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SAN J Q A Q U I Ef� er � rrc lru � iru i u �14 <br /> . � Health Department <br /> c c:) u r�t r Y - <br /> Corrective Action Statement <br /> RE : October 21 , 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 <br /> form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , please <br /> contact Carol Presto at (209 ) 616 -3061 or cpresto@sjgov .org . <br /> Facility name : ARCO AM PM #82602 " Submit completed form to : <br /> Facility address : 2430 JOE POMBO PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10182265 ATTN : CAROL PRESTO <br /> PRO520641 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #9 - Failed to annually review and certify that the HMBP is complete and accurate by the due date . <br /> ❑ This violation was corrected ❑ This violation will be corrected by (date) : <br /> Ef Supporting documents included <br /> Describe actions taken or will be taken to correct violation : W ) 1{1 HyI&JCL 17� a yi VI LC [� <br /> r ev i cu Ct �,SI Cy> h ' , AD sy i i k� ►�,J 1 <br /> RECEIVED <br /> OCT 21 2021 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Rev, 9116!2020 Page 2 of 2 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-34201 F 209 464-0138 1 www . sjgov . org/EHD <br />