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0'pOUIN SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> ) �U ify <br /> HAZARDOUS MATERIALS DIVISION <br /> Q. <br /> 222 EAST WEBER AVENUE, ROOM 610A, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> /FOPN INSPECTION FORM <br /> BUSINESS NAME PHONE NUMBER <br /> BUSINESS SITE ADDRESS ZIP CODE FIRE DISTRICT <br /> INSPECTION DATE ARRIVALTIME DEPARTURE TIME INSPECTION TYPE <br /> A. ADMINISTRATIVE INFORMATION YE NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES V/ <br /> SECTION 3: EVACUATION PROCEDURES Y <br /> SECTION 4: LEAK& SPILL CONTROL y <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 l' <br /> SAFETY HAZARDS <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS <br /> Jlel <br /> D. REFERRALS <br /> AGRICULTURE ENVIRONMENTALCALLOCAL J.C.AIR <br /> COMMISSIONERAL OSA FIRE DEPT. POLUTIONC.D. OTHER <br /> E. C PLIANCE VERIFICATION <br /> 7TION APP D: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> S &rNO - <br /> MNESSREPRESENTATIV2 {PRIM NAME) BUSINES AEPR TATIVE: ;SIGNED) TITLE: <br /> CAL X � <br /> ,' <br /> WHITE COPY: O.E.S. <br /> A CANARY COPY: FILE <br /> - <br /> PINK COPY: BUSINESS <br /> HM Qi V:REV.IUNE 1991 <br />