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SAN 10 A Q U I N Environmental Health Department <br /> r, I \ <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 /> Stockton Diagnostic Imaging, 2320 CALIFORNIA ST, CERS ID: 10184825, PR0521912 <br /> Violation#5- Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <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: tIJILYLtc)nv1__'O—f <br /> �-azc -J ou�- J ,<dtt U aQ1s cK-3a2 0026&d OrX3 CO ns w ebs Iu . <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> PThis violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included r(� <br /> Describe actions taken or will be taken to correct violation: Teu_ 5 ru rr' —t�oa <br /> ,5fi0C1Ct6(\J 0j6,GfU0sbC �matii,r�. Cklfn UP104LJf ) UA) <br /> -I--k, CE.r 5 w�t s[LQ . <br /> Violation#7 -Failed to electronically submit an adequate ER procedures for a release or threatened <br /> release. <br /> 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 /> P,-\oCtJo wa_ chi ;&xAudo_cQ �rJ `7'hs� w"4> <br /> Page 3 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 />