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SAN <br /> J O A Q U I N Environmental Health Department <br /> CC)U ,I i y <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WALGREENS#09716 102 N JACK TONE RD, RIPON September 13, 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. <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: Date: September 13, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: GARRETT BACKUS, Lead Senior REHS (209)468-2986 <br /> emailed to Cynthia Erickson, Store Manager <br /> FA0017861 PR0542989 SCO01 09/13/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />