Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> ----COUNTY <br /> a•, ntness ,r <br /> Corrective Action Statement <br /> RE: October 07, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions,please contact <br /> Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> Facility name: MCDONALDS#4643 Submit completed form to: <br /> Facility address: 3143W BENJAMIN HOLT DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180807 ATTN:NICHOLAS LOEHRER <br /> PR0520737 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 /> AThis 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: a-g-ceaejrD 4, d rh1,inn <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened <br /> release. <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: <br /> se-fi�CY\ <br /> Page 2of2 <br /> Rev.9176/2020 <br /> 1868 E. Hazelton Avenue i Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/EHD <br />