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*ij <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 PHONE NUMBER <br /> E$-# 60KI 5'4-7- <br /> BUSINESS ADDRESS ZIP CODE FIRE DISTRICT <br /> /tor N• 961zoS_ s7V'Ck70-,l <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> 5-31 -Z-149 07s--D .o b"C_72CoVev /�r�xh+SeT <br /> A. INFORMATION CURRENT YES O B. STORAGE/HANDLING INFORMATION YES NO <br /> PLAN AVAILABLE ON SITE WASTE GENERATOR <br /> SECTION 1: NOTIFICATION M.S.D.S. AVAILABLE ON-SITE <br /> SECTION 2: EMERGENCY PROCEDURES SECONDARY CONTAINMENT NOTED <br /> SECTION 3: EVACUATION PROCEDURES SAFETY HAZARDS <br /> SECTION 4: LEAK& SPILL CONTROL CHEMICALS PROPERLY STORED (/ <br /> SECTION 5: FACILITY MAP CHEMICALS PROPERLY LABELED <br /> SECTION 6: TRAINING PROGRAM & RECORDS CHEMICALS PROPERLY HANDLED <br /> SECTION 7: INVENTORY <br /> C. COMMENTS AND RECOMMENDATIONS: <br /> D. REFERRALS <br /> 71 S.J.C.AGRICULTURE O S.J.C.ENVIRONMENTAL CAL OSHA LOCAL S.J.C.AIR OTHER <br /> COMMISSIONER HEALTH FIRE DEPT. POLLUTION C.D. <br /> E. COMPLIANCE VERIFICATION <br /> FOLLOW-UP INSPECTION DATE-. MAIL IN REVISIONS DUE BY <br /> � <br /> BUSINESS REPRESENTATIVE: (PRINTNAME) I BUSINESS REPRESENTATIVE (SIGNED) TITLE: <br /> 5+'e'V c C I e kt,,e X <br /> INSP TOR- <br /> CANA COPY: FILE <br /> PIWCORY COPY. FILE <br /> PINK COPY: &1SINE55 <br /> O.E.S S.Haz.Mat 10(11/95) HN INV:REV.NOY 1995 <br />