Laserfiche WebLink
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 /> C4(,FpReP INSPECTION FORM <br /> BUSINESS NAME / PHONE NUMBER <br /> S�TjG'Krbn/ SeR0et' ( t/1//moiZ WZ <br /> BUSINESS SITE AUDRESS ZIP CODE FIRE DISTRICT <br /> Z710-/o -5774!1-- 915'zo�l 57>ze_4_/_04/ <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE 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 V <br /> SECTION 5: TRAINING v <br /> SECTION 6: FACILITY MAP <br /> SECTION 7: INVENTORY !� <br /> B. STORAGE& HANDLING INFORMATION YES I NO I COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S.AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED d ZARZ We C / /- <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> AL S.J.C.AIR <br /> COMMISSIONERHEALTHHEALTH ENVIRONMENTAL OSTIA ❑ FICAL RE DEPT. POLLUTION C.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> ITION APPROVED: FOLLOWi1P MSPEC MAIL IN REVISIONS DUE BY: <br /> NSPYES [D NO <br /> BUSINESS REPRESENlATNE: (PRINTNAME) BUSINESS PRESENTATIVE: 1910 MTlE: <br /> X S'i1nCYl1U17 <br /> INSPECTOR: S WHITE COPY: O.E.S. <br /> �T /J��/J <br /> CANARY COPY: FILE <br /> / <br /> /! (f. [� PINK COPY: BUSINESS <br /> HM INV:RLN.JUNE 1992 <br />