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09/18/2009 12:34 12099821906 -,_ UNITED FACILITIES RGVE'tl M 01/02 <br /> �St°th COUNTY OF SAN JOAQUIN SEP 88 2009 <br /> OFFICE OF EMERGENCY SERVICES <br /> 2101 E.Earhart Avenue,Suite 300 SAN JOAQUIN COUNTY <br /> " Stockton,California 95206 OFFICE OF EMERGENCY SERVICES <br /> Telephone:(209)953-620(1 - <br /> •,r `''• <br /> Fa <br /> z: (209)953-6268 !_ <br /> icpti� HAZARDOUS MATERIALS PROGRAM INSPECTION FORM 'zzy 6 <br /> BUSIN SS NA E ADDRESS(Facit1 Being Inspected) <br /> _._ _ �. <br /> - << C , AZ ' ��c 3 3 hie• <` A <br /> AfCO� +rte START DATE(New Bus) INS �I oD� ARI� O � <br /> AL TIME DCR_TURE TvIME'- o, <br /> RNA�AE� <br /> dY /q —S O .PvT a <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> .. L HMMPlMap On Hand and Easily Accessible 6. Facility Map Complete and Accurate <br /> 2.Business Identification'I)ege Complete&Accurate 7. Presence of Non-Listed Regulated Chemicals 4-- <br /> 3.Business HMMP Complete and Accurate - Employees Familiar with HMMP <br /> 4.Chemical Description Pages Complete and Accurate 9. Hazardous Materials/Waste Properly Labelled <br /> S.Training Records Available 10. Conditions that would hinder implementation of <br /> Emergency Plan or increase risk of release are absent <br /> EXPLANATION OF FINDINGS AND COMMENTS f <br /> �o✓!r7 "t !:t r1 Gr r . GGh f - 4- /. 1 @ S c ✓l r O..t '{ <br /> , I v <br /> Low � `7 -e—[ <br /> vT� <br /> O Cc. ✓O G/� eSl <br /> fNSPE�CTION FOLLOW UP INF RMA ON Actions / Additional <br /> bmitted By: RefcrralsMotes: <br /> LEDGEMENT OF REVIE AND RECEIET OF INSPECTION RRSULTS <br /> �epresentat14ve(Pont Name an idc) Business Reprcsemauve ignature) wpr.COpv. OES <br /> PINK COPY! BUSINESS <br /> �/ ' /�,..._ ! r�•'4..-n��_ 1� -/ Lr[1�E r � j REV IL-Al <br /> f' <br />