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S A N 1 O A Q U I N Environmental Health Department <br /> r <br /> 3 Hazardous Materials Program Inspection Report � , f <br /> a... : <br /> Facility Name: Facility Address: Date: <br /> VAN UNEN/MIERSMA PROPANE INC 20504 S HWY 99 FRONTAGE RD, RIPON May 15, 2018 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 6/14/2018 . <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br /> information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br /> sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br /> other relevant activities and required fields. <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: May 15, 2018 Inspector: Inspector Phone: <br /> � <br /> Printed Name and Title: <br /> NICHOLAS LOEHRER, Haz Mat Specialist I 209 468-0623 <br /> Danny Martinez, Director <br /> FA0010299 PR0520217 SCO01 05/15/2018 <br /> EHD 19-01 Rev.10/31/2017 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.sjcehd.com <br />