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COMPLIANCE INFO_2021
EnvironmentalHealth
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1900 - Hazardous Materials Program
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PR0520593
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COMPLIANCE INFO_2021
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Last modified
8/24/2021 8:35:49 AM
Creation date
7/21/2021 10:30:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520593
PE
1920
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Environmental Health Department <br />SA OAQUIN <br />Corrective Action Statement <br />RE: ,July 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 <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Carol Presto at (209) 616-3061 or cpresto@sjgov.org. <br />H&M - BW #98, 2501 JACKSON AVE, CERS ID: 10181511, PR0520593 <br />Violation #12 - Failed to have the HMBP readily available to facility or EHD personnel. <br />lIZ 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: ¢ cl"'7� <br />.J(X <br />Violation #19 - Failed to submit a certification and written response within 30 days for minor violations. <br />Iff 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 />V4�� <br />Page 3 of 3 <br />Rev, 9)1612020 <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 />
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