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o^ SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> co <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 610A,STOCKTON,CA 95202 <br /> (209)468-3969 <br /> co <br /> INSPECTION FORM <br /> BUSIA ,� PHONENUMBER <br /> 399- z a <br /> BUSINESS ADDRESS FIRE 1STRICT <br /> 19 k1114 I kl ` 9 a �r•szZC� \ 0o held ' c, <br /> INSPECTION DATE AIVVAAL TIME, DEPARUJRE TIME INSPECTION TYPE ^ <br /> A. ADMINISTRATIVE INFORMATION YES NO 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& SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> SECTION 6: TRAINING <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 Ci <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED ✓ <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED 77 <br /> C. COMMENTS AND RECOMMENDATIONS <br /> 5 <br /> D. REFERRALS <br /> COMMISSIONER HEALTH NVIRONMENTAL CAL <br /> FIRE DEPT. POLLUTION C.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> YES 0 NO <br /> USINE99 REPRESE ATIVE: (PRINTNAME) BUST SREPRESENTAT HED) TIRE: <br /> INSPECT WHITE COPY: O.E.S. <br /> CANARY COPY: FILE <br /> C PINK COPY: BUSINESS <br />