Laserfiche WebLink
SAN Environmental Healtple #W� <br /> OAQUIN <br /> r_ ___COUNTY — <br /> i' Greatness nrar,t t pll AUG 1 -5 2022 <br /> Corrective Action Statement ENVIRONMENTAL HEALTH <br /> RE: August 05, 2022, Hazardous Materials inspection report DEPARTMENT <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 Robert Lopez at(209)953-6214 or rlopez@sjgov.org. <br /> Facility name: IN N OUT BURGER#197 Submit completed form to: <br /> Facility address: 2625 W KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10185181 ATTN: ROBERT LOPEZ <br /> PR0526524 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #6- Failed to electronically submit a site map with all required content. <br /> fd This violation was corrected Q'fhis violation will be corrected by (date): <br /> '-supporting documents included <br /> Describe actions taken or will be taken to correct violation: J"?, 696(d el J cu an e_� <br /> Violation#7 -Failed to electronically submit an adequate ER procedures for a release orthreatenedrelease. <br /> D This violation was corrected his violation will be corrected by (date): <br /> Supporting documents included c <br /> Describe actions taken or will be taken to correct violation: -61, tejkcL <br /> Violation#11 - Failed to provide or document initial and/or refresher training to appropriate personnel. � <br /> U This violation was corrected 12'Yhis violation will be corrected by (date): <br /> J3 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Safi? Gy''1G IGu� CIO,-clyye-t <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 />