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SAN JOAQUIN Environmental Health Department <br /> "OuNTY - . <br /> Grecr€*ess groves her' . <br /> Corrective Action Statement <br /> RE: April 28, 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 /> Facility name: PERSHING GAS FOR LESS Submit completed form to. <br /> Facility address: 4445 N PERSHING AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10181565 ATTN: LYDIA BAKER <br /> PR0519706 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> C 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: Sr(-��ft� WA) 1�aA�� iaCiD UW1 LOAD F) <br /> Rev WIS12020 Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F ?n4 AAA_tN4fl I ....... . ___ <br />