Laserfiche WebLink
%./ `.. <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> �0G <br /> a. 1 HAZARDOUS MATERIALS DIVISION <br /> 1 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> c4{loAa`P INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> '7 LCV6nl 5_7Z)2g x`20 9Sz -3 3 <br /> BUSINESS ADDRESS ZIP CODE FIRE DISTRICT <br /> /-/&27 -2>,+vi•vc.' D91 vir 9S zo 7 SrACr�c <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> A. INFORMATION CURRENT YES NO B. STORAGE/HANDLING INFORMATION YES NO <br /> PLAN AVAILABLE ON SITE (/ WASTE GENERATOR <br /> SECTION 1: NOTIFICATION M.S.D.S. AVAILABLE ON-SITE t/ <br /> SECTION 2: EMERGENCY PROCEDURES SECONDARY CONTAINMENT NOTED <br /> SECTION 3: EVACUATION PROCEDURES SAFETY HAZARDS <br /> SECTION 4: LEAK&SPILL CONTROL CHEMICALS PROPERLY STORED ✓ <br /> SECTION 5: FACILITY MAP CHEMICALS PROPERLY LABELED <br /> SECTION 6: TRAINING PROGRAM & RECORDS CHEMICALS PROPERLY HANDLED <br /> SECTION 7: INVENTORY LL <br /> C. COMMENTS AND RECOMMENDATIONS: <br /> J41 N S. <br /> D. REFERRALS <br /> ❑ S.J.C-AGRICULTURE S.J.C.ENVIRONMENTAL CAL OS14A LOCAL S.J.C.AIR OTHER <br /> COMMISSIONER HEALTH FIRE DEPT. POLLUTION C-D. <br /> E. COMPLIANCE VERIFICATION <br /> FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY,+ <br /> BUSINESS R RESEN�ATIVE: (PRINT NAME) BUSINESS REPR ENTATIVE: (SIGNED) TITLE: <br /> x�'� <br /> J <br /> INSPE O . WHITE COPY O.ES. <br /> CANARYCOPY' FILE <br /> PIWCOPY BUSINESS <br /> O.E.S.Haz.Mat 10(11 HM Ift REV.NOV 1996 <br />