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i $ H;=I$. g'911'; <br />-- #{}L"'NTY --- <br />'*1r,i:*if t4g$ gt t:*! lner,,,. <br />Environmental Health Department <br />Corrective Action Statement <br />RE: March 09, 2020, Hazardous Materials inspection report <br />For each violation listed below, indiicate if the violation has been conected 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. lf you have any questions, <br />please contact Paul Nso at (209) 468-3432 or pnso@sjgov.org. <br />Facilityname: GEORGES BP MlNl MART <br />Facility address: 18662 N HWY 88 <br />CERS lD: 10182137 <br />PR0520371 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: PAUL NSO <br />1868 E HMELTON AVENUE <br />STOCKT'ON, CA 95205 <br />Violation #6 - Failed to complete and/or submit a site map with all requlred content. <br />{ fnis violation was corrected E Thls violation will be corrected by (date): <br />Violation #7 - Failed to establish and/or submit emergency response procedures for a release or threatened <br />release. <br />This violation was corrected E tnis violation will be corrected by (date): <br />Supporting documents irncluded <br />Describe actions taken or will be taken to correct violation: <br />F+ \\nn c"*o\ Pl.*€+D r <br />8n7no19 <br />1868 E. Hazelton Avenue I <br />Page2ot2 <br />Stockton, California 95205 I T 209 468-3420 | <br />tl Supporting documents included <br />Describe actions taken or will be taken to <br />F 209 464-0138 | www.sjcehd.com