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SAN J O A Q U I N Environmental Health Department <br /> COLJNTY— <br /> Greotneys qrows herr <br /> Corrective Action Statement <br /> RE: October 17, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Paul Nso at(209)616-3049 or pnso@sjgov.org. <br /> Facility name: Clean Energy- 18543 Submit completed form to: <br /> Facility address: 1262 Madruga Rd SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10642783 ATTN: PAUL NSO <br /> PR0540909 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <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: <br /> Site Map and Legend has been updated and uploaded to CERS on 10/18/2022 <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 /> IN Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> 2022 HMBP & ERP Training record (CA employees) has been attached for review <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 />