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I <br /> COUNTY OF SAN JOAQUIN <br /> �o. .caG OFFICE OF EMERGENCY SERVICES <br /> 2101 E.Earhart Avenue,Suite 300 <br /> Stockton,California 95206 <br /> ' Telephone: (209)953-6200 Z l s <br /> Fax:(209)953-6268 <br /> �rFaR <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM S a <br /> BUSINESS NAME ADDRESS(Fa�cil)ityBe�n Ins cte <br /> AT&T MOBILITY 75—C> /V' "`C - r <br /> ACCOUNT# START DATE(New Bus) INSP ION DATE ARRIVAL TIME IDEPARTURE TIME INSPECTOR NAME <br /> 12 7 2Q/ / Z'4S—`� ,�� ROBERT LOPEZ <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1.HMMP/Map On Hand and Easily Accessible S. Facility Map Complete and Accurate <br /> k. 2.Business Identification Page Complete&Accurate 6. Employees Familiar with HMMP <br /> 3.Business HMMP Complete and Accurate 7. Training Records Available <br /> 4.Chemical Description Pages Complete and Accurate 8. Unsafe Conditions Observed(see details below) <br /> EXPLANATION OF FINDINGS AND COMMENT'S <br /> a <br /> INSPECTION FOLLOW UP INFO ATION <br /> Corrective Actions Additional <br /> Submitted By: Referrals/Notes: <br /> JOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Repr entative(P int Name nd Title) Business R resentativ (Signat e} <br /> `�Y11 (J//� <br /> TP1NKC0CP0Y7 <br /> E : OES <br /> : BUSINESS <br /> REV V10 <br />