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I/IA,IM1�' <br /> Pqulp <br /> COUNTY OF SAN 70AQUIN <br /> OFFICE OF EMERGENCY SERVICES _ 1 <br /> Q` .? 2101 E. Earhart Avenue, Suite 300 <br /> ` Stockton,California 95206 <br /> Telephone:(209)953-6200 <br /> �y/ N4•• �P ,. Fax:(209)953-6268 1 <br /> �rFpRN - I Cw <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM I <br /> BUSINESS NAME ADDRESS.(Facility Being Inspected) ! <br /> AT&T MOBILITY <br /> ACCOUNT-# JITAITITE(NewBus) INSPECTION ATE JARRIVALTIME JDEPARTUREtriw INSPECTOR A E <br /> iROBERT LOPEZ <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> I.HMMP/Map On Hand and Easily Accessible 5. Facility Map Complete and Accurate <br /> 2.Business Identification Page Complete&Accurate! 6. Employees Familiar with HMMP 'E <br /> 3.Business HMMP Complete and Accurate 7. Training Records Available <br /> i <br /> 4.Chemical Description Pages Complete and Accurate 8. Unsafe Conditions Observed(see details below) i <br /> EXPLANATION OF FINDINGS AND COMMENTS s <br /> lvq <br /> i <br /> i <br /> • <br /> i <br /> h' <br /> i <br /> I <br /> I <br /> INSPECTION FOLLOW UP INFO MATION <br /> Corrective Actions Additional <br /> Submitted By: ReferralslNotes: <br /> NOWLEDGEMENT OF A171F.Mr AND RECEIPT.OF INSPECTION RESULT <br /> Business Representative(Print . ame an Title) Business pre tive(Si atur j <br /> WSITE COPY: OES <br /> q O PINK COPY: BUSINESS <br /> 11 �(VJJIII�� REV 4110 <br />