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�l ►I��aAl I I N Environmental Health Department <br /> L-'r'.`' j COUNTY <br /> r o- Greotness grows here. <br /> Corrective Action Statement <br /> RE: June 16, 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 Nicholas Loehrer at(209)468-0623 or nloehrer(aD_sigov.orq. <br /> Facility name: SUBURBAN PROPANE TRACY Submit completed form to: <br /> Facility address: 23901 S Chrisman Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10413814 ATTN: NICHOLAS LOEHRER <br /> PR0519674 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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: <br /> Violation#7-Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <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: <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <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: <br /> Page 2 of 3 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />