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AA <br /> Environmental <br /> SAN04OUIN <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. <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 Kristina Saetern at(209)616-3045 or ksaetern@sjgov.org. <br /> Facility name: NLPI Carquest Escalon Submit completed form to: <br /> Facility address: 1730 JACKSON AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182895 ATTN: KRISTINA SAETERN <br /> PR0520206 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 /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included B <br /> Describe actions taken or will be taken to correct violation: _. <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 , ��` �,� y �j <br /> Describe actions taken or will be taken to correct violation: � AJ4��Y1YV�?�`Ae-,. <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened 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: rh� � <br /> Page 2 of 3 <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 />