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COUNTY OF SAN JOAQUMW <br /> ap4u' • c OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> STOCKTON,CALIFORNIA 95202 <br /> • c.., "• BUS. (209)468-3969 FAX(209)944-9015 <br /> �FOP� <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSINESS NAME TELEPHONE NUMBER <br /> T&T Trucking, Inc 931-6000 <br /> BUSINESS ADDRESS(Facility Being Inspected) ZIP CODE <br /> 11396 N Hwy 99 Frontage Rd 95240 <br /> FIRE DISTRICT INSPECTION DATE ARRIVAL TIME DEPARTURE TIME I INSPECTION TYPE <br /> Waterloo Morada —7 , 31 —oz I32d HM14P <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 <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 1 113. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> --# 7 21i,9 !�!l�iiji7/y� <br /> To rA i. <br /> _ Lp r14: r z <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 /> r— <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Bus ess Represe live(Signature) <br /> Name of Inspector and Fire Company WHITE COPY: OES <br /> CANARY COPY: FIRE PREVENTION REV 11/96 <br /> Phillip Cook PINK COPY: BUSINESS <br /> OES-HMI (9/00) <br />