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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0530828
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/8/2020 3:34:27 PM
Creation date
6/9/2018 1:34:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0530828
PE
1921
FACILITY_ID
FA0001515
FACILITY_NAME
THE GRADUATE
STREET_NUMBER
2207
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308031
CURRENT_STATUS
01
SITE_LOCATION
2207 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2207\PR0530828\COMPLIANCE INFO .PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
5/4/2016 10:11:26 PM
QuestysRecordID
3075428
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Qoa�ln, COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> „. 2101 E. Earhart Avenue,Suite 300 <br /> Stockton,California 95206 <br /> Telephone:(209)953-6200 <br /> C4��F O.n Nit Fax:(209)953-6268 �n1 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BU NESS NR ME ADDRESS(Facility Being Inspe ted) �` / t� <br /> 2-2- 07 B lam/ 17 ✓' OC� <br /> A COUNT^# START DATE(New Bus) INSP 10 ATE ARR�IV/AL TIrME DEPARTURE TI INSPECTOR NA E/ <br /> 7 �J TMJ �p <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1.HMMP/Map On Hand and Easily Accessible 6. Facility Map Complete and Accurate <br /> 2.Business Identification Page Complete&Accurate 7. Presence of Non-Listed Regulated Caabsent <br /> 3.Business HMMP Complete and Accurate 8. Employees Familiar with HMMP <br /> 4.Chemical Description Pages Complete and Accurate 9. Hazardous Materials/Waste Properly <br /> 5.Training Records Available 0. Conditions that would hinder imple <br /> EEmergency Plan or increase risk of r <br /> EXPLANATION OF FINDINGS AND COMMENTS <br /> I I �� nn <br /> C t .A c� <br /> 1 I <br /> y _ i�✓oviA Iron <br /> e_ :vz a —2 2.S 0/1 ell <br /> �T �� — I0.y�. Gam:✓ Camel 1 O— V 1 ^p6fl <br /> INSPECTION FOLLOW UPI FORMATION <br /> Corrective Actions ) Additional <br /> To Be Submitted By: / 6 Referrals/Notes: <br /> CKNOWLEDGEMENT F REV WAND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Business Representative(Signature) <br /> WHrrE COPY: OES <br /> PINK COPY: BUSINESS <br /> l , A <br /> aEv twos <br />
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