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SAN J DAO U I N Environmental Health Department <br /> _OU NTY <br /> Corrective Action Statement <br /> RE: December 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. <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 Robert Lopez at(209)953-6214 or rlopez@sjgov.org. <br /> Facility name: Ardex Stockton Plant Submit completed form to: <br /> Facility address: 2612 Station Dr SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10341037 ATTU ROBERT LOPEZ <br /> PRO537555 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 /> This violation was corrected D This violation will be corrected by(date): ' <br /> 0 Supporting documents included <br /> Describe actions taken or will betaken to correct violation: N l _ 1t 11 JlJ Lg <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): IBJ <br /> Supporting documents included <br /> Describe actions taken or will betaken to correct violation; � -:5tE H,4P L) <br /> Violation#10-Failed to electronically update the HMBP within 30 days of substantial change In operations. <br /> A This violation was corrected ❑This violation will be corrected by(date): <br /> 0 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: J4 .gj l_ ljg5--b k+ Pg; 4 AR <br /> 11�r-1213 <br /> Page 2 of 3 <br /> Rev 9/16/2020 <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />