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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: November 26, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Haza Saeed at(209)953-6212 or hsaeed@sjgov.org. <br /> Facility name: FRESH INNOVATIONS CALIFORNIA Submit completed form to: <br /> Facility address: 7735 S HWY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183543 ATTN: HAZA SAEED <br /> PR0520310 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to complete and/or submit hazardous materials inventory for all reportable materials <br /> on site. <br /> .W 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: �n '� � n�(;7fi Lj ; <br /> \' y(.�}1�,�1U` 1(`,� (�r' (� h^,— �•�(�,, i::i L��JI'J r1C���:1 •c��� ��� <br /> trim Qt,` tai -T rljn." - �r <br /> Violation#6-Failed to complete and/or submit a site map with all required content. <br /> 0 This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe ac�onsAaken or will be taken o correct violation: II r� "'I 1 11( 1 <br /> Page 2 of 3 <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 />