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.�! Stericycle VICTORIA'S <br /> Environmental Solutions SECRET <br /> STORE NUMBER:__- L WEEKLY HAZARDOUS WASTEIREGULATED <br /> 45 <br /> NUMBER O <br /> Name and Signature of inspector V JX v1 I �]VS�Jwt��•^ � `//� ,}�/, yy/�� <br /> Inspectionlm <br /> Date and Te 1 Date �' ( `r w��I (�V fame0 <br /> 1� <br /> . I , ✓✓�I' ' <br /> Item/Condition to be checked Yes No N/A Observation/Deficiency Corrective Actions <br /> and Date <br /> Are all rowQ <br /> are a(cesLb k <br /> an emergence <br /> Are all collection containers in GOOD condrtron / <br /> (NOT leaking or otherwise in poor conclaicnh <br /> Is each collection container tree of spas,leaks,or / <br /> other wastes(rejular lr,:ch,etc.l J <br /> Are all labels visible f-r -,. ' <br /> Do all contarne-I—.^,ti J <br /> Waste label(A J <br /> Has the store number and ao.fiess been written on <br /> all labels? J <br /> Has the accumulation start date been mitten on / <br /> all labels? J <br /> Are all container dates k than IBC,days from / <br /> today's date? J <br /> Have the proper -rl; :hcriro o^all <br /> labels to retfer.t`• 'rr^ <br /> each containe <br /> Are all broker / <br /> berngproperty-ji-a <br /> where applicable' <br /> Are harXdOVs c.J.R cer s G�Uxdr srWtated anA <br /> collected in the(ale:r.:�rt3v.ns� <br /> An p /return u:+y,..messed at kit v*1, <br /> and mored to a waste c^"..•,•,(^.,,.: <br /> i,me.tae's I <br /> ccr^pletra.c. <br /> diaknq hhor.. <br /> IHM BP)(oma, <br />