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Environmental Health Department <br /> AN JO QUI <br /> COUNTY <br /> Corrective Action Statement <br /> RE : November 06 , 2019 , Conditionally authorized Tiered Permit 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 John Alaniz at (209) 468-3147 or jalaniz1@sjgov. org . <br /> Facility name : HEINZ SEED OPERATIONS Submit completed form to : <br /> Facility address : 6755 C E DIXON ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10399519 ATTN : JOHN ALANIZ <br /> PR0543482 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #107 - Failed to submit a phase one environmental assessment checklist. <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 : 145 f SMAN7 1=6W &1/K5 t 26&10A9 <br /> Ps OHa/ L. Ad/z <br /> Violation #206 - ailed to maintain a written inspection schedule and log of inspections for five years . <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 : Ar 7/Cz 7 Me 6)4a /AVtt /OYll/ <br /> 1_46/t45 Z4re i',/ &V222 d(2i2JI� i/!_�f/✓QP dry /€'&8W &ALS qMt/ <br /> Off 09p <br /> wa <br /> Violation #207 - Failed to obtain PE certified hazardous waste tank assessment prior to placing the system in <br /> service . <br /> X This violation was corrected ❑ This violation will be corrected by (date) : <br /> V Supporting documents included <br /> Describe actions taken or will be taken to correct violation : /7 )GN �' )� R <br /> O� /2--O2a19 13V 6ARv RMEEE5 fie® ARE ISIN6Ere"P <br /> I of <br /> BV Z2 IIAI 4A(Z <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 />