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Y. NEC <br /> ppU)N SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> N. ; 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 /> ( O ✓ JF�i'�Y-fes - n/ ZO <br /> -2 o<40 <br /> BUSINESS SITE ADDRESSZIP CODE FIE DISTRICT <br /> )) <br /> INSPECTION DATE RIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES ��/�0+ yg � <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL <br /> SECTION 5: TRAINING <br /> SECTION 6: FACILITY MAP <br /> SECTION 7: INVENTORY /fOcY�Gr S ��lbfe_�e i / u� of�w vt <br /> B. STORAGE&HANDLING INFORMATION YE 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 /> C//,- - a �moi?' c>6 moi✓ � /� i .✓ � ,� `.6c. <br /> .4'S .Z.UI/ G.✓!6 .f�G✓zd o /'�/�� L�!/r7s+riG' 9 <br /> D. REFER <br /> COMMISSIONERNRE HEALTH ENVIRONMENTAL OSHA FIRE DEPT. POLLUTION C.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPEC N APPROVED: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> YES E] NO - v� /�i?r <br /> 8 S RRE^PRESENIA E: {PRNT NAME) BUSIMAS RtPVESENTfn <br /> ISIGNED) TITLE.E. <br /> INSPECTOR: SIGNATURE: <br /> WHITE CCPV:/✓ O.EO.E.S. <br /> CANARY COPY: FILE <br /> PINK COPY: BUSINESS <br /> HM][NV:RBV.IUNE 1991 <br />