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_ SAN J OAQU I N Environmental Health Department <br /> C Ou N r 3 <br /> Corrective Action Statement <br /> RE: January 05, 2022, Hazardous Materials inspection report <br /> For each violation fisted below,indicate if the violation has been corrected or will be corrected by a certain date. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions. <br /> please contact Kristina Seetem at(209)616-3045 or ksaetem@sjgov.vrg. <br /> Facility name: RIPON SHELL' Submit completed form lo: <br /> Facility address. 341 E MAIN ST S.1C ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS if]: 10181381 ATTN: KRISTINA SAETERN <br /> PRO519348 18,68 E HALELTON AVENUE <br /> STOCKTON.CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> Site. <br /> 2 This violation was corrected 0 This violation will be corrected by(data): <br /> © Supporting documents included <br /> Describe actions taken or will be taken to correct.violation: l fit= t� t ! '�` �� o U <br /> 1-3 L3-T- 15�f FV C- i t-C C�F ikV e ic�-r r7-Q Z e 9 f A 6 �) r�T- <br /> �� <br /> ►y C r, SI�C� r r; S a l�� ❑ Q l N <br /> A N 4' t�a� <br /> - - 0--t : l- <br /> t L C [' <br /> t � 1�--0 P A-N� C- �- t Y-,D G <br /> f <br /> Violation#6 -Failed to electronically submit a site map with aft required content. 1 P► r+'t- L� t✓ F� b fl ��] <br /> © This violation was corrected ❑This violation will be corrected by(date): <br /> WSupporting documents included nn <br /> Describe actions taken or will be taken to correct violation. A N A r,(L i57 N D t�_L�, t <br /> CP4G -c� f= t] 3 y �`.7 [ +� �-D V t l b ru A-L. <br /> u <br /> Violation##7-Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> ; is violation was corrected ❑This violation will be corrected by(date): <br /> -TSupporting documents included <br /> Describe actions takers or will be taken to correct violation 6 A�—tr <br /> G C fzi <br /> Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton Cal iforrEa 95205- T 209 468-3.420 1 F 20 464-0138 133 1 w%,i.slgov.orgJEFiD <br />