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Ask AdM6. <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 468-3433 Web:www.sioov.om1ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FLYING J TRAVEL PLAZA iffi18 1501 N JACK TONE RD, RIPON ]August 17, 2015 <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> ALL ERD-STAFrTNE ASSOCIATED WITHING To ComPLYBYTHENO-TEDIL LLEE)ATTRE cuRRENT HbuRLY . <br /> THIS FACILITY IS SUB -TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date��r <br /> (signature): Brian Cairns,General Manager [t <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): rA- 1 wi i�- <br /> NICHOLAS LOEHRER, HM Specialist 1 (209) 468-0623 <br /> Page 2 of 2 <br />