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Appendix A: Sample Weekly Inspection Log <br />Sample <br />Weekly <br />Inspection <br />Log <br />© CVS/pharmacy <br />a -Wk bad Irepecl in yar eats FrOOM BIOM r forat Ilett 3 years. <br />31 <br />CONFIDENTIAL BUSINESS INFORMATION <br />CVS000010392 <br />LAM aN saf-maw dp sEork* hatarda" waft <br />A"Peco n Date awd TAW. <br />stated? <br />At woA054"O artalAsrpractor. <br />L Are aN comastrtrstncondition tfd7r <br />Check all areas that are <br />collection containers only. <br />lea" or atfrarrwisa pot. candibonj? <br />applicable to your store. If you do <br />rd C3 <br />❑ <br />not have a wet photo lab, check <br />H+a vee stare number and adarel. bees wratenen <br />aNrabeit? <br />N/A. <br />fhaN AN S[dtt � hfA ❑ <br />❑ <br />❑ <br />, <br />`""""^ ❑ <br />❑ <br />❑ 4 <br />Include containers that are full. <br />a -Wk bad Irepecl in yar eats FrOOM BIOM r forat Ilett 3 years. <br />31 <br />CONFIDENTIAL BUSINESS INFORMATION <br />CVS000010392 <br />LAM aN saf-maw dp sEork* hatarda" waft <br />stated? <br />Inspect bags located in open <br />L Are aN comastrtrstncondition tfd7r <br />collection containers only. <br />lea" or atfrarrwisa pot. candibonj? <br />3, Do aN muettan conGanas hors a Nazardwsor <br />Uananat waste h"? (AF, OX. CA. ca, rx, VW, PH or <br />H+a vee stare number and adarel. bees wratenen <br />aNrabeit? <br />The date must be completed <br />on labels when the container <br />is set up. <br />S. Has the proper date base wnM" on at tabeh? <br />d Has On proper phywcatstsb been dtacbed on aN <br />faWs? <br />Ensure check boxes are <br />?.wia the made+ dwddaae teas chati" on aN <br />Wbds m reflect the types of product pfooed m tach <br />completed, as applicable. <br />? <br />. Are aN labets visible fat inswcoon? <br />9. Are aN dates tw than rep days Mom today's date? <br />30. Is Owe ~L*h aa4 space to0ow wapac of <br />roduct or other items should <br />Enotbe stored in front of <br />ol lection containers. <br />mrd amass to eacb collacben Carfty ar? <br />11 ° asch copactorr oo ©ahser fma of wits. tells. w <br />G0wr waste not ba4ad? <br />1L Art hazardous waste hams hearp mq a l badtd <br />wW Ubeled> usma absorbent ad doable-batpnt <br />wmas ag pi3udk? <br />13. Are ftazaedors wade dam.W CW n ffisa tarred <br />ccominar as dtHaersf camSorws of waste items are <br />says-ar? <br />Different categories of waste <br />cannot be mixed together. <br />14. Am dantagWmtwm heirq prooersed ft* and <br />to a Ovate at n*ssm comasw if haardois <br />wastv? <br />15. Ane aN mumt ass+ sudt tbat cobactroncotstarfters <br />Must be posted in the <br />backroom and pharmacy, at a <br />bAJQ11`O°"0`Nei`n`h°°0eeaf <br />wra'sasury? <br />16.bdwsmre'sN yadonnamnftader <br />. oprenL and pasted nest to ow:sislaq <br />minimum. <br />t,elephorres? <br />r?. Are so# dear up ""%&e *Wu&" rM (pose,, <br />etc# saailabte and sn pod wft"oo? <br />This is required for most <br />California stores. <br />it Is tfre storax Hazardous haatenal su wt wan <br />tf"611tsun0abod, arrem. and awwiabte for rerrfw? <br />a -Wk bad Irepecl in yar eats FrOOM BIOM r forat Ilett 3 years. <br />31 <br />CONFIDENTIAL BUSINESS INFORMATION <br />CVS000010392 <br />