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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 /> INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> o� - <br /> BUSINESS SIM ADDRESS ZP CODE FIRE DISTRICT <br /> l <br /> INSPECTION DATE ARPWALTIME DEPARTURE TWE WSPECTgN TYPE <br /> .-, / S _Skrolk /,j <br /> - <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 L <br /> SECTION 4: LEAK&SPILL CONTROL <br /> SECTION 5: TRAINING <br /> SECTION 6: FACILITY MAP <br /> SECTION 7: INVENTORY �. , <br /> B. STORAGE&HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S.AVAILABLE ON-SITE <br /> - <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS Ik <br /> CHEMICALS PROPERLY STORED �. <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> CJ �4 <br /> C <br /> 3 <br /> D. REFERRALS <br /> COMMISSIONER I] HEALTH ENVIRONMENTAL p OSHA a FIRE DEPT.OCAL POLLUTION C.D. OTHER <br /> E. COMFJUANCE VERIFICATION <br /> N APPROVED: FOLLOWLP INSPECTION DATE: MML IN REVISIONS DUE BY: <br /> VES Q NO <br /> BUSINESSI REPRESENTATRR_ (PRWTNAME) -----.BUSINESS REPRESENTATIVE:: (MINED). TITLE: <br /> INSPECTOR: SIGNATURE: WHILE CO : O.E.S. <br /> CANARY COPY: FILE <br /> PINKCOPV: BUSINESS <br /> roe HM BV V:RRV.TfINE 1991 <br />