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I <br /> op4ulM. COUNTY OF SAN JOAQUIN <br /> a ,oma OFFICE OF EMERGENCY SERVICES <br /> 2101 E.Earhart Avenue, Suite 300 <br /> Stockton,California 95206 <br /> "°- <br /> Telephone:(209)953-6200 / <br /> oq�lFoa��P <br /> Fax:(209)953-6268 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM N <br /> BUSINESS NAME ADDRESS(Fac ili Being Inspected <br /> A ti-c,k A ivw Z �� <br /> ACCOUNT# START DATE(New us) INSPEyy�TION ATE ARRIVAL TIME DEPA TURE TIME INSP TOR NAME <br /> 3z-� q 4!2( <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH YES NO <br /> 1.HMMP/Map On Hand and Easily Accessible ,/ 5. Facility Map Complete and Accurate V <br /> 2.Business Identification Page Complete&Accurate Vo 6. Employees Familiar with HMMP <br /> 3.Business HMMP Complete and Accurate 7. Training Records Available <br /> 4.Chemical Description Pages Complete and Accurate . Unsafe Conditions Observed(see details below) <br /> EXPLANATION OF FINDINGS AND COMMENTS <br /> C-- 2SCV-i �-IoA 4S ✓ o O.VAt 0. -0— <br /> s^ dc, O -q— <br /> A ✓'es'sVttC, g-w Lr,.d�-s <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Additional <br /> To Be Submitted By: Ida rL0 I Referrals/Notes: <br /> ACKNowLErIGEmENT OF F&VrEw AND RECEIPT OF INSPECTI SULTS 114 <br /> Business Repr sentanve <br /> � P,rin `VA✓ (SiGgyt r <br /> ,, / an <br /> WHITE COPY: OES <br /> BUSINESS <br /> R>V Ono <br />