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NOUIry SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> r, HAZARDOUS MATERIALS DIVISION <br /> M cq 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> IFOReINSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> s � L lV" b� U'I( (-'MLv" 3 q- <br /> BUSINESS SITE ADDRESS FIRE DISTRICT <br /> zs-is ( /�l, kf q / ectun o g S 2 2 Q F� La.,-c__ <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> IvU ( /q2- �f us <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 <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 <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED L <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> COMMISSIONER HEALTH NVIRONMENTAL OSHA E] FIRE DCAL LOCALEPT. El PS.OLJ.LUC.TAIR <br /> IONC.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLUOW OF INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> n YES C] NO <br /> BUSINESS REPRESENTATIVE_ .(PRINT NAME) BUSINESS REPRESENTATIVE: (SIGNED); TITLE: <br /> rr l <br /> Ste- 1'ZC. <br /> INSPECTOR: SIGNATURE: %VH16 COPY: O.E.S. <br /> CANARY COPY: FILE <br /> PINK COPY: BUSINESS <br /> IDB FLN Bi V:BHV.fUiVE 1992 <br />