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SAN OAQUIN Environmental Wealth Department <br /> _-__-.C C?LI N T Y--.--. <br /> G,cotn SS Cf CCS:S her,?. <br /> Corrective Action Statement <br /> RE: June 07, 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. <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 Lydia Baker at(209)616-3046 or(baker@sjgov.org. <br /> Facility name: A&A GAS &FOOD MART Submit completed form to: <br /> Facility address: 16 E HARDING WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181239 ATTN: LYDIA BAKER <br /> PR0521021 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> IBJ This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to rrect violation: <br /> 4-e v I C - o <br /> n on ol /5- -7-/ <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> EY"This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions tak n or will be taken to correct violation: <br /> n � rai--jC- <br /> LA � � <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 ^jww.s19ov orglEH <br />