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------------------ <br /> COUNTY OF SAN JOAQUIN r <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> a' 222 EAST WEBER AVENUE f <br /> DEC <br /> STOCKTON, CALIFORNIA 95202 l <br /> ���/Ro'A'N"~• <br /> TELEPHONE(209) Spy <br /> ( )468-3969 <br /> HAZARDOUS MATERIALS PROGRAM INSPECIOgpU/N <br /> TION FOil `r <br /> BUSINESS NAME n / <br /> ESTE��✓ ?FiFI'H NEN/UMBER <br /> BUSINESS ADDRESS(Facility Being Inspected) G G_ S _X60 c) <br /> Ij <br /> ZIP <br /> 47 I`-J • &J <br /> FERE DISTRICT INSPECTION DATE ARRryAL TA1E DEPARTURE IDAE INSPECTIONTY/P�E <br /> l{Z MMT <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH <br /> 1,Business HMMP/Invento On Site YES NO <br /> T Yl <br /> rY 7. Facility Map Complete and Accurate <br /> 2. HMMP/Map Easily Accessible to Employeest <br /> 8. Chemical Inventory Complete&Accurate - <br /> 3.Bus ID Page/HMMP Complete and Accurate9. Employees Familiar with HMMP <br /> 4.If Business is a Hazardous Waste Generator, 10. Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On SiteI I.Materials Being Properly Handled <br /> 5. Material Safety Data Sheets (MSDS)On Site12.Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand13. Soil and Facilit A <br /> COMMENTS (Items marked ,NO" above must be explained in this section) ppearNon-Contaminated <br /> 7 b ,e" C C1,3 AIAe_ <br /> rFREFERRALS (FOR OES USE ONLY) ❑SJ Ag [:]SJ Env Hlth []OSHA Fire [–]Air Dist <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must Be Delivered To OES By Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> — 1 _ <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Busin ss Rpresenta[iv (Si nature) <br /> �� <br /> Name of Inspector and Fire Company WHITE COPY: OES <br /> I CANARY COPY: FIRE PREVENTION REV 11,96 <br /> �' J �� C"-� PINK COPY: BUSINESS <br /> OES HM,(iIft) <br />