(0"",,"1;"" C"h"d.

lisl
Ri"". <-",OJ.1'""<1mill

Republic of the Philippines

Department of Environment and Natural Resources
ENVIRONMENT AL MANAGEMENT BUREAU
Region

INSPECTION
CHECKLIST
(Rice/Corn Feed Mill)

A. Date and Time of Inspection:

B. Name of Inspector:
C. Company's General Information:
Name of Firm :
Plant Address: Tel. No.:
Industry Type: Nature of Business:
Date Established: No. of Employees:
Resident Manager: PCO :-
Latest Permit No. Valid Until:
Responsible Persons Contacted during Inspection:
Name: Position:
Name: Position:
Purpose of Inspection:
( ) for permit issuance ( ) investigation of complaint ( ) routine inspection
( ) renewal ( ) others, specify:
( ) new permit

Quantit

E. L" fE -..,-_,..____n-
" " slS___-on _n-
/Machi _nn__- dC__nn_-I -Facir
_mo--_.
"
No. of Units Equipment/Sources' Description & Specifications Type of Control Facilities

F. Status of operation during inspection:

( ) Not operating Why?
( ) Below rated Capacity State Production Output (Kgslhr.)
( ) Rated Capacity State Production Output (Kgs./hr.)

G. What is the Drive of the Mill equipment?

( ) Electric
( ) Boiler
( ) Type of Fuel used - Fuel Consumption (units /hr.)
( ) Type of Control Facility
( ) Mechanical Motor (state the brand and model)
( ) Type of Fuel used Fuel Consumption (units/hr.)
Insp.:di,,,, Cch.:c~lisl
Ricc. Com .1'.:.:(\ mill

( ) Type of Control Facility

( ) volume of waste oil generated (li/yr)
Mode of storing waste oil
Describe how it is being disposed:

H. What is the status of the drive's noise emission? ( ) very noisy but confined within the mill
() minimal noise within the mill () very noisy even outside the mill () minimal noise
outside the mill

I. Status of the drive's air emission (based on the Ringelmann Chart)

( ) Below shade No. I
( ) Shade NO.1
( ) Below Shade No.2
( ) Shade NO.2 and above (state time duration)

J. Status of its Cyclone Serving the Polisher

K. Status of air emission from the Cyclone

L. Describe the present state of the Storage Bin serving the Huller (What it is made of? , Is it
elevated from the ground? Appropriate enclosed? With breathers?

M. Status of the Rice hulls inside the compound? ( What is the height?, Is it level to the ground?
Estimated volume?

N. How are the excess Rice Hulls being disposed of?

O. With P/O-A issued on valid until , ( ) without P/O-A,

( ) with expired P/O-A expiry date

P. Is there any violation ofR.A 8749? (State the provisions/Section)

Q. Remarks: (State your own comments relative to the operation such as but not limited to PAB
case, compliance to commitment, etc.. State the comments made by the contact persons who
should be identified in the report)

Name and Signature of the Inspector