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Compliance Audit Certification
Compliance Audit Date(s): __________________ Compliance Audit Report Date(s): __________________
Certification: This compliance audit evaluated compliance with the prevention program provisions of the U. S. Environmental Protection Agency’s Chemical Accident Prevention Provisions (40 CFR Part 68) to verify that the procedures and practices developed under the rule are adequate and are being followed. _________________________________ Name of Audit Leader, Title
_________________________________ Authorized Facility Representative, Title
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