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fAGnS <br /> COUNTY OF SAN JOAQUIN REOEIVED <br /> xo.!4�.ca OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> a� i< 222 EAST WEBER AVENUE JAN 11 2002 <br /> STOCKTON, CALIFORNIA 95202 <br /> • c�.,,.,.....?��• BUS.(209)468-3969 FAX(209)9449015 WJUQUINGOONIY <br /> uFOR :_ :� RGEKYSERVI F, <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORI <br /> BUSINESS NAME TELEPHONE NUMBER <br /> G.T.E. California, Inc. (Central Office) (VZ4&UA ) (408) 358-6719 <br /> BU NESS ADDRESS(Facility Being Inspected) ZIP CODE <br /> 430 W. Center Street 95337 <br /> FIRE DISTRICT WSPECUON DATE ARRIVALTIME DEPARTUREUPFE1 WSPECTION TYPE <br /> 24 2 <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1. Business HMMP/Inventory On Site X 7. Facility Map Complete and Accurate <br /> 2. HMMP/Map Easily Accessible to Employees x 8. Chemical Inventory Complete&Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate x 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 x 11.Materials Being Properly Handled <br /> 5. Material Safety Data Sheets(MSDS)On Site 12.Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand x 13. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> l)�arE ra MAP sEJ-�T W1111 -2. a2 UPtIMPEF <br /> 01 <br /> REFERRALS (FOR OES USE ONLY) [:]SJ Ag E:]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 /> CKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> usiness Representative(Print Name and Title) Business presentative(Si lure) <br /> fJ,s� - Li92ri1 -SuPNj4LcSfno � <br /> Name of Inspector and Fire Company WHITE COPY: OES <br /> CANARY COPY: FIRE PREVENTION REV 11196 <br /> L PINK COPY: BUSINESS <br /> OES-HM 1 MM) , <br />