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- COUNTY OF SAN JOAQUIN 71 <br /> OFFICE OF EMERGENCY SERVICES FEB <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 /> TELEPHONE NUMBER <br /> BUSINESS NAME Co j9p <br /> e(, r,1 �� rt pA 1 Z _ �?0 <br /> BUSINESS ADDRESS (Facility Being Inspected) d S �3-7 <br /> -7p r, , l.ovVc, ( cl� b <br /> FIRE DISTRICT INS ECTION DATE rARRiVALTIME� <br /> DEPARTURE TIME INSRECTION�PE <br /> M tJv�^e. # 13 1211 p I r d 4 9 ; ti /l7/MM <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br /> 1. Business HMMP/Inventory On Site X .Facility Map Complete and Accurate <br /> 2. HMMP/Map Easily Accessible to Employees 8.Chemical Inventory Complete and Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP <br /> 4.If Business is a Hazardous Waste Generator, , / 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site? `X\ 11.Hazardous Materials Being Properly Handled by Employee <br /> 5. Material Safety Data Sheets (MSDS) On Site 12.Hazardous Materials Properly Stored and Labeled <br /> 6. Current Training Records On Hand 13. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked"NO"above must be explained in this sectionl ^ r <br /> INA rurrmE If)„1 /R (.0 <br /> rAqL— <br /> AI f?/c,orbs N ,I <br /> ani �ro �, rJ ; r <br /> Lor k. s <br /> REFERRALS ❑Si Ag ❑SJ Env Mth ❑OSHA ❑Fire ❑DA ❑ <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actionsust b Delivered to OES By Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESUL <br /> Busins Representative n t N e and Title) Business r sentativ i e) <br /> Name fInspector Agency Fire o. Appropriat WHITE COPY: OES REV 9/0 <br /> �' PINK COPY: BUSINESS <br />