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KdOAQUIN <br />C:QUNT <br />Environmental Health Department <br />CP22 - HMBP Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />LODI CITY WELL #5 <br />401 N MILLS AVE, LODI <br />December 12, 2024 <br />22 <br />1025 - Training - General Local Ordinance <br />❑ OUT ❑ R ❑ COS <br />23 <br />See below <br />1030 - Operations/Maintenance - General <br />❑ OUT ❑ R ❑ COS <br />24 <br />1035 - Operations/Maintenance - General Local Ordinance <br />❑ OUT ❑ R ❑ COS <br />25 <br />See below <br />1040 - Release/Leaks/Spills - General <br />❑ OUT ❑ R ❑ COS <br />26 <br />See below <br />1045 - Release/Leaks/Spills - General Local Ordinance <br />❑ OUT ❑ R ❑ COS <br />27 <br />See below <br />1050 - Abandonment/Illegal Disposal/Unauthorized Treatment - General <br />❑ OUT ❑ R ❑ COS <br />28 <br />See below <br />1055 - Abandonment/Illegal Disposal/Unauthorized Treatment - General Local Ordinance <br />❑ OUT L R � COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />Overall Inspection Comments: <br />Conducted a Hazardous Materials Business Plan (HMBP) inspection. There were no violations found during the <br />inspection. The chemical station was inspected. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br />having them sign. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($172). <br />To schedule an appointment, please call (209) 468-3420. <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: Date: December 12, 2024 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />Nicholas Loehrer, Hazmat Specialist II <br />(209) 468-0623 <br />Andrew Richle, Utilities <br />Superintendent <br />EHD Rev. 12/06/2021 <br />FA0005457 PRO513004 SCO01 12/12/2024 <br />Page 2 of 2 CP22 - HMBP 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 />