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SAKJOAQU <br /> IN Environmental Health Department <br /> COUNT. <br /> Corrective Action Statement <br /> RE: February 14, 2020, 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 rlopezpsjgov.org. <br /> Facility name: PAO Inc DBA FOOD 4 LESS Submit completed form to: <br /> Facility address: 3434 MANTHEY RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182309 ATTN: ROBERT LOPEZ <br /> PR0531238 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 /> C�( 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: Jesus Jurado has uploaded all Hazardous <br /> materials on CERS and will have them on site. will also send copies with letter of correction <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: Jesus Jurado has uploaded a current site map <br /> on CERS and will have a copy on site. <br /> Violation #8- Failed to submit a training program or program is not reasonable or adequate for facility. <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: Jesus Jurado has unloaded the Evacuation <br /> training program on CERS and will make sure we have a copy on site, also will send a copy <br /> with the letter of correction. <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 />