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Mar 11 LYJ UI:Ztp t-airma <br /> COUNTY OF SAN JOAQUIN RECEIVED <br /> as FoL OFFICE OF EMERGENCY SERVICES <br /> 2101 E.Earbart Avenue,Suite 300 MAR 112009 <br /> • Stockton,California 95206 <br /> Tel -6= SAN JOAQUIN COUNTY <br /> igg -6"0 <br /> n <br /> HAZARDOUS MATERIALS P�XQGZRLA INSPECTION FORM OFFICE OF EMERGENCY SEW ES <br /> BUSINFSS NAME ADDRESS(FacilicyHeing' 7c <br /> Ins ted) <br /> ACODUNTO START DATE RIvOBus) INSPECTION DATE ARRIVAL TIME DEPARTURE TIME jINS OR NAME <br /> INSPFCMON RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROLGH YES NO <br /> 1.HMMP/Map On Hand and Easily Accessible 6. Facility Map Complete and Accurate <br /> 2.Business Itlendfication Page Complete&AW031C 7. Presence of Non-Listed Regulated Chemicals <br /> 3.Business HNIMP Complete and Accurate ✓ S. Employees Famil lar with Hmmt, <br /> 4.Chemical Description Pages Complete and Accu Y 9. Hazardous Materials/Waste Properly Labelled <br /> S.Training Records Available10. Conditions that would hinder implarnentati f <br /> I Im Emergency Plan increase risk of releasWabsent <br /> EXPLANATION OF FINDINGS AND COMMENTS <br /> t <br /> -A� <br /> J <br /> C�— <br /> vi <br /> `1 cli vt ' <br /> < <br /> INSPBY ON E2LLOW Up INFORMATION <br /> ectiveActions <br /> Additional <br /> oBeSubmittedBy: iRcferrals/Noics; <br /> VCKNOWLEDGEMENr OF aticvnew AND RECEIPT OF INSPECTION RESULTS <br /> usiness RePtescutative(Prim Namc and Tide) -sirtessRepaieFoiativc jgijitu� PINITE COPY: GES <br /> PINK COPY: <br /> BUSPwss <br /> RFV i <br />