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1�.• <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 61 OA,STOCKTON, CA 95202 <br /> (209)468-3969 <br /> INSPECTION FORM <br /> BUSWESSNAME PHONE NUMBER <br /> BUSINESS SITE ADDRESS ➢P CODE IPE DISTR <br /> S. '4Ltr r c c.� <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> C �m c' • <br /> A. ADMINISTRATIVE INFORMATION YES I Nd COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION zz <br /> t � <br /> SECTION 2: EMERGENCY PROCEDURES 7 � " Lam_ <br /> SECTION 3: EVACUATION PROCEDURES c f L s <br /> H <br /> SECTION 4: LEAK 8 SPILL CONTROL <br /> SECTION 5: TRAINING <br /> SECTION 6: FACILITY MAP <br /> SECTION 7: INVENTORY j�P� ,eQ <br /> B. STORAGE&HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR '4 <br /> M.S.D.S.AVAILABLE ON-SITE �• <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> H1401114v_ <br /> C. COMMENTS AND RECOMMENDATIONS <br /> 5 ¢cpp, ylC <br /> >a 7 n C11,2 el Aem <br /> C v n- <br /> D. REFERRALS <br /> OSINTURE HNVIROMEHGI OSF� PLL �CMMISSIONERHEALTH <br /> A IRE T. OOTA/a <br /> El OTHER <br /> E. COMPLIANCE RIFICATION <br /> INSPECTION APPRO FOLLOW INSPECTION DATE: / MAX.IN REVISIONS DUE BY: <br /> Q YES <br /> BUSII� RESEMTATIYE M <br /> (PRMAME) BUSINESSATRIM (SI91� TRLE: <br /> /yPt� iit /r2 "01L /<¢ <br /> INSPECTOR: SIGNATURE: f/ <br /> 7 WHITE <br /> COPY: O.E.S.L. <br /> - {— L_ _ T PINK COPY: BUSINESS <br /> NBNMp :PBV.NNEIM <br />