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'SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br />HAZARDOUS MATERIALS DIVISION <br />222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br />(209) 468-3969 <br />U-�INSPECTION FORM <br />BUSINESS NAME <br />PHONE NUMBER <br />BUSINESS SITE ADDRESS <br />/d /v _ZW atS 17,?i4-(_ <br />ZIP CODE <br />'?S200 <br />FIRE DISTRICT <br />INSPECTION DATE <br />/v - /i - - q,:;-0 <br />ARRIVAL TIME <br />lZZ <br />DEPARTURE TIME <br />INSPECTION TYPE <br />///"/7'Ij� <br />A. ADMINISTRATIVE INFORMATION <br />YES <br />NO <br />COMMENTS AND RECOMMENDATIONS <br />PLAN AVAILABLE ON SITE <br />SECTION 1: NOTIFICATION <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 <br />SECTION 7: INVENTORY <br />B. STORAGE & HANDLING INFORMATION <br />YES <br />NO <br />COMMENTS AND RECOMMENDATIONS <br />WASTE GENERATOR <br />M.S.D.S. AVAILABLE ON-SITE <br />ScJh1lu,F dot/ sii t' 4) �Ll <br />SECONDARY CONTAINMENT NOTED <br />417 - <br />SAFETY HAZARDS <br />�! <br />CHEMICALS PROPERLY STORED <br />(/ <br />CHEMICALS PROPERLY LABELED <br />CHEMICALS PROPERLY HANDLED <br />C. COMMENTS AND RECOMMENDATIONS <br />/ E/V,b A % /tl S S 4i2S Qom/ $i <br />IV WLI E?v S/ 2,e^ Cllto.4-7, !q t7F Ale- 76;T,r <br />D. REFERRALS <br />COMMISSIONER TURE HEALTH ENVIRONMENTAL CAL OSHA FIRE DEPT. POLLUTION C. D. El OTHER <br />E. COMPLIANCE VERIFICATION <br />INSPPCTION APPROVED :LOW-UPIIINSPECTION <br />El [:]FOL <br />YES NO <br />DATE <br />11 <br />MAIL IN REVISIONS DUE BY: <br />//_ // - 15F <br />BUSINESS REPRESENTATIVE: (PRINT NAME) <br />BUSINESS RE RESENTATIVE: j5 � EPj <br />X <br />TITLE: <br />INSPECTOR: SK3NA <br />WHITE COPY: O.E.S. <br />1p [ _ CANARY COPY: FILE <br />PINK COPY: BUSINESS <br />RM INV: REV. JUNE 1992 <br />