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pOU1N SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> ` 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> .. .s (209)468-3969 <br /> INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> �G✓c%'6"T �6' lC- SYs>6�a1 ^09 3��-s/o.� <br /> BUSINESS SITE ADDRESS ZIP CODE E DISTRICT <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE / <br /> A. ADMINISTRATIVE INFORMATION YES 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& SPILL CONTROL <br /> SECTION 5: TRAINING <br /> SECTION 6: FACILITY MAP <br /> SECTION 7: INVENTORY x/OGD �/66EG �utir S�i� �Q �t �w�wA <br /> B. STORAGE& HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S. AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED /�S6/ i9i✓ <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS / y� <br /> hors 4�"i et, •/noo -E K&. C�Lo- <br /> &x Xi-4 bt-' 7 <br /> D. REFERRALS <br /> CAL LOCAL SA.C.AIR <br /> COMMISSIOAGRNERTURE O HES C. <br /> ENVIRONMENTAL OSHA FIRE DEPT. POLLUTION C.D. El OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> 0'YES E] NO !}z."�o--..:_._ ':�/i77:7� <br /> BUSINESS REPRESENTATNE: ' RIM NAME) SIUSINES REPRESENTATNE:. SSG ) TITtf: <br /> X / <br /> INSPECTOR: 9 RE: <br /> AWHITE <br /> PY; O.E.S. <br /> CANARY COPY: <br /> FILE <br /> PINK COPY: BUSINESS <br /> HM DW:RBY.3UNE 1993 <br />