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A J O A Q U I N Environmental Health Department <br /> L.�:.. ,,...5 z m <br /> Underground Storage Tank Program Inspection.Report <br /> Facility Name: Facility Address: Date: <br /> VAN DE POL ENTERPRISES INC 816 E FRONTAGE RD, RIPON January 05, 2022 <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Official inspection report, Return to Compliance Certification, Free <br /> CUPA Class flyer, and Emergency Response/Contingency Plan <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: <br /> Date: January 05,2022 Inspector: Inspector Phone: <br /> Printed Name and Title: KRISTINA SAETERN, EH Specialist (209)616-3045 <br /> Email to Kristen bugger, Environmental Contact <br /> FA0003911 PR0231470 Scoot 01/05/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 6 of 6 Underground Storage Tank Program OIR <br /> 1868 E.Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />