Laserfiche WebLink
Pd va 4 . COUNTY OF SAN JOAQUIN <br /> :. �. OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> STOCKTON, CALIFORNIA 95202 <br /> .��.. <br /> _7 ` HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> f � ,�1... <br /> FAX(209)944-9015 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSS N TE j j PH NE 3a ER <br /> r rn <br /> BUSINES ADDRESS(Facility Being Inspected) <br /> FIRE DISTRICT INSPEC ON DA ARRIVAL TIME DEPARTURE TIME JINSPECTIO TYPE <br /> INSPECTION RESULTS <br /> DOCUMENTREVIEW YES NO FACILITY INSPECTION YES NO <br /> 1.Business HMMP/Inventory On Site .Facility Map Complete and Accurate <br /> 2. HMMP[Map Easily Accessible to Employees 18.Chemical Inventory Complete and Accurate <br /> 3.Bus ID Page/HMMP Complete and Accurate 9. Employees Familiar with HMMP <br /> 4.If Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests On Site? 11.Hazardous Materials Being Properly Handled by Employee <br /> 5.Material Safety Data Sheets(MSDS) On Site 12.Hazardous Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand 13.Soil and Facility Appear Non-Contaminated <br /> COMMENTS(Ims marked"NO"above must be explained in this s ion) <br /> 3 tvL - lti <br /> XJ <br /> 2.0 K e --vv :✓ CS <br /> oe <br /> Lentoni's Welding Work Inc. <br /> SPECIALIZING IN ALL <br /> ELECTRIC&ACETYLENE WELDING <br /> Anytime•Anywhere•Any Kind <br /> Welding•Machining•Portable Equipment <br /> Spring Works•overloads•U Bolts <br /> 801 South Airport Way <br /> Telephone 464-4930 <br /> ALAN KEIGLEY Stockton,CA <br /> REFERRALS ❑SJ Ag ❑SJ Env ntut u wnH LJ nre LJ DA ❑ <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 /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Business resyntative(Signature) <br /> ke Na e n ector Age Fire Co.(If AplprrLoy. te) COPY: OES REV 9/02 <br /> PINK COPY: BUSINESS <br />