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oci to-cVU4 NEU Vc JO rll MU1a 0IVr llnnnctd rMA IVU, DIUDDIID44 r uoiva <br /> wr <br /> COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES SEP 15 2004 <br /> ,w < ROOM 610,COURTHOUSE bpfaWUNI <br /> ., -. 222 EAST WEBER AVENUE MXEOFEIk-iNGA@CYSER CE <br /> i' STOCKTON, CALIFORNIA 95202 <br /> HAZARDOUS MATERIALS DIVISION(209)468.3969 <br /> FAX(209)940-9015 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> B T SSN E <br /> cc i C � �V,I�yt�p�gc��k � #�3q �+� I <br /> B1i911V13Ss l�Hl)RESS(It'�cility,Bp7n7 �.YP.I U t/l. •J - o c-L�o Li 7 -5-z- Lls <br /> FIRJD t� Q INAR) DE/As TIME IN7C �o <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW NO FACILITY INSPECTION Y O <br /> 1.Business HMMP/lnven[ory On Site 7.Facility Map Complete and Accurate <br /> 2.HMMP1Map Easily Accessible to Employees 18.Chemical Inventory Complete and Accurate <br /> 3.Bus ID Page/FI114MP 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 Employee <br /> S. Material Safety Data Sheets(MSDS)On Site 2.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 /> /o✓,' .� /tea o curra � <br /> REFERRALS ❑SJ Ag ❑SJ Env Hlth ❑OSHA ❑Fire ❑DA ❑ <br /> INSPECTION FOLLOW UP INFORMATION <br /> Correcrtp--6 AAMusle cN n�, iver8 to pE By Follow Up Inspection ate OES Inspector Name Performing Follow Up <br /> tt <br /> ACKNOWLEDGEMENT OF REVIEW ANDRE E IPT OF INSPECTION RESULTS <br /> x%el'nrecspRrc.prfGGotBusiness Representative(Signature) <br /> LNn <br /> i <br /> Nam y�egprz 4V- Fire Co.(If Appropriate) WHITE COPY OEL REV 9/0 <br /> PINKCOPY' EUS NM <br />