Quarterly Environmental Audit Test

Cover Page

• Select date

  Date

• Facility Name

  Select Midway Elk Hills Belridge Hwy 65 Kern River San Ardo Coalinga Ventura

  • Midway
  • Elk Hills
  • Belridge
  • Hwy 65
  • Kern River
  • San Ardo
  • Coalinga
  • Ventura
• Address
  Address

• Date of Last Quarterly Audit

  Date

• Lob and yard #

• Date of Last Environmental Resource Team Audit?

  Date

• Auditor(s)

  Select Audrea Estrada

  • Audrea Estrada

• Safe

  At Risk

  N/A

Facility Information

• For each item that is applicable to your facility complete the related sections on the following pages. If a section is not applicable to your facility, check N/A.

• Fuel / Oil Storage

  Yes

  No

  N/A

• Painting

  Yes

  No

  N/A

• Sandblasting

  Yes

  No

  N/A

• Equipment Maintenance

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Ff

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Waste Management

Auditor

• Yes

  No

  N/A

• Aerosol

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A