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COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> a ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> .� STOCKTON, CALIFORNIA 95202 <br /> - HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> FFAX(209)944-9015 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> TELEPHONE NUMBER <br /> BUSINESS NAME 727-5744 <br /> Taco Bell / KFC <br /> BUSINESS ADDRESS(Facility Being Inspected) <br /> 18780 N Hwy 88 <br /> FIRE DISTRICT INSPECTION DATE ARRIVAL TIME DEPAR'T'URE TIME INSPECTION TYPE <br /> okel mne I t $-07, 1 /01/ /0 33 <br /> HMMP <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY INSPECTION YES NO <br /> 1.Business HMMP/Inventory On Site 7.Facility Map Complete and Accurate <br /> 2. HMMP/Map Easily Accessible to Employee 8.Chemical Inventory Complete and Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP <br /> 4. If Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site? 11.Hazardous Materials Being Properly Handled by Employees <br /> 5. Material Safety Data Sheets(MSDS)On Site 12.Hazardous Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand 13.Soil and Facility Appear Non-Contaminated <br /> COMMENTS(Items marked"NO"above must be explained in this section) <br /> lr / Z e0 /6Yrr 17(17- &7 <br /> 3 f ,&7 ^-'ek.'eS ;V "F/E2!T Carr p / <br /> c Le LZLlor ii-r tee= 2 haul O14,nne i-rrr wbe� 'qi2 <br /> U2— <br /> �SNd �'ISDs {zrr C�1 var/u6/r <br /> REFERRALS ❑SJ Ag ❑SJ Env Hlth ❑OSHA ❑ Fire ❑DA ❑ <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must be Delivered to OES By Follow Up Inspection Date OES Inspector NamePec rfo=llow Up <br /> /-/f -02 --_� <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION LTS <br /> Busin s e sentative(Print Name and Title) Bus' (Sig tare) <br /> N of Inspector Agency Fire Co. If Appro nate) PPE C : OES <br /> Phillip Cook PINK COPY. BUSINESS REV 9/02 <br />