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H <br /> Environmental Health bepartme <br /> SAN JOARICorrective Action Statement <br /> RE: November 03, 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 form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Stacy Rivera at or srivera ccbsigov.orq. <br /> CHARTER WAY SHELL*, 620 W DR MARTIN LUTHER KING JR BLVD, CERS ID: 10181363, P <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> R' This violation was corrected ❑ This violation will be corrected by(date): <br /> ❑ Supporting documents included 1 J <br /> Describe actions taken or will be taken to correct violation: 1 r o 2=!22=!21:d(`V& )Vkq�L^ZLJ <br /> '__ <br /> ✓'f/l')— c� j '7E ri C7 <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> Ct"This violation was corrected ❑This violation will be corrected by(date): <br /> Ca-�Supporting documents included <br /> Describe actions taken or will be taken to correct violation: ck L'I <br /> Violation#12-Failed to have the HMBP readily available to facility or EHD personnel. <br /> 0-'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 /> ' <br /> Page 3 of 3 <br /> SI27/2o19 <br /> 1868 E. Hazelton Avenue i Sto.,kton. California 952055 1 T 209 468-3420 1 F 209 464-0138 1w;•.v <s, <br />