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4W COUNTY OF SAN JOAQU <br /> a?a`''kr•.c OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> :4 222 EAST WEBER AVENUE <br /> STOCKTON,CALIFORNIA 95202 <br /> •.. �" BUS. (209)468-3969 FAX(209)944-9015 <br /> 4�,FORa <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> BUSINESS NAME TELEPHONE NUMBER <br /> T&T Trucking, Inc 931--6000 <br /> BUSINESS ADDRESS(Facility Being Inspected) ZIP CODE <br /> 11396 N Hwy 99 Frontage Rd 95240 <br /> FIRE DISTRICT INSPECTION DATE ARRIVALTIME DEPARTURE TIME I INSPECTION TYPE <br /> Waterloo Morada —] - 3 1 —o2 137-0 HMMP <br /> INSPECTION RESULTS <br /> DOCUMENT REVIEW YES NO FACILITY WALK THROUGH 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&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 /> are Hazardous Waste Manifests On Site l 1.Materials Being Properly Handled .� <br /> 5. Material Safety Data Sheets (MSDS)On Site 12,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 /> z6 11Y?ft . SI ze-s 19� <br /> GGC�fr D Ti�r^acr� <br /> REFERRALS (FOR OES USE ONLY) ❑SJ Ag ❑SJ Env Hlth []OSHA ❑ Fire ❑Air Dist <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 /> 'r'l Z—•02— <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION RESULTS <br /> Business Representative(Print Name and Title) Bus' ess Represe tive(Signature) <br /> 'A4 1E &/0 Yyh4tA 0 <br /> Name of Inspector and Fire Company WHITE COPY: OES <br /> CANARY COPY: FIRE PREVENTION 1 REV 11196 <br /> Phillip Cook. PINK COPY: BUSINESS <br /> OES-HM 1 (9160) <br />