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1900 - Hazardous Materials Program
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PR0544006
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COMPLIANCE INFO
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Last modified
10/21/2019 2:45:51 PM
Creation date
10/21/2019 2:45:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544006
PE
1919
FACILITY_ID
FA0007567
FACILITY_NAME
EL PATIO ORIGINAL
STREET_NUMBER
1005
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
21306040
CURRENT_STATUS
01
SITE_LOCATION
1005 PESCADERO AVE STE 123
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> r; - CQUNTY-- <br /> C;„ y Greatness gr�ow5 Frere. <br /> Corrective Action Statement <br /> RE: October 17, 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: EL PATIO ORIGINAL Submit completed form to: <br /> Facility address: 1005 PESCADERO AVE STE 123 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN: NICHOLAS LOEHRER <br /> PR0544006 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to complete and/or submit a site map with all required content. <br /> ❑ 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: <br /> Violation#7-Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> ❑ 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: <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> ❑ 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: <br /> Page 2 of 2 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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