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COUNTY OF <br /> s OFFICE OF EMERGENCY OERQ CES <br /> I <br /> kUj <br /> ROOM 610, COURTHOUSE <br /> •c+ e `P/• 222 EAST WEBER AVE N <br /> STUE <br /> OCKTON, CALIFORNIA 95202 <br /> BUS. <br /> BUSINESS N ME HAZARDOUS (209)468-3969 FAX(209)944-9015 <br /> MATERIALS <br /> 'PROGRAM INSPECTION FORM <br /> Syste <br /> BUSINESS ADDRESS(Facilit Y ms, Inc <br /> 25443 Being Inspected) 7F.LPPHONE NUMBER <br /> FIRE DISTRICT N Hwy 99 368-5105 <br /> Woodbridge LNSPECIJONDATE /JP DE <br /> ARRIVgI'TIME DEPART 95220 <br /> Z�2 0910 URE TIME INSPECTION TYPE <br /> DOCUMENT REVIEW INSPECTION RESULTS 89V3 Bm" <br /> 1. Business HMMP/Inventory On Site YES NO FACILITY WALK THROUGH <br /> 1/ 7. Facility Map Complete and Accurate YES NO <br /> 2• HMMP/Map Easily Accessible to Employees 8. Chemical Inventory Complete&Accurate <br /> 3.Bus ID Page4 MMP Complete and Accurate <br /> 9. Employees Familiar with HMMP <br /> Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site N <br /> 11.Materials Being Properly Handled <br /> 5. Material Safety Data Sheets(MSDS)On Site 12.Materials Properly Stored and Labeled <br /> 6.Curren[Training Records On Hand 13. Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked "NO" above must be explained in this section) <br /> 111ry <br /> a l�, �s <br /> _ s <br /> �eIV47 79airleI %Y/c of&Z <br /> -/2-1pZ <br /> # `! Am RALI P/,W <br /> REFERRALS (FOR OES USE ONLY) ❑SJ Ag [:]SJ Env Hlth OSHA [-] Fire [-]Air Dist <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must Be Delivered To OES By Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> y- iz-w <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Business Representative(Signature) <br /> Name c nspector and Fire Compa WHI C PY: OES <br /> Phillip Cook CAN COPY: FIRE PREVENTION REV 11196 <br /> PINK COPY: BUSINESS <br /> OES-MM1 (91 <br />