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S A N d O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE : November 16 , 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 : CORDES RANCH Submit completed form to : <br /> Facility address : 5926 HOOD WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID : 10830835 ATTN : NICHOLAS LOEHRER <br /> PR0545367 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page . <br /> H 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 : ;k f%V% "1 ` ire al-ArY_.P eot ,,, COI <br /> 0 ,. 1. ..E ; .. C NQS <br /> Page 2 of 2 <br /> Rev. 9/16/2020 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www. sjgov. org/EHD <br />