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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br />t HAZARDOUS MATERIALS DIVISION <br />222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br />(209) 468-3969 <br />9LF0"~ INSPECTION FORM <br />BUSINESS NAME <br />\J'PL 1 vw, <br />BUSINESS SITE AUUHESS ZIP CODE <br />M qG 9c� Lo I" <br />WSPECTION IARRIVAL TIME DEPARTURE TIME <br />Q)Ct 2 , 1 q9Z <br />PHONE NUMBER <br />q3 <br />FIRE DISTRICT <br />Mo r <br />INSPECTION TYPE <br />o-� <br />A. ADMINISTRATIVE INFORMATION YES NO COMMENTS k_'i:D RECOMMENDATIONS <br />PLAN AVAILABLE ON SITE - <br />SECTION 1: NOTIFICATION <br />SECTION 2: EMERGENCY PROCEDURES <br />SECTION 3: EVACUATION PROCEDURES <br />SECTION 4: LEAK & SPILL CONTROL <br />SECTION 5: TRAINING <br />SECTION 6: FACILITY MAP <br />SECTION 7: INVENTORY <br />B. STORAGE & HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br />WASTE GENERATOR NJ O PA N U w.br-,— <br />M.S.D.S. AVAILABLE ON-SITE ✓ �p <br />SECONDARY CONTAINMENT NOTED <br />SAFETY HAZARDS <br />CHEMICALS PROPERLY STORED <br />/ <br />CHEMICALS PROPERLY LABELED 0; 1 ( <br />CHEMICALS PROPERLY HANDLED <br />C. COMMENTS AND RECOMMENDATIONS <br />D ' �_l Cb e. K) r l / <br />S s <br />A <br />D. REFERRALS <br />CAL LOCAL E3 S..LC_AIR <br />COMMISSIONERNRE HEALTH NVIRONMENTAL OSHA ❑ FIRE DEPT. POLLUTION C. D. E] OTHER <br />E. COMPLIANCE VERIFICATION <br />INSPECTION APPROVED: <br />91 YES 0 NO I <br />FOLLOW-UP INSPECTION DATE: <br />Mov. 2 19 9 2- <br />MNL IN REVISIONS DUE BY: <br />BUSINESSREPRESENTATIVE: (PRBfTNAME) <br />BUSINESS REPRESENTATIVE:.(SIGNED <br />x j441 <br />TRLE� <br />pisPECT <br />` 1UR WHITE COPY: O.E.S. <br />CANARY COPY: FILE <br />PINK COPY: BUSINESS <br />U�I/ I roeG¢w urv: aev.nrvel9vz <br />