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I <br />SAN .-J O A Q U I N Environmental Health Department <br />--COUNTY <br />Greotness grows here. <br />Corrective Action Statement <br />RE: July 26, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Nicholas Loehrer at (209) 468-0623 or nioehrer@sjgov.org. <br />Facility name: LATHROP WASTEWATER TREATMENT PLT Submit completed form to: <br />Facility address: 19094 CHRISTOPHER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10183495 ATTN: NICHOLAS LOEHRER <br />PRO520329 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation 94 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />IsAhis violation was corrected 0 This violation will be corrected by (date): <br />0 Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />V 11201-4A + woo C EF- S a�-*� i*1 d•a , <br />A,0!5A 0� <br />Violation #5 - Failed to electronically submit hazardous materiats inventory for all reportable materials on <br />s ite. <br />This violation was corrected 0 This violation will be corrected by (date): <br />O Supporting documents included <br />Describe actions taken or will be taken to correct violation_ <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />117 This violation was corrected 0 This violation will be corrected by (date): <br />63"" Supporting documents included <br />Describe actions taken or will be taken to correct violation.: r - + <br />'V. 4- trp l da- j" A- C t 12 C <br />Page 2 of 3 <br />Rev 9!1612020 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />