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;�. COUNTY OF SAN JOAQUIN <br />{ OFFICE OF EMERGENCY SERVICES <br />ROOM 610, COURTHOUSE <br />222 EAST WEBER AVENUE <br />STOCKTON, CALIFORNIA 95202 <br />HAZARDOUS MATERIALS DIVISION (209) 468-3969 <br />FAX (209) 944-9015 <br />HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />BUSINESS NAME <br />Sierra hemi al Co <br />TELEPHONE NUMBER <br />1209-991-8299 <br />BUSINESS ADDRESS (Facility Being Inspected) <br />1010 Industrial Drive <br />FIRE DISTRICT <br />Stockton <br />INSPECTION DATE <br />July 28 200 <br />ARRIVAL TIME <br />13:30 <br />DEPARTURE TIME <br />16:10 <br />INSPECTION TYPE <br />HMMP <br />15 <br />INSPECTION RESULTS <br />DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br />1. Business HMMP/Inventory On Sits <br />7. Facility Map Complete and Accurate Lm <br />2. HMMP/Map Easily Accessible to Employees <br />XX <br />1 <br />18. Chemical Inventory Complete and Accurate XX <br />3. Bus ID Page/HMMP Complete and Accurate <br />XX <br />19. Employees Familiar with HMMP yy <br />4. If Business is a Hazardous Waste Generator, <br />are Hazardous Waste Manifests On Site? <br />10. Plant Operations Appear Safe XX <br />111. Hazardous Materials Being Properly Handled by Employee yyj <br />5. Material Safety Data Sheets (MSDS) On Site <br />XX <br />112. Hazardous Materials Properly Stored and Labeled XX <br />6. Current Training Records On Hand <br />7 <br />XX <br />13. Soil and Facility Appear Non -Contaminated XX <br />COMMENTS (Items marked "NO" above must be explained in this section) <br />See Attached Document <br />REFERRALS ❑ SJ Ag ❑ SJ Env Hlth ❑ OSHA ❑ Fire ❑ DA ❑ <br />INSPECTION FOLLOW UP INFORMATION <br />Corrective Actions Must be Delivered to OES By <br />August 9, 2005 <br />Follow Up Inspection Date <br />OES Inspector Name Performing Follow Up <br />ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESUL <br />Business Represent ve (Print Name and Title) <br />� <br />Businessnne tgnat ) , <br />Name o nspector ency Fire o. (I pprop e <br />Dennis Field,, <br />WHITE CO OES <br />PINKC Y: BUSINESS <br />I REV 9/02 <br />