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Hazardous Materials Program Inspection Report <br />Date: <br />February 10, 2017 <br /> Facility Address: <br /> 200 S LOWER SACRAMENTO RD, LODI <br /> Facility Name: <br /> LODI CITY WELL #21 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />paperwork, by 3/12/2017. <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 />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> (209) 953-6211 JAMIE LIMA, HM Specialist II <br /> Inspector:February 10, 2017 Date: <br />Printed Name and Title: <br />, <br />Page 2 of 2