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Address: <br />City/State: <br />®RUM STORAGE INSPECTION <br />Are all wastes stored in a clearly labelled <br />drum? <br />Are the drums located in a secure place <br />not accessible by the pubic? <br />Is the drum completely closed, including: <br />closed lid? <br />metal band with secured bolt? <br />securely closed bungs/caps? <br />No funnels or other devices attached? <br />Is there a Hazardous Waste Label on the <br />drum? <br />Is the Hazardous Waste Label completely <br />filled out? <br />Does the drum have Secondary <br />containment? <br />If yes to the above, is secondary <br />containment free of liquid? <br />BATTERY STORAGE INSPECTION <br />Yes No <br />Are all used batteries stored indoors on an <br />impervious surface: <br />Are all new batteries stored indoors? <br />Monday Date: <br />WEEKLY MATERIALS INSPECTION FORM Inspected by: <br />Signature: <br />Battery Notes <br />& Resolution: <br />file: Environmental Law/Forms/i-lazardous Materials Weekly Inspection Form <br />REV 07/2011 <br />Ll <br />Notes & Resolution <br />a <br />Y <br />02 <br />Lm <br />V w <br />°` <br />o <br />O <br />Examples: <br />Qc <br />I! r <br />�o` <br />"contacted waste vendor for pick-up; <br />V 4 <br />® m 0 <br />a <br />t <br />g <br />" replaced missing bungicap; <br />m <br />"put new label on drum <br />® <br />j <br />x <br />x <br />Yes No Yes No <br />Yes No Yes No <br />Yesl No <br />Yes No Yesl No <br />p <br />m <br />o <br />d <br />w <br />� <br />m <br />� <br />� <br />e <br />W <br />o <br />c <br />U <br />O <br />N <br />$ <br />v <br />ro H <br />N/A <br />NIA <br />L <br />m <br />6 <br />NIA <br />NIA <br />rn <br />m <br />�s <br />a <br />F -T1 <br />a <br />Battery Notes <br />& Resolution: <br />file: Environmental Law/Forms/i-lazardous Materials Weekly Inspection Form <br />REV 07/2011 <br />Ll <br />