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ppU1N SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> N: <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON,CA 95202 <br /> P:. (209)468-3969 <br /> 4(�FpFN` INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> Pulk / a `f66 -05(.p/ <br /> BD91NESS SITE ADDRESS /�^ 'J ZIP <br /> jCODE�7 / FIRE,DIIS/STRICT/ L/_ <br /> pl <br /> IN PEC ION DATE ARRIVAL TIM DEPARTURE TIME INSPECTION TYPE <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE / z f <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL S Q Lt <br /> SECTION 5: TRAINING 16 Alaz <br /> SECTION 6: FACILITY MAP e to� 6 <br /> SECTION 7: INVENTORY <br /> B. STORAGE&HANDLING INFORMATION YES 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 ff <br /> 0. <br /> Add / R'4 -/-zG^ { c a <br /> /` ✓en to <br /> Jena ✓' S <br /> D. REFERRALS <br /> COMMISSIONER HEALTH <br /> HEALTH WRONMENTAL CAL LOCAL S.J.C.AIR <br /> OSHA FIRE DEPT. POLLUTION C.D. 0 OTHER <br /> E. COMP NCE VERIFICATION <br /> INSPEC APPROVED: FOLLOW-UP INSPECTION DATE: MNL IN REVISIONS E BY: <br /> ES 0 NO I /D <br /> BUSINESSREPRESENIATNE: 1PRINTNAME) BUST PRESENTATNE: ISK9NED) <br /> � L 1�7�5l7�'f/fit X <br /> INSPECTOR SKWAP WHITE COPY: O.E.S. <br /> // <br /> N// CANARY COPY: FILE <br /> PINK COPY: BUSINESS <br /> HAt BJV:RBV.JIR/C 1991 <br />