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COUNTY OF SAN JOAQUIN <br />OFFICE OF EMERGENCY SERVICES <br />ROOM 610, COURTHOUSE <br />222 EAST WEBER AVENUE <br />STOCKTON, CALIFORNIA 95202 <br />HAZARDOUS MATERIALS DIVISION (209) 468-3969 <br />FAX (209) 944-9015 <br />HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />BUSINESS NAME TELEPHONE NUMBER <br />Western Oil & Spreading 369-3631 <br />BUSINESS ADDRESS (Facility Being Inspected) <br />19256 N Hwy 99 <br />DISTRICT( INSPECTION <br />Woodbridge 1-10-03 <br />DOCUMENT REVIEW <br />1. Business HMMP/Inventory On Site <br />2. HMMP/Map Easily Accessible to Employees <br />3. Bus ID Page/IIMMP Complete and Accurate <br />4. If Business is a Hazardous Waste Generator, <br />are Hazardous Waste Manifests On Site? <br />5. Material Safety Data Sheets (MSDS) On Site <br />6. Current Training Records On Hand <br />COMMENTS (Items marked "NO" alive must <br />U U <br />DATE ARRIVAL TIME DEPARTURE <br />G7 -SV M /3 <br />INSPECTION RESULTS <br />YES NO FACILITY INSPECT <br />7. Facility Map Complete and Accurate <br />8. Chemical Inventory Complete and Ac <br />9. Employees Familiar with HMMP <br />.n 10. Plant Operations Appear Safe <br />11. Hazardous Materials <br />P. Hazardous Materials <br />13. Soil and Facility Ap <br />7— <br />TIME (INSPECTION TYPE <br />HMMP <br />tg Properly Handled by <br />ierly Stored and Labeled <br />Non -Contaminated <br />r <br />IREFERRALS ❑ SJ Ag ❑ SJ Env Hlth ❑ OSHA ❑ Fire ❑ DA ❑ 1 <br />/7l <br />to <br />Name and Title) <br />(Name of Inspector Agency Fire Co. (If Appropriate) WHITE COPY: OES (REV 9/02 <br />Phillip Cook I PINKCOPY: BUSINESS <br />