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i <br /> COUNTY OF SAN JOAQUIN <br /> -�- OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> she _ STOCKTON, CALIFORNIA 95202 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> FAX(209)944-9015 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BU NESS NAME TELEPHONE NUMBER <br /> Svtolu�-�,-,��s LLC. may- oaoa <br /> BUSINESS ADDRESS (Facility Being Inspected) <br /> asi& nz= <br /> FIRE DISTRICT DEPARTURE TIME INSPECTION TYPE <br /> �'� � �.2�ULTS <br /> DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br /> 1. Business HIM Jjnventory On Site 7.Facility Map Complete and Accurate <br /> v <br /> 2. HMMP/Map Easily Accessible to Employee ✓ 8.Chemical Inventory Complete and Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP <br /> 4.If Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site? 11.Hazardous Materials Being Properly Handled by Employees <br /> 5. Material Safety Data Sheets(MSDS) On Site 12.Hazardous Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand 13. Soil and Facility Appear Non-Contaminated <br /> COMMENTS(Items marked"NO"above must be explained in this section) <br /> 8 - Qur-7' /n - <br /> uuy� cL4n.44 a-te <br /> REFERRALS ❑SJ Ag ❑SJ Env Hlth ❑OSHA ❑Fire ❑DA <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must be Delivered to OESBy Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> 3 /6-03 <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Business Represe live(Signature) <br /> N � r <br /> Nam�J,ee(f Inspector I ,`,, /- Agency �+ e r nate) WHITE COPY: OFS <br /> '"���r _9`��'"7�^'. `+'e D j PINK COPY: BUSUVESS V 9/0� <br />