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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) 9449015 <br />HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />C <br />BUSINESS ADDRESS (Facility Being Inspected) /! <br />h w a <br />FIRE DISTRICT rINSPECT10N DATE ARRIVAL TI DEPAR TIME I INSPECTION TYPE <br />R-kovn io- 3-07 �� 1�3V I tMrtp <br />DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br />1. Business HMMP/Inventory On Site 7. Facility Map Complete and Accurate <br />2. HMMP/Map Easily Accessible to Employees 8. Chemical Inventory Complete and Accurate a <br />3. Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP <br />4. If Business is a Hazardous Waste Generator, �/ 10. Plant Operations Appear Safe <br />are Hazardous Waste Manifests On Site? G 11. Hazardous Materials Being Properly Handled by Employee <br />5. Material Safety Data Sheets (MSDS) On Site 12. Hazardous Materials Properly Stored and Labeled <br />6. Current Training Records On Hand 1 61 113. Soil and Facility Appear Non -Contaminated <br />COMMENTS (Items marked "NO" above must be explained in this section) <br />ihvl�& mod 1-0-1 111u°anit> elld mar I <br />6_ <br />1m <br />REFERRALS ❑ SJ Ag ❑ SJ Env HIth ❑ OSHA ❑ Fire ❑ DA ❑ <br />is Must be Delivered to OES 1 <br />-L -i-U3 <br />iEMENT OF REVIEW AND <br />native (Print Name and Title) <br />REV <br />