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SAN Environmental Health Department <br /> �_i r I.q. y <br /> Corrective Action Statement <br /> RE: qovernber 10, 2020, Hazardous Materials inspection report <br /> For each violation listed )elow, 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 Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: XPO LOGISTICS Submit completed form to: <br /> Facility address: 3834 DUCK CREEK SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10765 12 ATTN: ROBERT LOPEZ <br /> PR052 058 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> JM 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: <br /> ods �-¢cF�I� NENU ®MV-D f ('0&? tr- <br /> D ll�rz Fov-nn m r d i-hAU44 i-S lz o y 20 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> X 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: <br /> U DA-Tth If u CE9-S ON r Iz bq <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> ® This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or swill be taken to correct violation: J O E(� I <br /> I�DGO IGv I'z "Ot ZO. f-MA,) 'SFJ}t<b INS Ec4aL Of <br /> e {� <br /> Page 2 of 3 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue 0 tockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />