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Facility Inspection Checklist - Updated

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FACILITY INSPECTION CHECKLIST

PCO Training Workshop

JUNE 03, 2022

This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to
current activities. The inspection shall be completed in all areas of the facility, including warehouse and office areas as it
is applicable. Issues shall be summarized on the last page.

NAME OF ESTABLISHMENT: RFF Gasoline and Service Station

LOCATION OF ESTABLISHMENT: KM 47 Gov. Drive Brgy. Mabuhay Carmona, Cavite

DATE CONDUCTED/INSPECTED: June 03, 2022

NAME OF PARTICIPANT (PCO): Faith Joy C. Bolivar

Permit and
Sources of Pollution Quantity Specifications Specifications Findings/Observations/
Remarks
(Yes/No)

Name of Facilities Inspected

Gensets (standby) No

Wastewater sources (supply) 1 Septic tank Good

Wastewater treatment 1 For cleaning


facilities/Sewage treatment plant

Effluent discharges (quantity/quality No

Boilers (HP) 1

Grease Traps 1

Solid waste generation 3 tons every 6 Properly segregate before


months disposal

Community Complaints No

Others

Management Plans

Current practices Proper segregation of waste

Corrective actions Scheduling of garbage


hauling

PLEASE EMAIL US THIS ACCOMPLISHED FORM BACK at


prismfacilitychecklistform@gmail.com

1. Vicinity/sketch or layout of facility.

2. Photo-documentation of the site.

3. Brief site description, location or landmark.

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