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S A N J O A Q U I N Environmental Health Department <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(g�sigov.orq. <br /> Facility name: UNIV OF THE PACIFIC-PHARMACY Submit completed form to: <br /> Facility address: 751 W BROOKSIDE RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183609 ATTN: ROBERT LOPEZ <br /> PR0520392 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 /> ,K 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: J Y1ll �tl /�lAfc C <br /> Violation#6-Failed to complete and/or submit a site map with all required content. <br /> XThis violation was corrected ❑ This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to c v'olati n: t k <br /> G1 441 <br /> 12S �ti� h� ' �,u,�-cr�-t <br /> Violation#10 -Failed to submit revisions to business plan within 30 days of substantial change in operations <br /> X This violation was corrected ❑This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe act' ns taken or will be taken to correct violation: L <br /> Pi AA u"A-SA 4AA <br /> E <br /> Page 2 of 3 <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 />