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=oSAN IN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> ST WEBER AVENUE, ROOM 61 CA. STOCKTON, CA 95202 <br /> (209)468-3969 <br /> INSPECTION FORM <br /> BUSINESS NAME <br /> PHONE NUM6E8 <br /> BUSINESS ADDRE <br /> /l�� � HIRED TRI T <br /> INSPEC IDN ATE I ( G' <br /> �� AggIVAL TIME DEPARTURE TIME IN TION TYP <br /> ( l �r <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 <br /> U <br /> SECTION 4: LEAK & SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> l <br /> SECTION 6: TRAINING Cal l <br /> LO I <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 /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> COMMI SIONFRTUqE HEALTH NVIRONMENTAL O OSHA FIRE DEPT. O POLLUTION C.D. ❑ OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLLOW UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> S ONO <br /> 'BUSINESS REPRESENTATN (PRINT NAME) 91N E qE NT TIVE. 1916NE0) TIRE: <br /> INSPECTOR: r WHITE COPY: O.E.S. <br /> CANARYCOPY: FILE <br /> 1 <br /> PINK COPY: BUSINESS <br />