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COMPLIANCE INFO_2021
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1900 - Hazardous Materials Program
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PR0520119
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/19/2021 1:50:29 PM
Creation date
7/9/2021 9:31:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520119
PE
1921
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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/ SAN -J O Q Q U I N Environmental Health Department <br /> n. ------COUNTY------ <br /> Corrective Action Statement <br /> RE: July 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 Vicky Vang-Lee at(209)616-3028 or vvang-lee@sjgov.org. <br /> BlackHawk Petroleum Inc., 5611 E WATERLOO RD, CERS ID: 10180881, PR0520119 <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a releasee or threatened release. <br /> to /Tlhis 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: v t�de� '^!1 c <br /> Violation 4S-Failed to establish and electronically submit a reasonable or an adequate training program. <br /> l�� This violation was corrected ❑This violation will be corrected by(date): <br /> c/Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <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 /> t <br /> i <br /> F'age 3 of 4 <br /> ov.or IEHD <br /> v.9/16/2020 w�n <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 j IF 209 464-0138 1 wl.sjg 9 <br />
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