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Inspection Checklist Stream Haven Water Refilling Station

This checklist documents a virtual inspection of the Stream Haven Water Refilling Station in Oas, Albay. The inspection found the station to be compliant with all requirements, including having a valid water test, pictures showing the water source, exterior, purification equipment, protective gear, sealing devices, cleaning supplies, and a video demonstrating operations. The inspection was conducted by engineers Engr. Lea Angela P. Romero and Ar. Jason Jesus M. Llamasares on March 13, 2023.

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Jeddcedric Rempillo
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836 views1 page

Inspection Checklist Stream Haven Water Refilling Station

This checklist documents a virtual inspection of the Stream Haven Water Refilling Station in Oas, Albay. The inspection found the station to be compliant with all requirements, including having a valid water test, pictures showing the water source, exterior, purification equipment, protective gear, sealing devices, cleaning supplies, and a video demonstrating operations. The inspection was conducted by engineers Engr. Lea Angela P. Romero and Ar. Jason Jesus M. Llamasares on March 13, 2023.

Uploaded by

Jeddcedric Rempillo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Health
B i co l C en t er fo r H ea l th D ev e l opm e n t
O F F IC E O F T HE R E G I ON A L D IR E C T O R

Checklist for Virtual Inspection for Operational Permit of


Water Refilling Station

Name of Water Refilling Station: Stream Haven Water Refilling Station


Address: Purok 3 Obaliw – Rinas, Oas, Albay
Date: March 13, 2023

Requirements Compliant Remarks


1. Picture of valid microbiological and physio- ✔
Chemical test.
2. Picture of water source. ✔
3. Picture of exterior of water refilling station. ✔
4. Picture of purification device/machine. ✔
5. Picture of PPEs (face shield, face mask, hairnet,
gloves and waterproof apron) for personnel. ✔
6. Picture of Hot air gun for sealing of cap and ✔
faucet of water container.
7. Picture of Brush or sponge for cleaning the ✔
water containers.
8. Picture of Soap for cleaning of water ✔
containers.
9. Video walkthrough of the water refilling ✔
station, video demonstrating the operation of
purification device/machine and washing,
refilling and sealing of containers.

Inspected By:

ENGR. LEA ANGELA P. ROMERO


Engineer III

AR. JASON JESUS M. LLAMASARES


Licensing Officer I

Received By:
_________________________
Signature over Printed Name

Legazpi City * Trunk line (052) 2040050, 2040040, 2040090, 7421731*


Website: http://www.ro5.doh.gov.ph * email address: records@bicol.doh.gov.ph

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