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COMPLIANCE INFO_2020
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1900 - Hazardous Materials Program
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PR0520008
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/13/2020 9:55:29 AM
Creation date
10/28/2020 10:42:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0520008
PE
1921
FACILITY_ID
FA0009992
FACILITY_NAME
CALIFORNIA POWDER WORKS
STREET_NUMBER
1140
STREET_NAME
BESSEMER
STREET_TYPE
AVE
City
Manteca
Zip
95337
APN
22119029
CURRENT_STATUS
01
SITE_LOCATION
1140 BESSEMER AVE STE 3
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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s �� Environmental Health Department <br />COUNTY <br />Corrective Action Statement <br />RE: October 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. <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@sjgov.org. <br />Facility name: ROOSSCREEN INC. Submit completed form to: <br />Facility address: 1140 BESSEMER AVE STE 3 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183107 ATTN: NICHOLAS LOEHRER <br />PR0520008 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br />Rev. 91i&2o2o <br />This violation was corrected ❑ This violation will be corrected by (date): 0 <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: ' ALL am "ei-e k <br />AIA <br />int 7'1 P_ E P•,4 (+ l Ll "T 4 llyw d a-7"I/t? a /4QzA ,o,,w s && AAA jvP e_aceEg <br />Al G) J' k ' , I✓ ) / I"" Y S 1"" !L em J l L- /C _gw C.. )� 4 E4,C C'S✓ L f ✓47 �/C.P r 7_0 <br />ek,Q PkFe rYd ,e e,✓a 00 jC Ai,,77 OA r,. % `m e,E? &I_i1 c y / c;-/ F - I 0,4 -riot -4)11 <br />74 <br />GIrJy`'",E' A Int Pr ',sr Es 6N --.,Ar'i--7`YL�1 L �r rI <br />lL../ <br />i/ttr)fe,0iC-0 5Y6 WASAi �Tec�rdG�/!��/�'®�`:,�� OF jC-A,'TkY1(!14J=_ '??/C74is <br />Pk e d e 6 cAe f -F _-5, Y�- Lec..4iiW v-. of fj- s.f Af kid <br />�/ Lleti'i`tG► N dot' a?C' I� G%>� G'� irl.° !'1't ,+E' F; /U c �f7 (fA %"IliN S <br />,34-rr,6y <br />Page 2 oft <br />186$ E. Nazetton Avenue/ Stockton; Calrfornia 952115/ T 209468-3420! f° 20948 _ <br />4 0938 (wWW. S%gov ark/EHD <br />
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