Title Page
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Facility/Room
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Conducted on
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Prepared by
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Location
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Do we have a permit for fossil fuel burning comfort-heating units at my facility?
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Do we have a permit for permanent generators, turbines or internal combustion engines with a power output > 150 horsepower?
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Do we have a permit for incinerators at my facility?
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Do we coordinate all refrigeration/air conditioning work with the Facilities & Services Refrigeration Shop?
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Have we notified Facilities & Services Refrigeration Shop of all refrigeration/air conditioning units on site that have a capacity of ≥ 50 lbs?
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Do we have a permit for my facility to conduct open burning?
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Do we have a permit for large scale printing operations at my facility?
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Do we have a permit for degreasing operations at my facility?
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Are degreasers closed when not in use?
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Do we have a permit for a coating line at my facility that uses products that contain volatile organic materials/compounds?
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Do we have a permit for electroplating, anodizing or electropolishing tanks?
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Do we have a permit to melt or die cast metals?
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Do we have a permit to melt or apply wax?
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Do we have a license to apply adhesives within the facility?
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Do we have a permit for extruders for metals, minerals, plastics, rubber or wood?
Sign off
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Name of inspector
