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SKJOAQUIN Environmental Health Department <br /> . � . <br /> COUNTY— <br /> C,reotness grows here. <br /> Corrective Action Statement <br /> RE: April 29, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Frederick Ernest at(209) 616-3026 or fernest@sjgov.org. <br /> Facility name: VALLEY PACIFIC HWY 99 CARDLOCK Submit completed form to: <br /> Facility address: 3550 S HWY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182167 ATTN: FREDERICK ERNEST <br /> PR0512781 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5 - Failed to electronically submit hazardous materials inventory for all reportable materials on 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: <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 <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <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 /> Page 2 of 2 <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 />