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too <br /> SAN J O AQ U I N Environmental Health Department <br /> --COUNTY— <br /> 'it.) Greotness grows her( <br /> Corrective Action Statement <br /> RE: September 07, 2023, 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: AMERICAN RIVER AG Submit completed form to: <br /> Facility address: 510 GILMORE AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10833619 ATTN: PAUL NSO <br /> PRO530762 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <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 <br /> Describe actions taken or will be taken to correct violation: T <br /> toca-. t W G <br /> a S IKoc h- S S v k tv O- ­er r <br /> 5ez <br /> 4.�n aAa=e <br /> Violation#9 -Failed to annually review and certify that the HMBP is complete and accurate by the due date. <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: %f G✓/t I TO►— ply 20 ZZ S 1p✓� , nc <br /> Ovl 2/�l/2d 2 L <br /> We- Wal—e_ +d CT V_ S S <br /> r �✓�-F, /�a/� c��.r-��s/w aI _C r e.. 2 b 2 3 S v <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 />