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SAN 10AQUIN Environmental Health Department <br /> COUNTY <br /> Corrective Action Statement <br /> RE: February 22, 2021, 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 Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br /> Costco Wholesale Logistics #4140, 2115 S Sinclair Ave, CERS ID: 10140899, PR0528771 <br /> Violation#5- Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> Cid' This violation was corrected ❑ This violation will be corrected by (date): <br /> 15� Supporting documents included <br /> Describe actions taken or will be taken to correct violation. Hazardous Materials Inventory has been <br /> reported in CERS - see CERS ID 10140899 <br /> Violation#6 -Failed to electronically submit a site map with all required content. <br /> I' This violation was corrected ❑ This violation will be corrected by (date): <br /> 152( Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Interior and exterior site maps have been <br /> submitted in CERS - see CERS ID 10140899 <br /> Violation#7 -Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> L' This violation was corrected ❑ This violation will be corrected by (date): <br /> I' Supporting documents included <br /> Describe actions taken or will be taken to correct violation: ER procedures for a release or threatened <br /> release are included in Emergency Response/Contingency Plan in CERS - see CERS ID <br /> 10140899 <br /> Page 3 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />