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Environmental Health Department <br /> SANJOAQUIN. . <br /> —COUNTY— <br /> Greatness <br /> -COUNTYGreatness grows Melt'. <br /> Corrective Action Statement <br /> RE: November 19, 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 for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Robert Lopez at (209) 953-6214 or rlopez(a)sigov.orq. <br /> Facility name: CENTRAL VALLEY LIFT TRUCK INC Submit completed form to: <br /> Facility address: 2769 TEEPEE DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10829119 ATTN: ROBERT LOPEZ <br /> PR0544867 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2 - Failed to complete and electronically submit a hazardous materials business plan. <br /> 0 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 /> submitted paperwork on 11/25/19 on cers website <br /> Violation #3 - Failed to establish and implement a hazardous materials business plan. <br /> E�/ This violation was corrected ❑ This violation will be corrected by (date): <br /> El/ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> compleated form and submitted to cers website 11/25/19 attached are the supporting docs. <br /> Violation #4 - Failed to complete and/or submit the Business Activities or Owner/Operator Identification <br /> page. <br /> 0 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 /> completed owner/operator identification page on 11/19/19 <br /> Page 2 of 4 <br /> Rev.8/22/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />