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aea!!]rr 4 COUNTY OF SAN JOAQUI <br /> OFFICE OF EMERGENCY SERVICES <br /> aROOM 610, COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> STOCKTON, CALIFORNIA 95202DEC - 9 I V l <br /> ��tjit6h��} • TELEPHONE(209)468-3969 <br /> HAZARDOUS MATERIALS PROGRAM INSPECT N <br /> BUSMS NAME <br /> S 1vc <br /> BUSINESS ADDRESS(Facility Being Inspected) <br /> FII2EDISTRICT / <br /> '4 DATE �j ARRIVALTIMF 159MTURETVAEE INSPECI'[ONTYyPnE <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH <br /> 1,Business HMMP/Invento On Site YES NO <br /> rY 7. Facility Map Complete and Accurate ,C <br /> 2. HMMP/Map Easily Accessible to Employees 8. Chenucal Inventory Complete&Accurate <br /> 3.Bus ID Page/fIIvIMP Complete and Accurate ployees Familiar with HMMP <br /> 9. Em <br /> 4.If Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site 1 I.Materials Being Properly Handled �(\ <br /> 5. Material Safety Data Sheets(MSDS On Site <br /> 12.Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand I3. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> 7 f ;,, 77 KI K <br /> c � f <br /> Le ;V<- f- (nx vy , 4 ke t <br /> a r v c <br /> REFERRALS (FOR OES USE ONLY) ❑SJ Ag Lj 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 /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Busin/F1ssRepresentative(Si ature) <br /> I V't_ <br /> Name of Inspector and Fire Company WHITE COPY. OES <br /> CANARY COPY: FIRE PREVENTION REV 11/96 <br /> <,Ci/� S �Fc� Cd PINK COPY: BUSINESS <br /> OES HM t plNe� <br />