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SAN JOAQUIN <br /> Environmental Health Department <br /> C-r'j. <br /> Corrective Action Statement <br /> RE: December 01, 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: CINTAS Submit completed form to: <br /> Facility address: 1877 Industrial Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10186783 ATTN: NICHOLAS LOEHRER <br /> PR0526787 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 /> X This 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: u ytnalt a <br /> Oh J:LAC— Cell <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> This 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: V"nIQ >)-n i n c We <br /> Violation#10-Failed to electronically update the HMBP within 30 days of substantial change in operations. <br /> X This 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: 012LIxd 14MI3 E <br /> _Su v%Wcd CrrS YL- rl a►n 12128" 1 <br /> Page 2 of 2 <br /> Rev.9/16/2020 <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 />