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SAN J 0 Q 0 U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : September 16 , 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 nloehrer@sjgov.org. <br /> Facility name: HOLT OF CALIFORNIA Submit completed form to: <br /> Facility address: 1521 W CHARTER WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181795 ATTN: NICHOLAS LOEHRER <br /> PR0520793 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> This violation was corrected ❑ This violation will be corrected by (date): <br /> Supporting documents included /� ` l <br /> Describe actions taken or will be taken to correct violation: C_CrLZE CC€ii Ht= V,\C> u A e d� <br /> U WQ � fSi. <br /> \ 7� I UZ FFCG �EIYJt. I �oPtr/urF Lirt"—�� �N7 , /r Asn) 74 <br /> C� -� tJ Nei h C', Ca7F� C2F_�45 <br /> Violation #6 - Failed to electronically submit a site map with all required content, <br /> r9'This violation was corrected ❑ This violation will be corrected by (date): <br /> 13 Supporting documents included c <br /> Describe actions taken or will be taken to correct violation: *Ll � %�ilai E� <br /> snicr <br /> Page 2 of 2 <br /> Re . &1W202a <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209464-0138 1 www.sjgov.org/EHD <br />