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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0521068
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
3/8/2022 2:25:50 PM
Creation date
2/17/2022 9:18:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0521068
PE
1920
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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ufov <br /> P�O °7, SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> °10*, Greotness grows hers . <br /> Corrective Action Statement <br /> RE : February 16 , 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 Lydia Baker at (209 ) 616-3046 or ( baker@sjgov .org . <br /> SHOP N GO 35 4511 PACIFIC AVE , CERS ID : 10180943 , PR0521068 <br /> Violation #12 - Failed to have the HMBP readily available to facility or EHD personnel . <br /> AThis 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 /> � rA DN sow 4r o ? o/n,, :J - L2 2 <br /> RECEIVED <br /> MAR 0 7 2022 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Page 3 of 3 <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. sjgov .org /EHD <br />
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