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a All <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> ` HAZARDOUS MATERIALS DIVISION <br /> " 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> �LItp N�\ INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> C b� RAS 1�c� 1 G c . 3 (� -53� <br /> BUSINESS ADDRESS ' FIRE DISTRICT <br /> =ARTURE <br /> INSPECTION DATE ARRIVAL TIME INSPECTION TYPE <br /> (o (-f/9Z N�trl ' <br /> A. ADMINISTRATIVE INFORMATION YES I NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK 8 SPILL CONTROL <br /> SECTION 5: FACILITY MAP <br /> SECTION 6: TRAINING T <br /> SECTION 7: INVENTORY k C& cng-, <br /> B. STORAGE h HANDLING INFORMATION YES I NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR X I CA L 0000 3 2 39 0 <br /> M.S.D.S.AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED O n <br /> SAFETY HAZARDS X <br /> CHEMICALS PROPERLY STORED X SGS ��lo J <br /> CHEMICALS PROPERLY LABELED X Scc- FJ�O,.7 0v <br /> CHEMICALS PROPERLY HANDLED X <br /> C. COMMENTS AND RECOMMENDATIONS <br /> of- <br /> r <br /> D. REFERRALS <br /> ❑ COMMISSIONERNRE ❑ HEALTH NVIRONMENTAL ❑ OSHA ❑ FIRE DEPT. ❑ POLLUTION C.D. ❑ OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> VES ❑ NO <br /> BUSINESS REPRESENTATIVE:. (PRINT AME) BUSINESS REPRESENTA E: (SKTNETITLE: <br /> D) <br /> fn <br /> xAL <br /> WHITE COPW ES. <br /> FI <br /> INS , CANARY COPY: FILE <br /> / < PINK COPY: BUSINESS <br />