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Environmental Health Department <br />ANAOAQUI <br />4 <br />—COUNTY - <br />t�, -�•*.'' <br />Greatness grows <br />Corrective Action Statement <br />RE: April 29, 2021, 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 Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. <br />Facility name: VALLEY PACIFIC HWY 99 CARDLOCK Submit completed form to: <br />Facility address: 3550 S HWY 99 SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />CERS ID: 10182167 ATTN: FREDERICK ERNEST <br />PR0512781 1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on sitE <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: CERS maps and inventory have been updated <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: CERS maps and invenWy have been u dated <br />Violation #11 - Failed to provide or document initial and/or refresher training to appropriate personnel. <br />IN 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: Aaron Peterson missed the training on 6/23/2020 <br />but we met with him after for a personal session. The updated version of the record is now at the site. 2021 <br />training was done on 4129. <br />Rev. 911x/2020 <br />1868 E. Hazelton Avenue <br />Page 2 of 2 <br />Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />