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K <br /> SAN 1 O A Q U I N Environmental Health Department <br /> Greot„ess grows here, <br /> Corrective Action Statement <br /> RE: December 18, 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@sigov.org. <br /> Facility name: GRIMAUD FARMS Submit completed form to: <br /> Facility address: 2716 E MINER AVE STE C SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10810414 ATTN: ROBERT LOPEZ <br /> PR0544854 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 /> 3' <his 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 /> ems,`a co 4-C N-/S w e 0,e c o�r« fc�-�l, c.�a .'�s u�e PIC, <br /> oire Te� <br /> tea✓ Sk.b nsid�'c.�✓ . <br /> Violation #6 -Failed to complete and/or submit a site map with all required content. <br /> 8 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: Aroyl LyYX�4 t o/✓eerticl/ <br /> L0%-#-.- Su..6~.-*/'off <br /> Violation #10 -Failed to submit revisions to business plan within 30 days of substantial change in operations <br /> M 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 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />