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M � I � Environmental Health Department u '- -COUNTY— Greatness COUNT Greatness grows here, Corrective Action Statement RE: August 11, 2021, Hazardous Materials inspection report For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, describe what was done to correct the violation in the space provided below each violation. Submit this completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. Facility name: PG&E VALLEY HOME SUBSTATION Submit completed form to: Facility address: 12051 S HENRY RD SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: 10148495 ATTN: NICHOLAS LOEHRER PR0513033 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Violation#4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. ❑x This violation was corrected ❑ ❑This violation will be corrected by(date): Supporting documents included Describe actions taken or will be taken to correct violation: Facility information submitted to CERS on 8/13/21. Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on site. ❑ This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: See attached letter of response.Violation contested. Violation#6-Failed to electronically submit a site map with all required content. ❑ This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: See attached letter of response.Violation contested. Page 2 of 3 Rev.9/16/2020 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD