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SAN JOAQUIN Environmental Health Department <br />Corrective Action Statement <br />RE: April 26, 2021, Hazardous Waste inspection report <br />For each vidation listed below, indite if the vidation 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 CeItitidon within 30 days of inspection. If you have any questions, <br />please contact John Alaniz at (209) 6163053 or jalanizl @sjgov.org. <br />Facility name: FLAG CITY CHEVRON <br />Facility addrese: 6421 CAPITOL AVE <br />CERS ID: 10180805 <br />PRO51 9074 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: JOHN ALANIZ <br />1888 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation MlO - Faikd to knp signod aopy of manbsts from th. doslgnatod hdlity for thm yurr. <br />Thk violation wlll k eometed by (dab): <br />Describe actions taken or wlll be taken to correct violation: <br />Contacted Elite 4 about missing nozzle. Elite 4 informed us that no nozzle <br />was left on site. Nozzle was returned to the manufacturer and we were <br />given a core credit. tl~te 4 contacted John Alaniz and clarified the <br />miscommunication. rlease see attacnea letter rrom tlrte 4 rn regaras to <br />violation 11 0 <br />Page 2 of 2 <br />Rev. (WiBRozo <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglEHD