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S A N J O A Q U I N Environmental Health Department <br /> C0( JNTY <br /> Corrective Action Statement <br /> RE : December 09 , 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 . <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 Vicky Vang-Lee at (209 ) 616-3028 or . <br /> Facility name : MIRACLE MILE MARKET Submit completed form to: <br /> Facility address : 244 W HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10180779 ATTN : VICKY YANG- LEE <br /> PRO520475 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #3 - Failed to establish and implement a hazardous materials business plan . <br /> 4X This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Le)-r/1 <br /> Describe actions taken or will be taken to correct violation : �� y✓ <br /> Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site . <br /> [ De'This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included n <br /> Describe actions taken or will be taken to correct violation : �'�r S Sy P 7 rw4kA4;t (Lo ,t^ {) , <br /> Violation #6 - Failed to electronically submit a site map with all required content . <br /> This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included I <br /> Describe actions taken or will be taken to correct violation : S( ,i h .n,�r C. , Aa <br /> Page 2 of 4 <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 />