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pOu'" SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> c4LiFOq NSP INSPECTION FORM <br /> BUSINESS NAME// �� <br /> PHONE NUMBER <br /> e <br /> Az,t 4t- GII /h - i/2!//GE�� 11(e -/5< 72, <br /> BUSINESS ADDRESS ZIP CODE FIRE DISTRICT <br /> 37 S, e 9� STa�k ;yrs 75'.2/ 3 it�IGrtl2g7�<! i` <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> /SZ��J �s3v l/�R�FiCk7i�an/ <br /> A.INFORMATION CURRENT YES NO B. STORAGE/HANDLING INFORMATION YES NO <br /> PLAN AVAILABLE ON SITE WASTE GENERATOR <br /> SECTION 1: NOTIFICATION M.S.D.S. AVAILABLE ON-SITE <br /> SECTION 2: EMERGENCY PROCEDURES SECONDARY CONTAINMENT NOTED <br /> SECTION 3: EVACUATION PROCEDURES SAFETY HAZARDS <br /> SECTION 4: LEAK&SPILL CONTROL CHEMICALS PROPERLY STORED <br /> SECTION 5: FACILITY MAP CHEMICALS PROPERLY LABELED <br /> SECTION 6: TRAINING PROGRAM & RECORDS CHEMICALS PROPERLY HANDLED <br /> SECTION 7: INVENTORY <br /> C. COMMENTS AND RECOMMENDATIONS: <br /> el(V <br /> L moat 611c. <br /> .s d S ctr) 04 dEke <br /> - r <br /> D. REFERRALS <br /> S.J.C.AGRICULTURE 13S.J.C.ENVIRONMENTAL CAL OSHA LOCAL S.J.C.AIR OTHER <br /> COMMISSIONER HEALTH FIRE DEPT. POLLUTION C.D. <br /> E. COMPLIANCE VERIFICATION <br /> FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> ZZ- 9 <br /> BUSINESS REPRESENTATIVE: (PRINT NAME) BUSINESS ATIVE: (SIGNED) AllTITLE: <br /> f C <br /> INSPE copy DES <br /> OES. <br /> CANARY COPY FILE <br /> PINK COPY. BUSINESS <br /> HIM INV:REV.NOV 1995 <br /> 0.E-S-Haz-Mat 10(1119 <br />