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SAN JOAQUIN Environmental Health Department <br /> Corrective action Statement <br /> RE: July 27, 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 /> Facility name: KETTLEMAN CHEVRON Submit completed fo4n to: <br /> Facility address: 6'01 E KETTLEMAN LN SJC ENVIRONMEN-1iPL HEALTH DEPARTMENT <br /> ATTN:VICKY VANG�LEE <br /> CERS ID: 10181435 1868 E HAZELTON 4VENUE <br /> P'R0520964 STOCKTON,CA 9505 <br /> 1 <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 /> Desc& act' ns taken or will be taken to correct violation. <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or thireatened release. <br /> ❑ This violation was corrected ❑This violation will be corrected by(datey: <br /> ❑ Supporting documents included �� <br /> Describe actions taken orwillbe taken to correct violation: <br /> T <br /> Violation#8-Failed to establish and electronically submit a reasonable or an adequate training program. <br /> ❑ This violation was corrected ❑This violation will be corrected by(data): <br /> ❑ Supporting documents included All, <br /> Describe tions taken or will be taken to correct violation: ���"`����-���� <br /> h <br /> Page 2 of 3 <br /> Rev.9116/2020 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464 0.138 1 www.sjgov.org/EHD <br />