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oPaury^ c COUNTY OF SAN JOAQUIN <br />?•� •.oG OFFICE OF EMERGENCY SERVICES <br />a' ?, 2101 E. Earhart Avenue, Suite 300 <br />Stockton, California 95206 <br />Telephone: (209) 953-6200 <br />c+ .P Fax: (209) 953-6268 <br />IFOR� - i — <br />A�2I <br />HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />BUSINESS NAME <br />AT&T MOBILITY <br />ADDRESS (Facility Being Inspected] 1 <br />I 7L,903S, ' 6 W. f-- X <br />ACCOUNT ,# <br />13 % % L <br />START DATE (New Bus) <br />INSPE ION ATE <br />z 011 <br />ARRIVAL TIME <br />l by o <br />DEPARTURE TIME <br />Q O <br />INSPECTOR NANC <br />ROBERT LOPEZ <br />INSPECTION RESULTS <br />DOCUMENT REVIEW YES',,N0 FACILITY WALK THROUGH YES NO <br />1. HMMP/Map On Hand and Easily Accessible <br />000"5. <br />Facility Map Complete and Accurate <br />2. Business Identification Page Complete & Accurate <br />6. Employees Familiar with HMMP <br />3. Business HMMP Complete and Accurate <br />7. Training Records Available <br />4. Chemical Description Pages Complete and Accurate <br />1 P18. <br />Unsafe Conditions Observed (see details below) <br />EXPLANATION OF FINDINGS AND 7ENTS <br />'Soo <br />Qom- <br />Lxfv,,Q 4-- <br />` JA,el <br />.- f <br />INSPECTION FOLLOW UP INFORMATION <br />Corrective Actions <br />To Be Submitted By: <br />r/ �g 20 <br />Additional <br />Referrals/Notes: <br />ACKNOWLEDGEMENT bF REVIEW AND RECEIPT OF INSPECTION RESULTS <br />Business Representative (Pont Nam and Title) <br />O � Xlvat G.f <br />Business Repres tative i ture) <br />WHITE COPY: OES <br />K COPY: BUSINESS <br />REV 4/10 <br />U <br />