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C <br />L J <br />a.f7 lm <br />t EESTO HETI '"STO YE, Ind. <br />72-0 f. hammef Lac #1 <br />r' . <br />.;7-' u, CaiifOrnia 95210 <br />Ass. 7, 3;- <br />,� r,> <br />City/Slates `, <br />1, t <br />t}RUVA STGRA G E INSPECTION <br />Are all wastes stored in a cfeady labolled <br />drum? <br />Are the drums located in a secure place <br />not aCCessible by the public? <br />Is tile drum completely closed, including: <br />7 closed fid? <br />metal hand with secured bolt? <br />securely cibsed Rungs/caps? <br />No funnels or other devices attachod? <br />Is there a Hazardous Waste label on tho <br />drum? <br />is the Hazardous Waste Label completely <br />filled out? <br />Does the drum havo Secondary <br />containment? <br />If yes to the above, is secondary <br />conta In ment free of liquid? <br />Monday Date: <br />WEEKLY MATERIALS INSPECTION! FORM Inspected by: <br />Signature: <br />BATTERY STORAGE INSPECTION <br />Yes <br />Ara all used batteries stored indoors on an Battery Notes <br />Irtlpervious susrfac ; [�la Resolution: <br />Are all nevi batteries stored Indoors? r, I ..-) 1„_� <br />fife: FrlviromientallawlForms/Hazardous Maletals Weekly Inspecfon Form <br />REV 07/2011 <br />Cn <br />m <br />C)l <br />0 <br />N <br />w <br />v <br />0 <br />m <br />0 <br />C) <br />N <br />co <br />rn <br />O <br />m <br />N <br />0 <br />w <br />N <br />w <br />N <br />Notes «Revolution <br />N <br />r <br />c <br />w <br />T <br />N <br />mm <br />LI <br />O <br />LV7. <br />O u� <br />N <br />`J <br />LL <br />u <br />O <br />a rw <br />at <br />o <br />4 <br />p <br />Exarnples: <br />G <br />'t <br />b <br />j <br />2 <br />N <br />'contacted Waste v®ndQr for pick-up; <br />b <br />K <br />m <br />.� <br />m N <br />a <br />b <br />v <br />d0 <br />�° <br />"replaced rnissin_gbung/cap; <br />j <br />a <br />S g <br />w <br />m <br />'a <br />' put nowlabel on drum. <br />m <br />,- <br />Yes Pio <br />No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes <br />No <br />W, <br />74 <br />m <br />01 <br />Ile <br />t.10 <br />eo"' <br />R <br />ffu <br />_ <br />U <br />a` <br />o <br />e <br />--- <br />m <br />r <br />� <br />00* <br />If <br />NA <br />�. <br />P!(A <br />— <br />- — <br />ro <br />NIA <br />P1t,'a <br />- <br />m <br />iv <br />m <br />4'00, <br />BATTERY STORAGE INSPECTION <br />Yes <br />Ara all used batteries stored indoors on an Battery Notes <br />Irtlpervious susrfac ; [�la Resolution: <br />Are all nevi batteries stored Indoors? r, I ..-) 1„_� <br />fife: FrlviromientallawlForms/Hazardous Maletals Weekly Inspecfon Form <br />REV 07/2011 <br />Cn <br />m <br />C)l <br />0 <br />N <br />w <br />v <br />0 <br />m <br />0 <br />C) <br />N <br />co <br />rn <br />O <br />m <br />N <br />0 <br />w <br />N <br />w <br />N <br />