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°�'" SAN JOA COUNTY OFFICE OF EMERG Y SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON,CA 95202 <br /> (209)468-3969 <br /> INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> ov u\, C o c e� 33.,-1-9/(2 <br /> BUSINESS ADD FIREDISTRICT <br /> 1 N w u g 9 Lod; 9s2-zo ('c)o io r/cl <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> -iue-s 10AM I I 14MMP <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE X <br /> SECTION 1: NOTIFICATION X <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> SECTION 6: TRAINING k <br /> v. <br /> SECTION 7: INVENTORY Pa�wLSIW4 cjroxidc <br /> B. STORAGE h HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR X 6Kc{S <br /> M.S.D.S.AVAILABLE ON-SITEI LS4�5 <br /> SECONDARY CONTAINMENT NOTED k Ml, Ga1d l Am Pon Z <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED Umu AILWS a* Qol t <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> 4-41. S W r- C, <br /> dv� Cf'O P u.t. <br /> (0--,444 <br /> a>T 30 — l <br /> D. REFERRALS <br /> COMMISSIONERTURE HEALTH NVIRONMENTAL OSHA FIRE DEPT. Pbl UTAIR <br /> KXI C.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: F lOW UP IN PECTION D E EY ISIDNS W BY: ^ ^ <br /> VES E] NO 1_11q <br /> BUSINESS REPRESENTATIVE:. (PRINT NAME) SINESS R PRESENTATIVE: (SK3NED) TITLE: <br /> CTO R: O WHITE COPY: O.E.S. <br /> CANARY COPY: FILE <br /> \ / PINK COPY: BUSINESS <br />