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RECEIVED ON 11/30/2021 VIA EMAIL <br /> SAN -.J0AQU IN Environmental Health Department <br /> Corrective AI:tion Statement <br /> RF Nwomho r 04, 2021, H a7qrdnus Waste inspection repnil <br /> For each violation listed below, indicate if the viol81ion has been corrected or will be corrected by a certain date, Aliso, <br /> describe what was Clone to correct the violation in tha space provided below each violation, SubmIt thls cpmpioted form <br /> vrith the Return to Compliande.Cerocation mthin.30 days of inspection. If you have any gvestkons, please Contact <br /> 1lsAy Vang-Lee at(2 ) 616-3G 9 of v%o ang-1 8e@ sfgov.org- <br /> CALIFORNIA TRACY CONNECT INC*, 610 S CHEROKEE Ln, CEwIRS 10: 10184805, PRO52484 <br /> Violation #t119 -Failed to report accu rate program data in the Callfornla Eaviron mortal reporting System <br /> (CERS)- <br /> 1Z This violation was corrected This violation will be corrected by(date), 0111512022 <br /> 0 supporting documents Included <br /> Describe actions taken or Weill be taken to correct violation: <br /> CORRECTED/UPDATED ALL CERS SUBMITTALS ANO FORMS.AWAITING EPA A N 0 BOE #'S FOR F1NAL SUB"ITTA i_- <br /> VIolatlon 9303-Failed to maintain ail communication u alarm systertls, spill controlr or decontamination <br /> equlpMent, <br /> 0 This violation was corrected 0 This vtoIat€on will be corrected by(date): <br /> M Supporting docurnen#s Included <br /> Describe actions taken or will be taken to correct violation' <br /> PURCHASED AND REPLACED EXPIRED EYE WASH WITH NEW E PI RATION DATE OF 07/2024 (SEE ATTACHED PICTURE) <br /> Page 3 of 3 <br />-Ray.W1 MGM <br /> 1868 E Hazeltoa Avenue I Stockton, California 952Q5 i T 209 488-34201 F 209 464-013B 1 =W. arg HD <br />