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APPENDIX H <br />2015 MINNESOTA STATE FIRE CODE 491 <br />FIGURE 1 <br />HAZARDOUS MATERIALS MANAGEMENT PLAN <br />SECTION I: FACILITY DESCRIPTION <br />1. Business Name:___________________________________________________Phone:__________________ <br />Address:_________________________________________________________________________________ <br />2. Person Responsible for the Business <br />Name: Title: Phone: <br />_________________________________ ________________________ _______________________ <br />3. Emergency Contacts: <br />Name: Title: Home Number: Work Number: <br />_________________________ _____________________ _________________ _________________ <br />_________________________ _____________________ _________________ _________________ <br />_________________________ _____________________ _________________ _________________ <br />_________________________ _____________________ _________________ _________________ <br />_________________________ _____________________ _________________ _________________ <br />4. Person Responsible for the Application/Principal Contact: <br />Name: Title: Phone: <br />_________________________________ ________________________ _______________________ <br />5. Principal Business Activity: <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />6. Number of Employees:_________ <br />7. Number of Shifts: _____________ <br />a. Number of Employees per Shift: <br />______________________________________________________________________________________ <br />______________________________________________________________________________________ <br />______________________________________________________________________________________ <br />8. Hours of Operation: ___________ <br />Copyright © 2016 ICC. ALL RIGHTS RESERVED. Accessed by James Lee on Dec 14, 2016 8:21:27 AM pursuant to License Agreement with ICC. No further reproduction or <br />distribution authorized. ANY UNAUTHORIZED REPRODUCTION OR DISTRIBUTION IS A VIOLATION OF THE FEDERAL COPYRIGHT ACT AND THE LICENSE <br />AGREEMENT, AND SUBJECT TO CIVIL AND CRIMINAL PENALTIES THEREUNDER.