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SAN <br /> tOAQUI Environmental Health Department <br /> i CO3 "N 7Y <br /> Corrective Action Statement <br /> RE',January 21,2021,Hazardous Materials inspection report <br /> For each violallon listed below,indicate if the violation has been cermvided below each v olahony Submit this <br /> Also,describe what was done to caomenrted the viaCerlatti in the Space p uestlons, <br /> please acntac9 Krithe Return stina Retem to Ccml <br /> 2 91616 304$ort ksaet mQs}go cation within 30aorgs of inspection. 1f you have anY Q <br /> Submit completed fano to <br /> 7 : <br /> FacN ty name: CARLS JR RESTAURANT <br /> SJC ENVIRONMENTAL HEALTH pEPARTMEN <br /> Facilityaddress. 145000LONYRD ATTIN KRISTINASAETERN <br /> CERS lD, 107&1831 1888E HAMTON AVENUE <br /> pRo522277 STOCKTON.CA 95205 <br /> I <br /> Violald.n#5-Failed In eIe tronicaLIy submit hazardous materials inventory for all reportable materials on <br /> site. <br /> This violetton was corrected ❑This violation will be corrected by(dale): <br /> p SuppoR'sng documents included <br /> Describe actions taken or will be taken to coned violation. <br /> raqulred wntent- <br /> Violation#6 ailed to elactiorlically submit a site map wish all <br /> tlate <br /> This vioLadon was cormcrod 12 This violation will be corrected by S } <br /> 4 6upporting documents included <br /> Describe actions taken or will be laken to correct violahcn- _ <br /> V'sola[ion#7- <br /> Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> This violation was corrected <br /> p This violation will be corrected by(date): <br /> ❑ Suppnrung documents included <br /> Descnbe actions taken or will be taken tc correct violation. <br /> II�1 <br /> Page 2 of 3 <br /> 1888 E.Hazelton Avenue I Sl°Hdon California 952051 T 209 468-34201 F 209464-0138 i www sigov,orgrEHO <br /> u�aou4uD4au9aa <br />