4.2
dangerous, atmospheric emissions and liquid effluents.
Please attach Flowchart and Descriptive Memory for each process.
4.3 Raw Materials Used
Basics / Secondary: Mark with an (X) in the corresponding box if the raw materials used are basic or
4.3.1 secondary schools.
4.3.2 Tipo de Sustancia: Indicate the type of substance.

4.3.3 Nombre Técnico / Nombre Comercial: Indicate the technical or commercial name of the substance.

4.3.4 Dangerousness Characteristics: Indicate the hazardous properties of the substance.

4.3.5 Monthly Quantities (Units): Indicate the monthly quantities in units of the substance.
 4.4 Processed Products
4.4.1 Nombre Técnico / Nombre Comercial: Indicate the technical or commercial name of the product made.

4.4.2 Use(s): Indicate the use or uses that the produced product will have.

4.4.3 Monthly / Annual Production: Indicate the monthly and/or annual production of the manufactured product.

4.5 Supply Sources

Public Network / Deep Well / Surface Water / Mark with an (X) in the corresponding box the sources of supply of the Company.
4.5.1
Springs:
4.5.2 Others (Please specify): Indicate any other source of supply used by the company.

4.6 Fuels and Solvents Used

4.6.1 Technical Name / Commercial Name: Indicate the technical or commercial name of the fuel and/or solvent used.

4.6.2 Type of Containers: Indicate the type of container used for the storage of fuels and solvents.

4.6.3 Volumen Almacenado (Lts): Indicate the stored volume in liters of the specified fuels or solvents.

4.6.4 Volume Used (Lts/Month): Indicate the volume used in liters per month of the indicated fuels or solvents.

4.6.5 Volumen Utilizado (Lts/Año): Indicate the volume used in liters per year of the indicated fuels or solvents.

5. TYPES OF POLLUTION GENERATED BY THE PRODUCTIVE SYSTEM

Desechos Peligrosos / Desechos No Peligrosos Marque con una (X) en la casilla correspondiente el tipo de contaminación que genera el sistema
5.1 / Atmosférica / Efluentes Líquidos / Ruidos: productive.

According to the type of contaminant indicated in the previous step, please attach a descriptive report: waste flow from processes (points within the
procesos productivos donde se generan desechos), N° y tipo de desecho de las corrientes. Complete la información con un diagrama de flujo).

5.2 Hazardous Waste

Please attach a Descriptive Memo that indicates the waste streams.
Características: Fill in the following table according to the characteristic of each hazardous waste that you indicate.
5.2.1
same.
5.2.2 Identification: Write the name that identifies the hazardous waste you wish to register.
Estado Físico: Mark with an X (X), if the type of waste is present in solid (S), liquid (L) or
5.2.3
gaseous (G).
5.2.4 Volumen Generado por Mes: Indicate the volume generated monthly, according to the hazardous waste mentioned.

5.3 Management
Fill in the following table according to the management terms requested below.
for each hazardous waste that I indicate in it.
Cantidad Almacenada (Unidad): Indicate the quantity stored by units, according to the hazardous waste to which it refers.
5.3.1 mention.
5.3.2 Storage Location: Mention the temporary storage site of hazardous waste.

5.4 Storage Methods

Mark with an X, the storage methods used for hazardous waste,
whether on a shelf or in orderly stacking.
On Shelf:
If you selected the shelf option, mark with an X if it is in static storage or
5.4.1 Static Storage / Storage
mobile.
Mobile:
In Ordered Stacking: Storage If you selected the organized stacking option, mark with an X if it is floor storage or
5.4.2 to the Floor /Stacked Block System: with a system of stacked blocks.

5.5 Recovery or Recycling

On Behalf of the Company Mark with an X in the corresponding box if the waste recovery or recycling
5.5.1 Handler: It is dangerous on the part of the company or it is carried out by a managing company.

Please attach the methodology used for this purpose.

5.6 Treatment
SI / NO: Mark with an X in the corresponding box if you perform the pre-treatment or treatment.
5.6.1 before being stored or transported.

5.6.2 Type of Treatment Performed: Describe the type of treatment that is applied to hazardous waste.

Please attach the methodology used for this purpose.

 5.7 Transport
Carried out by the Company / Contractor Mark with an X in the corresponding box if the transportation of hazardous waste is
5.7.1 Authorized for Waste Management: carried out by the company or if it hires authorized companies for waste management.

5.8 Final Provision

5.8.1 Site of the Final Disposition: Write the site or place for the final disposal of hazardous waste.
Number of the Authorization Resolution for the Indicate the providence number of the authorization for the handling of hazardous waste.
5.8.2 Management:

5.8.3 Methodology for Final Disposal: Indicate the methodology for the final disposal of hazardous waste.

Indicate any other information that complements everything related to the generation and handling of hazardous waste of the Company.
5.9 Non-Hazardous Waste
Características: Fill in the following table according to the characteristic of each non-hazardous waste referred to
5.9.1 mention.
5.9.2 Identification: Indicate the name of the non-hazardous waste managed by the Company.

5.9.3 Cantidad Generada Mensual: Mention the monthly amount of non-hazardous waste generated.

5.9.4 Cantidad Generada Anual: Mention the annual amount generated of non-hazardous waste.

5.9.5 Volume: Mention the volume of non-hazardous waste.

Cantidad Almacenada (Unidad): Indicate the amount stored by units, according to the non-hazardous waste to which it refers.
5.9.6
mention.
5.9.7 Storage Place: Indicate the temporary storage location for non-hazardous waste.

5.10 Storage Methods

Mark with an X (X) the storage methods used for hazardous waste,
whether on a shelf or in organized stacking.
On Shelf: If you selected the shelving option, mark with an X, if it is in static storage or
5.10.1 Static Storage / Storage mobile.
Móvil:
In Ordered Stacking: Storage If you selected the ordered stacking option, mark with an X, if it is floor storage or
5.10.2 The Floor / Stacked Block System: with a stacked block system.

5.10.3 Treatment: Describe in detail the treatment given to non-hazardous waste.

5.10.4 Final Disposition:

Controlled Open Dump / Mark with an X in the corresponding box if the final disposal of the waste does not
5.10.5 Open Uncontrolled Sky / Filling dangerous takes place in a controlled open-air landfill, in an uncontrolled open-air landfill not.
Sanitary: controlled or in a landfill.

5.11 Gas or Particle Emissions

The Company emits Gases or Particles: Mark with an X in the corresponding box if the company emits gases or not
5.11.1 particles.
Through: If affirmative, mark with an X in the corresponding box, if the issuance of
5.11.2 gases or particles are through circular duct or rectangular duct.

5.11.3 Tipo de Gas: Indicate the type of gas emitted by the Company according to its use.

5.11.4 Quantity: Indicate the amount of gases emitted by the Company.

5.11.5 Altura (m): Indicate the height (m) that gas emissions reach.

5.11.6 Diameter (m): Indicate the diameter (m) that the gas emissions produce.

5.12 Emission Specifications

5.12.1 Características: Indicate the characteristics of the emissions to which it refers.

5.12.2 Composition: Indicate the composition of the emissions referred to.

5.12.3 Velocidad de Salida (m/s): indicate the exit velocity of the emissions.

5.12.4 Temperatura de Salida (°C): Indicate the outlet temperature of the emissions.

5.12.5 Flujo Volumétrico (m3/h): indicate the volumetric flow of the emissions.

5.12.6 Concentration (mg/m3): indicate the concentration of the emissions.

5.12.7 Tasa de Emisión (Kg/h): indicate the rate of emissions.

 5.13 Used Equipment for Air Pollution Control
5.13.1 Type: Indicate the type of equipment used for air pollution control.

5.13.2 Model: Indicate the model of the equipment used for air pollution control.

5.13.3 Brand: Indicate the brand of the equipment used for air pollution control.
Installed: Indicate whether the equipment used for air pollution control was installed or not.
5.13.4

In Process: Indicate if the equipment used for atmospheric pollution control is in process of
5.13.5 installation.
Installation Date: Indicate the installation date of the equipment used for air pollution control.
5.13.6

Eficiencia Real (%): Indicate the actual efficiency percentage of the equipment used for pollution control.
5.13.7 atmospheric.
Eficiencia Teórica (%): Indicate the theoretical efficiency percentage of the equipment used for pollution control.
5.13.8 atmospheric.

Specify the chemical substance(s) emitted into the atmosphere, taking into account the list outlined in Article No. 17 of Decree 2.225.
published in Official Gazette No. 4,418 dated 04/27/92. To complete the information, attach a general diagram of the facility indicating the location of
the sources or processes that generate pollutant emissions into the atmosphere, as well as the existing chimneys or ducts, identified with the number
placed in the corresponding box for 'Emission Specifications'. installed control equipment and those in the process of installation.

5.14 Liquid Effluents

5.14.1 Tipo de Efluentes: Indicate the types of effluents generated by the activities carried out by the company.

5.14.2 Method of Collection of the Effluents: Mention the method or way of collecting the effluents.
Total Volume of Discharged Sewage Indicate the total volume of sewage discharged by the effluents.
5.14.3 for the Effluents:
5.15 Characteristics of the Effluent
Indicate the characteristics of the effluent being referenced.

5.16 Place Where the Effluent is Discharged

Is the effluent discharged into a body of water? Mark with an X in the corresponding box if the effluent is discharged or not into the body.
5.16.1
of water.
Name of the Body of Water Where it If the answer is affirmative, write the name of the effluent where the body is discharged.
5.16.2 Download: of water.
Does it have a sewer system? Mark with an X in the corresponding box if the effluent has a sewer system.
5.16.3

5.16.4 Other (Specify): Indicate any other sewer system that the company has.

5.17 Effluent Treatment

Does the company have a treatment system? Mark with an X in the corresponding box if the company has a system or not.
5.17.1
treatment.
Name of the Treatment System Used: If the answer is affirmative, write the name of the treatment system used by
5.17.2 the company.
5.17.3 Do they generate sludge? Mark with an X in the corresponding box if the company generates sludge or not.

5.17.4 Tipo de Lodos: If the answer is affirmative, select the type of sludge generated by the company.

5.18 Levels of Ambient Noise

Do they measure noise levels? Mark with an X in the corresponding box if the company measures or does not measure the levels of
5.18.1 ambient noise.
5.19 Magnitude of Ambient Noise Levels
If the answer is affirmative, write according to the schedule the magnitude of the levels of
ambient noise.
5.19.1 Daytime Schedule (Decibels): Indicate the level of environmental noise in decibels during the daytime.

5.19.2 Horario Nocturno (Decibeles): Indicate the ambient noise level in decibels during the nighttime hours.
Fixed Sources of Ambient Noise within the Indicate the fixed sources of environmental noise that exist within the company.
5.19.3
Company:
Distance to the Nearest Population Indicate in kilometers the distance from the nearest town to the company's location.
5.19.4
Company Location (Km):
 GLOSSARY

Open-Air Activities Area They are operating activities without coverage, and include storage area, treatment system, etc.
Open:
Waste: Material, substance, solution, mixture, or object for which no immediate destination is foreseen and must be eliminated or disposed of.
permanent form.
Hazardous Waste: Simple or compound material, in solid, liquid, or gaseous state, that has hazardous properties or is made up of
dangerous substances that retain or do not retain their physical, chemical, or biological properties and for which there is no use found.
a fine disposal method must be implemented. The term includes the containers that contain them or have contained them.

Final Disposal of Waste permanent deposit operation that minimizes the chances of migration of the components of a
Dangerous: hazardous waste to the environment, in accordance with the technical regulations governing the matter.

Recycling of Materials the use of recoverable hazardous materials to be reused as useful matter, in order to obtain products that can
Dangerous to be similar to the original product or not.

Material Recovery operations or processes that include the collection, transport, storage, treatment or transformation of materials
Dangerous: dangerous for reuse, recycling, or recovery.
Substance: Any element or chemical compound in physical state, solid, liquid, or gaseous that presents its own characteristics.

Hazardous Substance: Liquid, solid, or gaseous substance that has explosive, flammable, reactive, corrosive, combustible characteristics.
radioactive, harmful biological substances in quantities or concentrations that pose a risk to health and the environment.

Waste Treatment the operations carried out with the aim of minimizing or eliminating some of the hazardous characteristics of the waste for the purposes of
Dangerous: facilitate its handling.

Collection: Operation carried out using mechanical or manual means, involving hazardous materials and waste.
Transport: Vehicle used for transport via water or land.
Storage: Understand the deposit of hazardous substances and the temporary storage for hazardous materials and waste, without it being
it contemplates no form of treatment or induced transformation of the materials and waste stored under conditions
controlled and environmentally safe.
Treatment: Operations carried out in order to minimize or nullify some of the hazardous characteristics of the waste to facilitate its
management.
Recovery: Operations or processes that involve the collection, transportation, storage, treatment, or transformation of materials
dangerous for reuse, recycling, or utilization.
Deletion Process of transformation of hazardous waste, prior to final disposal, whose purpose is not the recovery of any.
neither of its components, nor of its energy content, nor lead to the recovery of the resulting elements.

Final Provision: Operation that allows minimizing the possibilities of migration of the components of a hazardous waste to the environment
permanently, in accordance with the established regulations.
Sanitary Landfill: Place designated for the final disposal of waste or garbage.