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Environmental Health Department <br />Corrective Action Statement <br />RE:June 10,2021, 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 Robert Lopez at (209)953-6214 or rlopez@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN:ROBERT LOPEZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:TRI-STAR DEF LLC <br />none <br />1033 STOKES AVE <br />PR0547000 <br />Violation #2 - Failed to initially complete and electronically submit a HMBP . <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 #3 - Failed to establish and implement a hazardous materials business plan. <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 #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <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 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD