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SAN ! O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: February 25, 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 John Alaniz at(209)616-3053 or jalaniz1 Qsjgov.org. <br /> Facility name: Delta arco Submit completed form to: <br /> Facility address: 444 W DR MARTIN LUTHER KING JR BLVD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180903 ATTN:JOHN ALANIZ <br /> PR0520861 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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): <br /> ❑ Supporting documents Included <br /> Describe actions ttlaken or will be taken to correct violation: rr rrt 2c, <br /> t ` L� (Z,bto C ca <br /> v°I In w <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 ❑This violation will be corrected by(date): <br /> ❑ Supporting documents Included <br /> Describe actions taken or will be taken to correct violation: ^�1A6 7 F t/� , t) �jh t ' -� <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> 0 This violation was corrected 10 This violation will be corrected by(date): <br /> ❑ Supporting documents Included <br /> Des, <br /> I' actions taken or will be taken <br /> ito correct violation: 4V <br /> 'C: r ��C: <br /> Q n�:b� n V"' fi '� <br /> N� <br /> Page 2 of 3 <br /> Rev.9M 612020 <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 />