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On Joaquin County Hazardous Mate <br />1991 Worksheet <br />Businesses completing HMMPs in 1989 may use this worksheet to determine if submittal of updates is necessary. <br />Please compare the 199I HMMP format with your current RMMP. If you answer "yes" to any of the following <br />questions, you are then required to submit the updated sections of the HMMP to OES by Januaa-U. 1991. You <br />can obtain any necessary sections from OES. <br />skakm-L <br />Has your business name or address changed?— — — — — — — — — — — — — — <br />Have emergency notification personnel and/or telephone numbers changed? <br />Has the nature of your business changed? — — — — — — — — — — — — — — -- <br />Did you neglect to document your Dun and Bradstreet number? — — — — — — — <br />Did you forget to sign your previous HMMP? — — — — — — — — — — — _ <br />Cyn lion.k <br />Have your emergency procedures changed? — — — — — — — — — — — — — — <br />Have you reassigned emergency responsibilities for employees? — — — — — — — <br />SWAM& <br />Have you reassigned an evacuation leader? — — — — — — — — — — — — — -- <br />Have you changed shift hours and number of employees per shift? — — — — — -- <br />Have you changed evacuation routes and evacuation assembly areas? <br />Has the area surrounding your business changed (i.e. new developments)? — — — <br />S=fimAi <br />Have you reassigned a spill control leader?— — — — — — — — — — — — — — <br />Have you added, deleted, or changed your safety equipment, spill control <br />equipment, or monitoring equipment?— — — — — — — — — — — — — — — — <br />Have you designated or changed a clean-up company which can assist you <br />during a hazardous materials incident?_ — — — — — — — — — — — — — — <br />Have you changed your written spill and leak procedures? — — — — — — — — — <br />&dim& <br />Does your facility diagram or topographical map need to be updated? <br />— — — — — <br />awlimk <br />Has your employee safety and training program changed?— . . . . . . . . <br />Chemical Inventory: <br />A completed chemical inventory must be submitted to OES every year. Please complete the inventory form <br />and submit with this worksheet. Return the forms to OES by sg uAry 15. 1991. <br />Certification: I swear under penalty of perjury that the above information is accurate to the best of my <br />knowledge (please print the following information in ink). <br />Print Name: <br />Job Tide: <br />Signature: Date: <br />Business Name: Telephone Number: <br />Site Address: <br />