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San Joaquin County <br /> Environmental Health Department <br /> 1868 Eas Hazelton Avenue, Stockton, California 952 -6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s'gov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FLYING J TRAVEL PLAZA#617 15237 N THORNTON RD LODI June 11 2015 <br /> paperwork, by 7/11/2015 <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <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 EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By r Received By(printed name and title): Date: <br /> (signature): v, a Jose Jimenez, General Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): JAMIE DE LA ROSA, HM Specialist II (209) 953-6211 <br /> Page 2 of 2 <br />