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SAN J O A Q U I N Environmental Health Department <br /> cC) UhlTY <br /> Corrective Action Statement <br /> RE : June 23 , 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 form <br /> with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please contact <br /> Haza Saeed at (209) 953-6212 or hsaeedasjgov. org . <br /> Facility name: TRACY BOOSTER PUMP STATION Submit completed form to : <br /> Facility address : 15 STEWART RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10185201 ATTN : HAZA SAEED <br /> PR0524657 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 /> his violation was corrected ❑ This violation will be corrected by ( date ) : <br /> Supporting documents included <br /> Describe actionA taken or will be taken to correct viol t' n : \ n <br /> YI <br /> . D <br /> Page 2 of 2 <br /> Rev. 8/27/2019 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464-0138 1 www. sjcehd . com <br />