Laserfiche WebLink
ip <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> INSPECTION FORM <br /> BUSINESS NAME J �(� _ PHONE NUMBER <br /> BuswEss ADD n' S �"—" '�� YVC.I.r I,�O V <br /> FIRE DISTRICT <br /> "IM�E <br /> � i� Ct <br /> TYPE <br /> 3; <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES 4u v <br /> SECTION 3: EVACUATION PROCEDURES 6. <br /> SECTION 4: LEAK 8 SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> SECTION 6: TRAINING <br /> SECTION 7: INVENTORY <br /> B. STORAGE& HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S. AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> COMMISSIONER HEALTH ENVIRONMENTAL OSHA FIRE DEPT. POULTAIR <br /> ION C.D. ❑ OTHER <br /> E. COMPLIANCE VERIFICATION <br /> 114111IIN APO VED: FOLLOW UP IN ECT N A MAIL I NS Dll['rSES NO � l/ // <br /> B INESSREPRESENTATIVE: (PRINTNAME) BU91NE35 REPRESENTATIVE: (SIGNED) TITLE: <br /> INSPECT R: WHIM CANARY PY.COP O.E.S. <br /> CANARY COPY: FILE <br /> PINK COPY: BUSINESS <br />