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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : January 04 , 2022 , 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 . Hiso , <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 Paul Nso at ( 209 ) 616-3049 or pnso@sjgov. org . <br /> Facility name : SKY PHOENIX LLC Submit completed form to : <br /> Facility address: 26722 S HANSEN RD SJC ENVIRONMENTAL HEALTH DEPARTMEN) <br /> CERS ID : none ATTN : PAUL NSO <br /> PR0547394 1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Violation #2 - Failed to Initially complete and electronically submit a hazardous materials business plan <br /> ( HMBP) . <br /> m 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 : �LIV <br /> Violation #3 - Failed to establish and Implement a HMBP. <br /> 10 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 : )2WO 6 <br /> Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page . <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: <br /> Yews 17ved <br /> it <br /> Page 2 of 4 <br /> Rev. 9/162020 <br /> 1868 E . Hazelton Avenue 1 Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD <br />