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in <br />Mkk <br />SANJOAQ( COUNTY OFFICE OF EMERGENG SERVICES <br />HAZARDOUS MATERIALS DIVISION <br />222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br />(209) 468-3969 <br />n6��-INSPECTION FORM <br />BUSINESS NAME <br />IL_ ca <br />PHONE NUMBER <br />3C09- 3631 <br />BUSINESS ADDRESS <br />1 2 SCo o l w of C0.wt o 9 s�zC� <br />FIREDISTRICT / <br />Woo (-I' <br />INSPECTIOP DATE I <br />I ARRIVAL TIME <br />DEPARTURE TIME <br />INSPECTION TYPE <br />A. ADMINISTRATIVE INFORMATION <br />YES <br />NO <br />COMMENTS AND RECOMMENDATIONS <br />PLAN AVAILABLE ON SITE <br />SECTION 1: NOTIFICATION <br />SECTION 2: EMERGENCY PROCEDURES <br />SECTION 3: EVACUATION PROCEDURES <br />SECTION 4: LEAK 8 SPILL CONTROL <br />X <br />SECTION 5: FACILITY MAP <br />SECTION 6: TRAINING <br />SECTION 7: INVENTORY <br />X <br />B. STORAGE 6 HANDLING INFORMATION <br />YES <br />NO <br />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 />is <br />CHEMICALS PROPERLY LABELED <br />is <br />CHEMICALS PROPERLY HANDLED <br />X <br />C. COMMENTS AND RECOMMENDATIONS _ <br />alti. L � <br />O <br />D. REFERRALS <br />OSHA FIRE DEPT. POLLUTIONC.D. 0 OTHER <br />COMMISSIONERNRE HEALTH OSHA <br />E. COMPLIANCE VERIFICATION <br />INSPECTION APPROVED: <br />YES 0 NO <br />FOLLOW-UP INSPECTION DATE: <br />MAIL IN REVLRIONS DUE BY: <br />BUSINESSREPRESENTATIVE: (PRINTNAME) <br />I BU ( <br />TIRE: <br />INSPE CANARY C O.E.S. <br />WHITE OPV: FILE <br />PINK COPY: BUSINESS <br />