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SAN JOA( -.N COUNTY OFFICE OF EMERGL.:.CY SERVICES <br /> "sA HAZARDOUS MATERIALS DIVISION <br /> ` 222 EAST WEBER AVENUE, ROOM 610A,STOCKTON,CA 95202 <br /> •rte � (209)468-3969 <br /> INSPECTION FORM <br /> BUSINESS NAPE <br /> ►M46PH`O`NENUMBER <br /> � ��tOwt••CG <br /> BUSINESS ADDRESS <br /> t co(oto-4v � 215 F Me 7urcrc' <br /> MSPECTq / / lqz- AR IN111JIME <br /> /0 <br /> ^�✓ DEPARTURE TIMECTION <br /> A. ADMNISTRATIVE INFORMATION LL YES NO VCOMMENTS AND RECOMMENDATIONS <br /> PLdN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES ('(v rQ G v (�{/] <br /> SECTION 3: EVACUATION PROCEDURES 5TCS00IL?6 6C4 <br /> SECTION 4: LEAK& SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> SECTION 6: TRAINING <br /> SECTION 7: INVENTORY <br /> B. STORAGE& HANDLING INFORMATION YES I NO CO NTS AND RECOMMENDATIONS <br /> WASTE GENERATOR e( Ow(V61Qyl rOYI <br /> M.S.D.S.AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED 1 . Feview wtole7al ;n v 0f 0 uJ@ S <br /> SAFETY HAZARDS 2, Po VI eov Lome Q ®Q so P �va(loclvee S <br /> CHEMICALS PROPERLY STORED3 1? vi QW S i PO C /o U S <br /> CHEMICALS PROPERLY LABELED pC}yf- (/ m j y QYI v f rO✓YKv�eT 6� <br /> CHEMICALS PROPERLY HANDLED �!P 1✓°cP S <br /> C. COMMENTS AND RECOMMENDATIONS <br /> �j Ianrv.61 Sir + IC lJ� +0 ( , vCvP <br /> SP vPQ C?cst , o x� S 4n yea� <br /> D. REFERRALS <br /> RE <br /> COMMISSIONERN )Z)HEAITHNVIRONMEMAIAL N•--L <br /> FIRE DEPT. POLLUTION C.D. OTHERE. COMPLIANCE VERT CATION �+ <br /> ISPCTION APPR ED: FOLLOW-UP INSPE77N/ - _ MAIL IN REVISIONS qyE BY/ u <br /> VES NO ��1^� VV �l�/,i <br /> BUSINESS REPRESENTATNE: (PRM NAME) : BU REP SENTA : (SgNED) ITITI <br /> S <br /> WHITE <br /> COPY: <br /> O.E.S. <br /> FILE <br /> PM COPY: BUSINESS <br />