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COMPLIANCE INFO_2022
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PR0520542
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COMPLIANCE INFO_2022
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Last modified
5/3/2022 8:12:24 AM
Creation date
2/15/2022 8:01:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0520542
PE
1921
FACILITY_ID
FA0007464
FACILITY_NAME
MAIN STREET ARCO AM PM*
STREET_NUMBER
1100
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22119062
CURRENT_STATUS
01
SITE_LOCATION
1100 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN J O A Q U N Environmental Health Department <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. Also, <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: MAIN STREET ARCO AM PMS Submit completed form to: <br />Facility address: 1100 S MAIN ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182243 ATTN: PAUL NSO <br />PRO520542 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br />- This violation was corrected ❑ This violation will be corrected by (date): <br />Y 1 Supporting documents included <br />Describe actions taken or will be taken to correct violation: TtAt E W L -o y EE 19,hkwIN & %R,r^ vet A -S <br />F�l.E9 1NA4���o�-NZLy int "fElc-- 0sT <EcT►oN iNSTEk-b of 'Tett 44AZA-A f -aJ s <br />Mk7ER�nt_S SELT►o►s . Tu►s <br />HAS, Q)EEt,� C -CV VtLTED AW hJMOP(LIhiEL-j FLED <br />�i'tE RTTRU-t�D Du�L� SIUNED TtLAtntint[= F��M . <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.sigov.org/EHD <br />
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