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( w Environmental Health Department <br /> :._ . <br /> Irl TY <br /> Corrective Action Statement <br /> RE: February 25, 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. <br /> Also, describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br /> LPS WATER CCYTOWER PARK MARINA, 14900 W HWY 12, CERS ID: 10182159, PR0520805 <br /> Violation #5- Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. <br /> Id 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 /> 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: U-,P-k C—Xz- <br /> L-J q jac> 1 <br /> Violation #7 - Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> C9 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: LX1Q 0 S� <br /> Page 3 of 5 <br /> Rev.8127/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />