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' COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> +" < ROOM 610,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> 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 /> Traffic Limited 334-5172 <br /> BUSINESS ADDRESS (Facility Being Inspected) <br /> 1028 E. Victor Rd. <br /> FIRE DISTRICT INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> Lodi 5-1-03 '�' (> HMMP <br /> INSPEC'T'ION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY INSPECTION YES ,NO <br /> 1.Business HMMP/Inventory On Site 7.Facility Map Complete and Accurate <br /> 2.HMMP/Map Easily Accessible to Employees 8.Chemical Inventory Complete and Accurate c/ <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? /4-N11.Hazardous Materials Being Properly Handled by Employees <br /> 5. Material Safety Data Sheets(MSDS) On Site 112.Hazardous Materials Properly Stored and Labeled <br /> 6.Current Training Records On Hand /y / ­ 113.Soil and Facility Appear Non-Contaminated <br /> COMMENTS(Items marked"NO"above must be explained in this section) <br /> REFERRALS ❑SJ Ag ❑SJ Env Hlth ❑ 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 Print Narn and Business Representative(Signature) <br /> Name of Inspec r Agency Fire Co. (If Appropriate) WHITE COPY: OES <br /> Phillip Cook PINK COPY: BUSINESS REQ' 9/0? <br />