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SANJOANIN Environmental Health Department <br />—_. COUNTY.__... <br />G�.+mess yrnwr herr. <br />Corrective Action Statement <br />RE: May 04, 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: CARLS JR #7484 Submit completed form to: <br />Facility address: 7432 PACIFIC AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10180979 ATTN: ROBERT LOPEZ <br />PRO521097 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />e This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions take/n-or will b taken to correct viola/t1o�n: %YLL � — h Uh r !7 hVI-6 <br />y1 ,Vw&(,/- Gt1 Lit "dk+cd <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br />site. <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: _ %i'1-.0 /✓N�Qi:� � W,(u <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />M�'This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe <br />to correct violation: <br />Page 2 of 2 <br />R... W16/2020 <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 />