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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> r' HAZARDOUS MATERIALS DIVISION <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> c (209)466-3969 <br /> INSPECTION FORM <br /> BUSINE Laur PHONE NUWIIER <br /> Vk ( � �1 q(26-,:-( <br /> 8US04M SRE AODRESSFIRE <br /> Z OD W`. S�� W es c-n C� <br /> INSPEC Ro// ARRIVAL TIME DEPARTURE TIME W9gECi10lI TYPE <br /> 1' <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION o dtn <br /> SECTION 2: EMERGENCY PROCEDURES <br /> SECTION 3: EVACUATION PROCEDURES <br /> SECTION 4: LEAK& SPILL CONTROL <br /> SECTION 5: TRAINING "'MIA <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 44 <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> ❑ O.j.C.AWCLXIONERTURE _FIEALTM ENVIRONMENTAL ❑ OSHA ❑ FIRE DEPT.CAL LOCAL ❑ POLLUTION C.D. ❑ OTHER <br /> E COMPLIANCE VERIFICATION <br /> MPECTIONAPPROVED: FOLLOWUP.NSPECTIOH:DATE: MALI q�EEVvPIONS EBY: <br /> yi y: <br /> REPRESENTATNE (PRMNANE) MWAW REPRES@tiA <br /> 7. SI 4 f V sy <br /> c� � X <br /> WSPECTOR: 91ONATU WHITE COPY: O.E.S. <br /> CANARY COPY: FILE <br /> Pw COW: BUSYNESS <br /> JOB IOL INV:MY.AlM IM <br />