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SAW"JOANINEnvironmental Health Department <br />Corrective Action Statement <br />RE: October 15, 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Carol Presto at (209) 616-3061 or cpresto@sjgov.org. <br />Facility name: ARCO CHEROKEE GAS &MART' <br />Facility address: 900 S CHEROKEE LN <br />,ERS ID: 10180627 <br />PR0521155 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: CAROL PRESTO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #2 -Failed to initially complete and electronically submit a HMBP. <br />this violation was corrected ❑This violation will be corrected by (date): l �' _ 2� <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: ZAJ rn G /Ga u M <br />!iT r°(a+e 1 ® ' t`�l <br />Violation #11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br />Rev. 9118/2020 <br />This violation was corrected <br />❑ ❑This violation <br />Supporting documents Included <br />Describe actions taken or will betaken to correct violation: <br />will be corrected by (date): <br />Page 2 of 2 <br />C� <br />1868 E. Hazelton Avenue i Stockton, California 95205 j T 209 468-342Q I F 209 464-0138 (www,sjyov.org/EHD <br />