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t VAI <br />,... . <br />14. <br />OF <br />OES . HM 1 (9100) <br />uvviuh OF EMERGENCY SERVICES <br />a <br />ROOM 610, COURTHOUSE <br />:. <br />222 EAST WEBER AVENUE <br />trFdBN <br />STOCKTON, CALIFORNIA 95202 <br />BUS. (209) 468-3969 FAX (209) 9449015 <br />BUSINESSN E HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br />VPL Transport Inc <br />BUSINESS ADDRESS <br />TEI�PIIONENI MBER <br />(Facility Being Inspected) <br />931-2682 <br />111 N H <br />FIRE DISTRICT <br />ZIPCODE <br />INS PECIYON DATE ARR,13VAL TIME D TURF TIME INSPECTION TYPE <br />Waterloo Morada "ZZ TM <br />DOCUMENT REVIEW <br />INSPECTION RESULTS <br />YES <br />1. Business HMMP/Inventory On Site <br />NO FACILITY WALK THROUGH YES NO <br />7. Facility Map Complete and Accurate <br />2. HMMP/Map Easily Accessible to Employees <br />8. Chemical Inventory Complete & Accurate <br />3. Bus ID Page IP Complete and Accurate <br />9. Employees Familiar with HMMP <br />4. If Business is a Hazardous Waste Generator, <br />j 10. Plant Operations Appear Safe <br />are Hazardous Waste Manifests On Site <br />(/ 11. Materials Being Properly Handled <br />5. Material Safety Data Sheets (MSDS) On Site <br />12. Materials Properly Stored and Labeled <br />6. Current Training Records On Hand <br />13. Soil and Facility Appear Non -Contaminated <br />COMMENTS (Items marked "NO" above must be explained in this section) <br />C��,ys��r9r�: <br />rid/ �� _-�� lIG �_errrla� <br />�lG� r�or aaa.l� %1•��c <br />- 7 ON/ ADD <br />(7�� c ,,�� ,—rr2�►�,�,t�s,�� <br />n" <br />- <br />_ - <br />�.� 1 Yt ✓t lsitr �, TCJ TH Lr <br />6 <br />CM n M44 eV <br />t r <br />i 2 - <br />REFERRALS (FOR OES USE ONLY) SJ Ag E:] SJ Env Hlth ❑ OSHA ❑ Fire ❑ Air Dist ❑ <br />REFERRALS <br />INSPECTION FOLLOW UP INFORMATION <br />Corrective Actions Must Be Delivered To OES By <br />Follow U spection Date OES Inspector Name Performing Follow Up <br />—5-07i <br />ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br />Business Representative (Print Name and Title) <br />Business Repres (S ynature) <br />Name of Inspector and Fire Company <br />WHITE COPY: OES <br />CANARY COPY: FIRE PREVENTION <br />REV 11/96 <br />Phillip Cook <br />PINK COPYBUSINESS <br />OES . HM 1 (9100) <br />