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'OUIN SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> r: z <br /> " 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON.CA 95202 <br /> (209)468-3969 <br /> c�llc OP�`P INSPECTION FORM <br /> PHONE NUMBER <br /> BUSIN SS NAME <br /> ZIP CODE FIR D RIOT <br /> BUSINESS SITE ADDRESS <br /> INSPECTION DATE , ARRI TIME DEPARTURE TIME INSPECTK)N TYPE <br /> aa. w -� ►3 s142 ,5- <br /> A. <br /> ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE v vn <br /> SECTION 1: NOTIFICATION 61/ <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL <br /> SECTION 5: TRAINING <br /> SECTION 6: FACILITY MAP Z7 g.e o W 3 <br /> SECTION 7: INVENTORY b <br /> B. STORAGE& HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR a cl cut <br /> M.S.D.S.AVAILABLE ON-SITE <br /> i ✓ <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> 1 1 �_ 2.. 00 <br /> 0 0 i e S <br /> 3 6a <br /> / lib" <br /> eo w rt <br /> COnd/ T O u / <br /> D. REFERRALS <br /> COMMISSIONERTURE - HEALTH NVIRONMEMAL OSHA ❑ FIRE DEPTLOCAL . POLLUTION C.O. OTHER <br /> E. COMPLIANCE KRIFICATION <br /> INSPECTION APPROV FOLLOWIIP INSPEGTgN DATE: ^ MAIL IN REVISIONS DUE BY: <br /> ❑YES O 1` <br /> BUSINESS B:PRESENfAi1VE: -iPRBiT NAME) BUST SAEPRE ATNE: jSKiNED) _. <br /> ,��✓iL- s L.4a <br /> TTLE: <br /> SKNATURINSPECTOR: . <br /> WHITE Y COPS. <br /> CANARY FILE La <br /> c Tr. PINK COPY: BUSINESS <br /> HM BW:RBV.IUN61991 <br />