COOPERATIVE DEVELOPMENT AUTHORITY

STATUS REPORT OF INSPECTION CONDUCTED

As of __May 2016___________________

CDA-PL-WFPIS-FR-028
Rev.2
Effectivity Date: March 13,2015

Name of Inspector: Yvonne D. Gulosino

Naga Extension Office
Name of Cooperative: Colorado Small Scale Mining Producers Cooperative
Address: _Brgy. Syndicate, Aroroy, Masbate
Date of Inspection: Sept. 8, 2015
SEQ.NO.

FINDINGS (ITEMIZED)
(2)

(1)

Non-operating/Non
compliance of
Mandatory reports.
Last
yr.findings/violations22
This yr. findings 62

Date of Follow-up:May 16, 2016

RECOMMENDATION
ACTION TAKEN BY
THE
COOP AFTER
( 3)
INSPECTION
(4)

For
Authoritys
action

No Action

(use another sheet if necessary)

STATUS
(5)

RECOMMENDATION
BASED ON ACTION
TAKEN (6)

No action

Instruction:

Legend:

This form shall be accomplished by the CDS II

after the inspection to be submitted to the SEU

Status:

closed

Column 1 to 3 shall be accomplished by the

first inspector

On-going

Column 4 to 6 to be accomplished by the next inspector who will

monitor the status of the findings/ action taken

No- action

Prepared by:
Yvonne D. Gulosino
CDS II
___________________
Date Signed

Reviewed by:
________________
SEU
_________________
Date Signed

Monitored by:
_______________________
CDS II
_______________________
Date Signed
_