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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: April 19, 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 Stacy Rivera at(209)616-3043 or srivera@sjgov.org. <br /> Facility name: GREWALS GAS&LIQUOR' Submit completed form to: <br /> Facility address: 4100 E FREMONT ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10180875 ATTN: STACY RIVERA <br /> PR0519566 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> {`J 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: L a t� <br /> ( +E Yet' 5-- <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 /> Eq Supporting documents included q <br /> Describe actions taken or will be taken to correct violation: V; C14. <br /> '94PWl "7 !' /.t L- A C/ter <br /> e�- <br /> Rev.9/16/2020 Page 2 of 2 <br /> 1868 E. Hazelton Avenue 1 Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov,org/EHD <br />