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SAN-JOAHIN Environmental Health Department <br /> COUNTY .._. . <br /> Gr��,rneas y:awc ire,.: , <br /> Corrective Action Statement <br /> RE: May 20, 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 foi <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Frederick Ernest at(209) 616-3026 or fernest@sjgov.org. <br /> Facility name: Ross Roberts Truck Repair Inc Submit completed form to: <br /> Facility address: 641 S Harrison St SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10723408 ATTN: FREDERICK ERNEST <br /> PR0520616 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#4- Failed to electronically submit the Business Activities or OwnerlOperator Identification page. <br /> ❑ This violation was corrected Q'This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Eflmx <br /> Violation #5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> ❑ This violation was corrected 011his 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 as site map with all required content. <br /> ❑ This violation was corrected l2 This violation will he corrected by (date): Z2_1 <br /> supporting documents included —� <br /> Describe actions taken or will be taken to correct violation:J1 I I A I a rr� <br /> 1 ' . <br /> Rev.9/16/2020 Page 2 of 4 <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 />