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SAN. J O A Q U I N Environmental Health Department <br /> ° _ CQUNTY— <br /> ��ii Greorness grows here. <br /> Corrective Action Statement <br /> RE: September 30, 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: BANK OF STKN AIRPORT HANGAR#3 Submit completed form to: <br /> Facility address: 1941 E LOCKHEED CT SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181291 ATTN: NICHOLAS LOEHRER <br /> PRO519721 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 /> KThis 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: 14AFJ�2�v5 MA i��hk-S <br /> wH lcf4 <br /> u n�� I N +0101- 1 x�/C-1=0 G—tsit�S 6%'�•S I�T— <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> XThis 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: Nrct a S i r'c NWAF" UIPI�AC4o� Ttz:- <br /> cJ�l f 1 C -f --CIJc Lk-Ex--s' Lf=,c AT(C,cJ Or— <br /> Page <br /> tr-Page 2 of 2 <br /> Rev.8/16/2020 <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 />