Laserfiche WebLink
SAN )O Q Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: February 25, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Robert Lopez at(209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: Stockton Diagnostic Imaging Submit completed form to: <br /> Facility address: 2320 CALIFORNIA ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184825 ATTN: ROBERT LOPEZ <br /> PR0521912 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#2 -Failed to initially complete and electronically submit a HMBP. <br /> le 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: Krao lUET-5 H to 5 p W0,5 <br /> 61e-c I(ZON is pf w '5uornftec-) ON Ge-2,5 WF.6,5't- .Q- <br /> - - yyw - Nxc"n Jo u�. ry-,cAruaLs CUs l N ESS P lcw, i'rvcA u d&0 <br /> —t-KtS U 6c urr t&rr. <br /> Violation#3 -Failed to establish and implement a hazardous materials business plan. <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: gno&Ie fS Wrn13P waw <br /> eltcTnonk( L04 5'36rr�111�rcj GN Cuts <br /> Violation#4- Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> 0 This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included 1 <br /> Describe actions taken or will be taken to correct violation: 9AUNtt�� (3051 r4F�s hct;V ttj t-% <br /> Ca/t-3 G W Ott-t- IN Fur\M,afi c3 Al W A'� W J c--:� <br /> Yf S W��.s t tsz.• <br /> Page 2 of 5 <br /> Rev.9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />