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SANAOAQUIN <br />--COUNTY <br />Environmental Health Department <br />Greatnesi grove here_ <br />Corrective Action Statement <br />RE: August 08, 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: UNIVERSITY OF THE PACIFIC PHYSICAL <br />Facility address: 1050 W BROOKSIDE RD <br />CERS ID: 10184635 <br />PRO519263 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: ROBERT LOPEZ <br />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 />This violation was corrected 0 This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken r will be taken to correct vi lation: <br />Violation #6 - Failed to complete and/or submit a site map with all required content. <br />,t4 This violation was corrected 0 This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correctiolation: y M pteaal tit <br />C. f kc) (rti4 ni2.-.64-vateA. <br />Violation #10 - Failed to submit revisions to business plan within 30 days of substantial change in operations <br />Isr' This violation was corrected 1=IThis violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: CRP <br />Avt,C4A t <br />laud d <br />AhL.(Ins 0 ito:44,41)-tv <br />Page 2 of 3 <br />Rev. 8/22/2019 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.corn