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A N J O A Q U I Environmental Health Department <br /> COUNTY— <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> RIPON PW JACKTONE LIFT STATION 1499 JACK TONE RD, RIPON December 26, 2019 <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: December 30, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: NICHOLAS LOEHRER, Haz Mat Specialist II (209)468-0623 <br /> James Pease, Deputy Director of Public Works <br /> FA0019315 PR0537204 SCO01 12/26/2019 <br /> EHD 19-01 Rev.9/20/2019 Page 4 of 4 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 />