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COUNTY OF SAN JOAQUIN / <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> W X 222 EAST WEBER AVENUE <br /> STOCKTON,CALIFORNIA 95202 <br /> BUS. (209)468-3969 FAX(209)944-9015 <br /> 1CIFCAi? <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSINESS NAME TELEPHONE NUMBER <br /> Copper Enterprises, Inc 727-9770 <br /> BUSINESS ADDRESS(Facility Being Inspected) ZIP CODE <br /> 12470 E. Locke Rd. , #100 95237 <br /> FIRE DISTRICT INSPECTION DATE ARRIVALTIME DEPARTURE TIMEINSPECTION TYPE <br /> !�5 4 HMMP <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1. Business HMMP/Inventory On Site 7. Facility Map Complete and Accurate <br /> 2. HMMP/Map Easily Accessible to Employees 8. Chemical Inventory Complete&Accurate I/ <br /> 3.Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP ✓ <br /> 4.If Business is a Hazardous Waste Generator, ]0. Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site 11.Materials Being Properly Handled <br /> 5. Material Safety Data Sheets(MSDS)On Site 12.Materials Properly Stored and Labeled ✓ . <br /> 6.Current Training Records On Hand 1 13. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> Z41 eft' <br /> �/7arT Cud Aweeir acq) &e4r /,- <br /> iT� <br /> REFERRALS (FOR DES USE ONLY) [—]SJ Ag ❑SJ Env Hlth [:]OSHA Fire ❑Air Dist <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must Be Delivered To OES By Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION R LTS <br /> Busi ss Representativeint N\ e and itle) Busin s R p sentative it ) <br /> Name of Inspector and Fire Company WISHM COPY: OES <br /> CANARY COPY: FIRE PREVENTION REV 11/96 <br /> Philli� rook PINK COPY: BUSINESS <br /> OES-HM1 (9100) <br />