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pauiN <br /> ��q SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> r` HAZARDOUS MATERIALS DIVISION <br /> " X 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> CR�IFDR�\P INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> no (tratifed <br /> BUSINESS DDRE ZIP CODE FIRE DISTRICT <br /> �� . l <br /> am I <br /> INErPECTIOV DATE ARRIVAL TIME DEPARTURE TIME INSPECTI N TYPE <br /> 10 2Q <br /> A.INFORMATION CURRENT YES NO B. STORAGEIHANDLING INFORMATION YES NO <br /> PLAN AVAILABLE ON SITE WASTE GENERATOR <br /> SECTION 1: NOTIFICATION M.S.D.S.AVAILABLE ON-SITE <br /> SECTION 2: EMERGENCY PROCEDURES SECONDARY CONTAINMENT NOTED <br /> SECTION 3: EVACUATION PROCEDURES SAFETY HAZARDS <br /> SECTION 4: LEAK&SPILL CONTROL CHEMICALS PROPERLY STORED <br /> SECTION 5: FACILITY MAP CHEMICALS PROPERLY LABELED <br /> SECTION 6: TRAINING PROGRAM& RECORDS CHEMICALS PROPERLY HANDLED <br /> SECTION 7: INVENTORY <br /> C. COMMENTS AND RECOMMENDATIONS: <br /> D. REFERRALS <br /> Ij S.J.C.AGRICULTURE S.J.C.ENVIRONMENTAL CAL OSHA ❑ LOCAL S.J.C.AIR ❑ OTHER <br /> COMMISSIONER HEALTH FIRE DEPT. POLLUTION C.D. <br /> E. COMPLIANCE VERIFICATION <br /> FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> BUSINESS REPRESENTATIVE: (PRINT NAME) TBIUSINESS <br /> REPRESENTATIV : (SIGNED) TITLE: <br /> �� <br /> INSPECTOR: <br /> VJHIFE DOPY: O.E.S. <br /> n- CANARY COPY: RLE <br /> PINK COPY: BUSINESS <br /> VV 1 <br /> O.E.S-Hez.Met 10(11/95) HM INV:REV.NOV 1995 <br />