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SAN JOAQUIN Environmental Health Department <br /> c0tJtJ -I `1' <br /> Groarncss y0A .5rv3 her , . <br /> Corrective Action Statement <br /> RE : October 09, 2019 , Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation . Submit this completed <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Nicholas Loehrer at (209) 468-0623 or nloehrer@sjgov.org . <br /> Facility name: CON-FAB CALIFORNIA CORP Submit completed form to: <br /> Facility address: 1910 E LATHROP RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182937 ATTN : NICHOLAS LOEHRER <br /> PRO519890 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #5 - Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. <br /> WThis violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: mq}Z*4LziOYS lW*) L146S <br /> AN 400R"41j"fESP W6K,E 1A1✓£yTvi&06 , SAS 1NFvRA44?7C%J C~WL4i46 <br /> Aa/D AZii✓r&D, F/[ .E 1W B/, /6f74m AWZ `int 4&A ,,Y 2rAY CiC40 aa/Tv <br /> C6RS o ua cA � r�en� /o/ai�iq <br /> Violation #6 - Failed to complete and/or submit a site map with all required content. <br /> a This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: sl7e- MNyo aAoA�reD �✓i7�/ <br /> ff1! �QEOv/R 6d // t/Fa►?�NAT) /. MRS 4WA d* D 7U �*<tr <br /> �Ced M e5r � /4= o� / 9 <br /> I <br /> Page 2 of 3 <br /> Rev. 812712019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />