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! NTY OF SAN JOAQUIN <br /> ROBERT V. LOPEZ, JR. 'E OF EMERGENCY SERVICES <br /> 1� r, HAZARDOUS MATERIALS pp D <br /> SPECIALIST ZOOM 610, COURTHOUSE 1 <br /> 22 EAST WEBER AVENUE + 1 6 <br /> 1CKTON,CALIFORNIA 95202 <br /> PHONE(209)468-39697ELEPHONE(209)468-3969 <br /> 222E WEBER AVENUE oa wZq off ►TERIALS PROGRAM INSPECTION FOIMC SAN Ulli )4n <br /> COURTHOUSE-ROOM 610A <br /> STOCKTON,CALIF.95202 OFFICE OF EMERGENCY SERVICES <br /> { <br /> 411 f i1: 1' C (7,l BUSINESS2 ADD CSS �Fcilit eing Inspected)C o�k VvG LA ZIP.CODE� <br /> — <br /> � (� <br /> TRI <br /> Lf INSP O DTEARRIVAL TIME DEPARTc fl) URETIME INSP ON E <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1,Business HMMP/Inventory On S1te7. Facility Map Complete and Accurate <br /> 2.HMMP/Map Easily Accessible to Employees 8. Chemical Inventory Complete&Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate 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 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 113. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> X L <br /> REFERRALS (FOR OES USE ONLY) []SJ Ag ❑SJ Env Hlth OSHA U Fire U Air Dist <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Mus[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 d Title) Business Representative(Signat <br /> I <br /> Name of Ins ect r d Fife Co -- <br /> P APant ._ _....,__.._-. ` ,PINK COPY:WHITE COPY: OES <br /> CANARY COPY: FIRE PREVENTIONV 11/96 <br /> BUSINESS <br /> CES-HM 1 p 1JWj <br />