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SAN Environmen Health Department <br />Corrective Action Statement <br />RE: December 28, 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 Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br />Facility name: CALGON CARBON <br />Facility address: 3200 E EIGHT MILE RD BLDG 1 <br />CERS ID: 10859029 <br />PRO541631 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: ROBERT LOPEZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />This violation was corrected 0 This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: Logged into CERS website and entered new <br />and accurate information for the Secondary Emergency Contact. Submitted to the EHD for approval. <br />Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on <br />site. <br />This violation was corrected 0 This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />dioxide from the hazardous material inventory. <br />2: Updated information on CERS website for Diesel, Activated Carbon, and Propane to reflect days on <br />site. Also updated propane to show gallons vs. pounds as well as correct storage pressure. Submitted <br />to the EHD for approval. <br />Violation #6 - Failed to electronically submit a site map with all required content. <br />liThis violation was corrected 0 This violation will be corrected by (date): <br />Supporting documents included <br />Describe actions taken or will be taken to correct violation: Created new updated maps for the site and <br />uploaded them to CERS website. Submitted to the EHD for approval. <br />Page 2 of 4 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD <br />1: Logged into CERS website and removed carbon