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M � I � Environmental Health Department u '- -COUNTY— Greatness COUNT Greatness grows here, Corrective Action Statement RE: July 30, 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: BOOSTER PUMP STATION#6 Submit completed form to: Facility address: 15117 STANFORD CROSSING SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: none ATTN: NICHOLAS LOEHRER PR0547098 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Violation#2-Failed to initially complete and electronically submit a HMBP. X1 This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Electronically submitted HMBP Violation#3-Failed to establish and implement a hazardous materials business plan. C54 This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Electronically submitted HMBP Violation#4-Failed to electronically submit the Business Activities or Owner/Operator Identification page. )p This violation was corrected ❑This violation will be corrected by(date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: Electronically submitted HMBP Page 2 of 5 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