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COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES RECEIVED <br /> ROOM 610, COURTHOUSE <br /> 222 EAST WEBER AVENUE JAN 04 2001 <br /> " STOCKTON,CALIFORNIA 95202 <br /> ���/FCp�`~• TELEPHONE(209)468-3969 SAN JOAOUIN COUNTY <br /> WCEOF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSINESS NAME TELEPHONE NUMBER <br /> Speedee Oil Charge & Tune Up 825-5823 <br /> BUSINESS ADDRESS (Facility Being Inspected) 71PCODE <br /> 245 W.Louise Avenue 95336 <br /> FIRE DISTRICT INSPECTION DATE ARRIVAL TIME DEPARTURE T ,113 W PECTTON TYPE <br /> 24 0 Yl G j <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1. Business HMMP/Inventory On Site i _�_ 7. Facility Map Complete and Accurate <br /> 2.HMMP/Map Easily Accessible to Employees / 8. Chemical Inventory Complete&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 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 t/ I 1 13. Soil and Facility Appear Non-Contaminated 4 <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> REFERRALS (FOR OES 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 INSPECTI RESULTS <br /> Business Representative(Print Name and Title) u ' s Repre tativ, ( i ature) <br /> T� <br /> .I:J <br /> Name of Inspector and Fire Company WHITE COPY: -- "- <br /> CANARY COPY: FIRE PREVENTION REV 11/96 <br /> PINK COPY: BUSINESS <br /> OES HMI(11/%) <br />