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Pquriy COUNTY OF SAN JOAQUIN <br /> so. Q.co` OFFICE OF EMERGENCY SERVICES <br /> Q 2101 E. Earhart Avenue,Suite 300 <br /> Stockton,California 95206 <br /> Telephone:(209)953-6200 <br /> q�(iP6R��O Fax:(209)953-6268 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM 5-2—0 S <br /> BUSINESS NAME ADDRESS(Facility Being Inspected) <br /> AT&T MOBILITY 1 -25- ?4 — , <br /> ACCOUNT# START DATE(New Bus) INSP ION TE ARRIVAL TIME DEPARTURE TIME. INSPECTOR N ME <br /> I ,3 S I ROBERT LOPEZ <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1.HMMP/Map On Hand and Easily Accessible 1., 5. Facility Map Complete and Accurate L/ <br /> 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 V 8. Unsafe Conditions Observed(see details below) <br /> EXPLANATION OF FINDINGS AND COMMENTS <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Additional <br /> 'e Submitted By: Referrals/Notes: <br /> NOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representativ —(n N e and Ti ) Business pre tive( ' n re) <br /> WHITE COPY: OES <br /> FJ PINK COPY: BUSINESS <br /> REV aro <br />