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Alk <br />A <br />COUNTY OF SAN JOAQUIN <br />=' OFFICE OF EMERGENCY SERVICES <br />-{ ROOM 610, COURTHOUSE <br />? i 222 EAST WEBER AVENUE <br />STOCKTON, CALIFORNIA 95202 <br />HAZARDOUS MATERIALS DIVISION (209) 468-3969 <br />'--- - FAX (209) 9449015 <br />HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />BUSINESS NAME <br />Lodi Gas Storage, LLC <br />TELEPHONE NUMBER <br />368-9277 <br />BUSINESS ADDRESS (Facility Being Inspected) <br />23265 N Hwy 99 West Frontage <br />FIRE DISTRICT <br />Woodbridge <br />INSPECTION DATE JARRIVALTIME <br />12-19-02 <br />065 <br />DEPARTURE TIME <br />102Z <br />1INSPECTIONTYPE <br />HMMP <br />INSPECTION RESULTS <br />DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br />1. Business HMMP/Inventory On Site <br />t.4 <br />7. Facility Map Complete and Accurate <br />2. HMMP/Map Easily Accessible to Employees <br />8. Chemical Inventory Complete and Accurate <br />3. Bus ID Page/HMMP Complete and Accurate <br />9. Employees Familiar with HMMP <br />4. If Business is a Hazardous Waste Generator, <br />are Hazardous Waste Manifests On Site? <br />10. Plant Operations Appear Safe <br />11. Hazardous Materials Being Properly Handled by Employees <br />5. Material Safety Data Sheets (MSDS) On Site <br />12. Hazardous Materials Properly Stored and Labeled <br />6. Current Training Records On Hand <br />13. Soil and Facility Appear Non -Contaminated <br />COMMENTS (Items marked "NO" above must be explained in this section) <br />#3 1214w <br />t� <br />7T. ' Ai��) / - z Sn440r77 <br />t?ei/v,4f-C-n i- o -d - <br />3o Gy. <br />REFERRALS ❑ SJ Ag ❑ SJ Env 111th ❑ OSHA ❑ Fire ❑ DA ❑ <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 />/,'z -30 02- <br />ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br />Business Representativ (Pri <br />t Name and Title) y/�� <br />eL, I <br />Busin <br />R v (Signature) <br />Name of Inspector A ency Fire Co. (If Appropriate) <br />PhillipCook <br />WH OPY: OES <br />PINK COPY: BUSINESS <br />REV 9/02 <br />