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SAN 1t O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: December 27, 2021, Hazardous Materials inspection report <br /> For each violaJon 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 orjalaniz1@sjgov.org. <br /> Facility name: PAUL E VAZ TRUCKING INC Submit completed form to: <br /> Facility address: 4740 E PELTIER RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183459 ATTN: JOHN ALANIZ <br /> PRO520251 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5- Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> Supporting documents included \ I C L J <br /> Describe actions taken or will be taken to correct violation: U 1 G�Or101 JM AA Sl�lbnil-i 4ed <br /> Xln� ���rec} er'� GARS �reoor-k o1n V o e, '�Sav')uo M I`f 2022. <br /> SuhYni�}a\ SL/�,MMCAC'V a4ac'hed. <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 taken or will be taken to correct violation: �J 1 C+01n S'nl j_M <br /> *e, m ao o�o 1' Y)e, Sam vko.rLA- )q 4i^ 12-02--2. 51Ab rndi a 1 <br /> Stk nri mol ria t�aGh e� <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 /> la9/ �I 2022 <br /> - Supporting documents included / ,`^` C ' �J <br /> Describe actions taken or will be taken to correct violation: V l c;�lJY l A J(11 I`f^A h aS e,n r() 11 e�^ <br /> art �� yn� n2 C'ICtSS �_ ?)Cka( �dol�.S \t�aS Malna9cm�n�. <br /> So ho c�1�1 Q � �nrLka'r 1 ?-o Sbe. w'��\ �tan �u ►�� cu-(-eu-t <br /> "Qrocedvxe. Q m I g\e sI�oCmen� <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.sjgov.org/EHD <br />