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SQ NJ OA Q U I N Environmental Health Department <br /> COUNTY---- <br /> :'reotness groes here. <br /> Corrective Action Statement <br /> RE: October 13, 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: CHARTER WAY PETRO INC. Submit completed form to: <br /> Facility address: 508W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181345 ATTN:NICHOLAS LOEHRER <br /> PR0521197 1868 E HAZELTON AVENUE <br /> STOCKTON,CA 95205 <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included o / <br /> Describe actions taken/or will be taken to correct violation: �/iS' <br /> 2-K c.3 �i1 1 A P 7/0 <br /> Rev.9/1612020 <br /> Page 2 of 2 <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 />