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Compliance Audit Certification

 

Compliance Audit Date(s): __________________

Compliance Audit Report Date(s): __________________

 

Facility Name and Address:

 

 

 

 

 

Processes included in the audit:

 

 

 

 

 

 

Audit Team Members:

Process Knowledgeable? (Yes or No)

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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