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Application form Dumai Industrial Estate


Please fill in the form below

    1. GENERAL INFORMATION ABOUT THE COMPANY







    2. LAND REQUIREMENTS



    3. SCHEDULE OF IMPELEMENTATION (year)



    4. PROJECT DESCRIPTION

    4.1 Products

    Describe the product(s) to be produced, or service to be provided, and what
    they are used for, please specify the cargo flows (inbound and outbound) as detailed as
    possible.

    4.2 Production Capacity

    State the production capacity of the project for all product(s) and indicate
    the licensed capacity.



    If there is more than one entry, include a comma

    4.3 Schedule for Future Development

    Describe the schedule and facilities for any/all additional or future
    developments (f.e. expansion and/or other activities)


    If there is more than one entry, include a comma

    4.4 Proposed Markets

    Proposed markets for the product and/or service.



    4.5 Raw materials/ feedstock requirements

    Identify the principal feedstock requirements for the project



    If there is more than one entry, include a comma

    5. UTILITY DEMAND

    a.Power KVA


    b. Process Water m3/hr


    c.Sanitary Wastewater m3/hr


    d. Industrial Wastewater m3/hr


    e. Municipal Waste (e.g.office) (TPY)


    f. Inert Waste (e.g. glass, concrete) (TPY)


    g. Hazardous Industrial Solid Wate (TPY)


    h. Non – Hazardous Industrial Solid Waste (TPY)


    i. Industrial gases m3/hr


    j. Communications


    k. Others


    6. PORT FACILITY

    a.Loading



    b.Unloading



    7.ENVIRONMENT FORECAST


    This questionnaire has been designed to identify the important environmental issues related to
    proposed industrial facilities. The questionnaire is a screening tool only. If additional space is
    required to respond to the questions in this tabel, please add additional pages.

    7.1 Raw materials


    Describe process, delivery method, storage method (i.e open storage, shed container etc),
    disposal method.

    7.2 Hazardous Materials


    Describe name, use, delivery method, storage method, disposal method relating to all hazardous
    materials to be utilized by the proposed facility. Include fuels, oils, paints, coating
    materials, solvents, degreasing agents, cleaning materials, acids, alkalis, oxidizing agents,
    reducing agents, batteries, toxic compounds, refrigerants etc.

    7.3 Fossil Fuels

    Describe relating to processes using fossil fuels.

    7.4 Air Emissions

    Describe relating atmospheric emissions from point sources. Include all point sources such as
    stacks, vents, extraction
    hoods, ducts, etc… Emission components should include any emissions that may comprise combustion
    gases, particulate emissions, volatile organic compounds, acid gasses, fumes, visible emissions
    and odors.

    7.5 Effluent Discharges

    Describe relating to effluent discharges. Include all discharges of industrial wastewater,
    liquid effluents and pretreatment methods, if any.

    7.6 Waste

    Describe relating to the production, storage and disposal of all solid, sludge and liquid
    wastes.

    7.7 Noise

    Describe relating to sources of noise from the facility.

    7.8 Additional info

    Describe relating additional info (if any).