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p4 '" SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> Q' t HAZARDOUS MATERIALS DIVISION <br /> N: -1 <br /> 11 -a 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> r. .p (209)468-3969 <br /> 9�/FOPN` INSPECTION FORM <br /> BUSINESS NAME / PHONE NUMBER <br /> {`I' <br /> BUSINESS SITE ADDRESS / � ©ciL �o` /7V— <br /> ZIP CODE FIRE DISTRICT <br /> 3 7Y Av_r Df5�0c14) <br /> INSPECTION OATS ARRIVAL TIME DEPARTURE TIME INSPECT/NDN TYPE <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE ejk—' <br /> SECTION 1: NOTIFICATION L/ <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL fv K_ <br /> SECTION 5: TRAINING c� 71 <br /> eeo keq <br /> ti. <br /> SECTION 6: FACILITY MAP ( L <br /> SECTION 7: INVENTORY <br /> B. STORAGE& HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S.AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED / <br /> CHEMICALS PROPERLY LABELED L Lhti j l✓F5� <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> ❑ COMMISSIONERTURE ❑ HEALTH ENVIRONMENTAL ❑ OSHA GAL E:] FIRE DEPT. ❑ POLLUTONC.D. ❑ OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPEC APPROVED: FOLLOW-UP INSPECTION DATE: AIL IN REVISIONS DUE BY: <br /> YES ❑ NO <br /> BUSINESS REPRESENfATNE jPR9lf NAME) BUSINESS REPRESENTATNE: j NED) _~ TITLE <br /> : <br /> X <br /> INSPECTOR: SK ikTURE: <br /> WHITE COPY:CANARY O.E.S. <br /> COPY: FILE <br /> P NK CO BUSINESS <br /> FBA INV:REV.]UNE 1991 <br />