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SAN J 0 AQ U I N Environmental Health Department <br />-COUNTY <br />Greotness grows here. <br />Corrective Action Statement <br />RE: February 09, 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. <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 Gabriela Garcia-Mejia at (209) 616-3037 or ggarcia-mejia@sjgov.org. <br />Facility name: SRH FOOD &GAS <br />Facility address: 749 E DR MARTIN LUTHER KING JR BLVD <br />CERS ID: 10181497 <br />PR0520331 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATFN: GABRIELA GARCIA-MEJIA <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #7 -Failed to electronically submit an adequate ER procedures for a release or threatened release. <br />This violation was corrected <br />30 Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to <br />� ILf— fit?' S''0 Jy '"CO p0 .S`DL Gb\`04 Ib'Z.Vs�,Frf�. <br />Violation #9 -Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br />This violation was corrected <br />❑0 Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to <br />w t l,r_ '6e rj Q -e -D Cele O 1 r�C. l� Q- p .. <br />Violation #10 -Failed to electronically update the HMBP within 30 days of substantial change in operations. <br />This violation was corrected <br />❑0 Supporting documents included <br />❑ This violation will be corrected by (date): <br />Describe actions taken or will be taken to correct violation ���� V�O 10eTwCf'-V <br />rUw� rZt-t n <br />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />