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SAN JOA 0 U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: May 18, 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. 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@sjgov.org. <br /> Facility name: AMERICAN RIVERAG Submit completed form to: <br /> Facility address: 807 CROMWELL AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10187375 ATTN: ROBERT LOPEZ <br /> PRO529890 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation <br /> #2-Failed to complete and electronically submit a hazardous materials business plan. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included p n <br /> Describe actions taken or will be taken to correct violation: r" P—JQ SLl VV1'1 fes{fv ( <br /> Violation#3-Failed to establish and implement a hazardous materials business plan. <br /> * This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included (� I <br /> Describe actions taken or will be taken to correct violation: S <br /> Violation#4-Failed to complete and/or submit the Business Activities or Owner/Operator Identification <br /> page. <br /> ;tom 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: ( '/rI� S(i bVIA I J iTti1 <br /> Rai.v27=19 Page 2 of 4 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.00m <br />