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SAN J O A Q U I N Environmental Health Department <br /> -- CUUNTY <br /> Grnarness grt,ra hart. <br /> Corrective Action Statement <br /> RE: July 01, 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@sigov.org. <br /> Facility name: Caltrans-District 10 Office Submit completed form to: <br /> Facility address: 1976 E Charter Way SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10001884 ATTN: ROBERT LOPEZ <br /> PRO519589 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 /> I� This violation was corrected ❑This violation will be corrected by (date): <br /> J0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Mao t.;Qs Yn6kJ& t/E ✓'eve <br /> Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> a This violation was corrected ❑ This violation will be corrected by (date): <br /> Supporting documents included <br /> Descri/bbee actions taken or <br /> will betaken to correct viplation: i f p <br /> 7 <br /> C cn S�/,��ef�Q E,nE�� enc C ✓�es��n5 � eo� f„�� e .T <br /> Page 2 of 2 <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 />