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SAN '�d DAQ II II Environmental Health Department <br /> COUNT`o' <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> BOURBEAU RANCH 1 1 18401 S WAGNER RD, RIPON May 06, 2022 <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, within 30 days of receiving the complete inspection report. <br /> Notes: <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 /> No Modified Contingency Plan on-site <br /> Documents Provided: <br /> -Inspection Report with Corrective Action Statement Worksheet <br /> -Site Map Template <br /> -Site Map Guidance <br /> -Emergency Contingency Plan Template. <br /> -HMBP Training Form <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 11, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: HAZA SAEED, Lead Senior REHS (209)953-6212 <br /> Emailed to Andre Bourbeau, Owner's Son <br /> FA0004870 PR0547686 SCO01 05/06/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 5 of 5 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 />