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720 E. Hammer Lane #1 <br />Sitan, California 95210 <br />Address: 02UM 3563 <br />Ci1ylSlate: �. <br />L <br />ORI'St)RA iNSTbhl <br />Are all wastes stored in a clearly 101)0110(1 <br />drum? <br />Are the drums located ht a secure piece <br />trot accessible by the public? <br />is the drum completely closed, including: <br />? closed lid? <br />metal band with secured bolt? <br />securely closed bunyslcaps? <br />No funnels or other devices nttachod? <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 />ii yes to the above, is secondary <br />containrneatfree of liquid? <br />Monday Dale: <br />WEEKLY MATERIALS INSPECTION FORM Inspected by: <br />Signature: <br />8ATTERY STORAGE INSPECTION <br />Yes <br />Are all used batteries stored Indoors on anBattery Notes <br />_ <br />Impervious surface: aResolution• <br />Are all new batteries stored indoors? _ <br />rile: Environmental Lew/Formsn iezardou5 Malerials Weekly Inspeclion Fom <br />REV 0712011 <br />m <br />0 <br />N <br />N <br />v <br />0 <br />0 <br />0 <br />Z <br />m <br />0 <br />N <br />Co <br />v <br />rn <br />s <br />0 <br />Notes 8, Resolution <br />H <br />a <br />u <br />a <br />u <br />o <br />6 d <br />b cc <br />OPL(t} <br />m <br />b <br />O' <br />I~;:arnples: <br />a <br />c <br />i <br />E <br />w <br />'eontacted waste vo,tdor for pick-up; <br />m N <br />a <br />q <br />v <br />yo`, <br />'rep laced missing bunDlcap: <br />v <br />1 <br />m <br />0)E <br />"I <br />E <br />N <br />Co <br />a <br />" put new label on drum <br />to <br />= <br />5 <br />a <br />m <br />q <br />0 <br />Yes PLsr <br />Yes NOVYes <br />P <br />Yes <br />o <br />Yes No <br />as No <br />s <br />No <br />m <br />ra <br />� <br />rA <br />tlfJ <br />fQ <br />c <br />M, E <br />M 14 <br />o <br />s c <br />-- <br />15 <br />o <br />2 <br />� u <br />71 <br />VIA <br />MIAdl <br />cu <br />Nt <br />NIA <br />co <br />a� <br />N <br />_ <br />L -K <br />V <br />al <br />8ATTERY STORAGE INSPECTION <br />Yes <br />Are all used batteries stored Indoors on anBattery Notes <br />_ <br />Impervious surface: aResolution• <br />Are all new batteries stored indoors? _ <br />rile: Environmental Lew/Formsn iezardou5 Malerials Weekly Inspeclion Fom <br />REV 0712011 <br />m <br />0 <br />N <br />N <br />v <br />0 <br />0 <br />0 <br />Z <br />m <br />0 <br />N <br />Co <br />v <br />rn <br />s <br />0 <br />