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�aqP, w wee-1 <br /> COUNTY OF SAN JOAQUIN q`4,3-9 6a o <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE RECEIVE <br /> `E= STOCKTON, CALIFORNIA 95202 <br /> Ad'rc URM` HAZARD U 68-3969 MAY -9 2005 <br /> FAX(209)944-9015 <br /> HAZARDOUS MATERI NSPECTION FOR?*FicE OF EMERGECOUNTY RE ac S <br /> BUSINESS NAME TELEPHONE NUMBER <br /> g � lSSSS' <br /> BUSINESS ADDRESS(Facility emg In pe ted) <br /> 33sr /u . A4 � <br /> FIRE DISTRICT INSPECT ON DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> l� S 310 <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES FACILITY INSPECTION Y S NO <br /> 1. Business HMMP/Inventory On Site 17.Facility Map Complete and Accurate <br /> 2. HMMP/Nlap Easily Accessible to Employees 8. Chemical Inventory Complete and Accurate <br /> 3. Bus ID Page/HMMP Complete and Accurate V 9. Employees Familiar with HMMP <br /> 4. If Business is a Hazardous Waste Generator, 10.Plant Operations Appear Safe <br /> are Hazardous Waste Manifests Ot Site? 11.Hazardous Materials Being Properly Handled by Employees <br /> 5. Material Safety Data Sheets (MSDS) On Site .Hazardous Materials Properly Stored and Labeled <br /> 6. Current Training Records On Hand 13.Soil and Facility Appear Non-Contaminated <br /> COMMENTS (Items marked"NO"above must be explained in this section) <br /> v 6 � <br /> o a ES ZQT —?Y'Y 90/S <br /> REFERRALS ❑SJ Ag ❑SJ Env Hlth ❑OSHA ❑ Fire ❑DA ❑ <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Must be Deli ere to OES By Follow Up Inspection Date OES Inspector Name Performing Follow Up <br /> S1131otr <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Business presentative nature) <br /> 66_44_ <br /> Name of Inspector Agency Fire Co.(If ppropriate) WHITE COPY: OES <br /> PINK COPY: BUSINESS REV 9/02 <br />