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COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> 4 ' STOCKTON, CALIFORNIA 95202 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> FAX(209)944-9015 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSINESS NAME TELEPHONE NUMBER <br /> tf-aS e-e Col e (6- 7 7 <br /> BUSINE ADDRESS(Facility Being Inspected) <br /> FIRE DISTRICT INSPECtION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> l <br /> 4(-C/-7 L 3af 1 t <br /> INSPECTION RESULTS <br /> D CUMENT REVIEW YES NO - FACILITY INSPECTION YES N <br /> 1. Business HMMP/Inventory On Site .Facility Map Complete and Accurate <br /> 2. HMMPIMap Easily Accessible to Employees 8.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 /> arc Hazardous Waste Manifests On Site? l I. Hazardous Materials Being Properly Handled by Employee <br /> 5. Material Safety Data Sheets(MSDS) On Site 112,Hazardous Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand 113.Soil and Facility Appear Non-Contaminated <br /> COMMENTS(Items marked"NO"above must be explained in this section) <br /> I <br /> Unh Huynh <br /> Manager <br /> 'h-acy B.P. Service Center <br /> Tel:(209)835-7755 <br /> 2375 Tracy6lvd: 761:(209)835-5358 <br /> Tracy,CA-95376 Fax:(209)835-7746 <br /> REFERRALS ❑SJ Ag ❑ SJ Env HItII ❑OSHA ❑Fire ❑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(Pri ame and Title) Busin ss Representative(Signature) <br /> Name of Inspector Agency. Fire Co.jIf Appropriate) WHI'T'E COPY: OES <br /> IPINKCOPY: BUSINESS REV 9102 <br />