Title Page
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Client / Site
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Conducted on
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Location
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Is all hazardous waste stored in a covered, secured area with secondary containment?
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Is secondary containment clean and dry with no evidence of leaking?
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Is all hazardous waste in the area tightly closed, labeled correctly and dated?
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Are all waste containers (drums, boxes, pails etc.) in good condition with no signs of leaking or deterioration?
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Are there any drums dated longer than 90 days?
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Is the accumulation area free of trash and debris?
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Are emergency contact numbers posted in the waste accumulation area?
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Are there alarms and/or emergency communication devices in the area?
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Is there a fire extinguisher and spill kit in the area? Are they clearly accessible?
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Is there adequate aisle spacing for inspection?
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Were there any deficient findings?
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Signature