Title Page
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Site conducted
- Albion
- Baxter
- Beaman
- Brooklyn
- Garwin
- Gladbrook
- Grinnell
- La Porte City
- Malcom
- Melbourne
- Millersburg
- Newton
- Toledo
- Traer
- Van Horne
- Vinton
- Whitten
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Conducted on
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Prepared by
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If any "No" is checked, please indicate the area, tank number, product, and any corrective action taken to correct the condition in the "Comments" box at the end of this inspection.
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Are tanks free of damage and deterioration?
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Are tanks properly labeled and identified? [Labeling: serial number or other identifying code, product label, EPA establishment number and net contents.]
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Are all valves in good condition and show no signs of wetting, discoloration, corrosion, and leakage?
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Are all pipes free of damage and show no signs of wetting, discoloration, corrosion, or damage?
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Are all pipes properly supported?
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Are all valves closed and locked on the pesticide storage container(s) or the facility is locked whenever the facility is unattended?
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Are hoses free of signs of wetting, discoloration, blistering, bulging, cracks, or other signs of damage or leakage?
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Is containment free of cracks and in good condition? [Pesticides or pesticide residues must not escape the containment.]
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Is area clean and free of noticeable spills? [Cleanup must occur no later than the end of the day on which the pesticide was spilled or leaked.]
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Is containment free of excessive water accumulation?
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Are there any comments about this inspection?
Signature
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Inspector Signature
