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1 <br /> pOU1N SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> " 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> %Foa INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> 6Z-11,4&4_ 5/73 -o90 <br /> BUSINESS SITE HESS ZIP CODE FIRE DISTRICT <br /> a 51.7oi 95-2t) Sv <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> //-7_Z-9a 1 /"f/.' /53U h'/wo% <br /> A. ADMINISTRATIVE INFORMATION YES 0 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 pS L L�OCA(I- lAl e-1010) iMf/rNn/ r ii 6[Sc, <br /> CHEMICALS PROPERLY LABELED ✓ <br /> CHEMICALS PROPERLY HANDLED V"C. COMMENTS AND RECOMMENDATIONS <br /> D. REFERRALS <br /> COMMISSIONERHEALTHHEALTH NVIRONMENTAL CAL OSHA E] FIRE DEPT. POLLUTION C.D. OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSP TION APPROVED: FOLLOW-UP INSPECTION DA_ TE: MAIL IN REVISIONS DUE BY: <br /> JZ YES [:] NO <br /> BUSINESSREPRIESENTATNE {PRINTNAME) BUSINESS PRESENTATNE: ) TI <br /> JAW,- f—H X <br /> INSPECTOR: S WHITE COPY: O.E.S. <br /> CANARY COPY: FILE <br /> PINK COPY: BUSINESS <br /> HN[Qi V:REV.NNE 1992 <br />