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COMPLIANCE INFO_2023
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1900 - Hazardous Materials Program
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PR0548235
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COMPLIANCE INFO_2023
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Last modified
12/20/2023 2:37:26 PM
Creation date
10/24/2023 9:52:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548235
PE
1921
FACILITY_ID
FA0027523
FACILITY_NAME
ADVANCE AUTO PARTS #9857
STREET_NUMBER
550
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
550 E KETTLEMAN LN
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN �� IIIN Environmental Health Department <br /> -COUNTY <br /> Greotness grows here. <br /> r. <br /> Corrective Action Statement <br /> RE: September 14, 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. <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: ADVANCE AUTO PARTS#9857 Submit completed form to: <br /> Facility address: 550 E KETTLEMAN LN SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10918330 ATTN: KRISTINA SAETERN <br /> PR0548235 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> IM/This violation was corrected ❑This violation will be corrected by(date): <br /> 5/ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Site map has been Included with CERS submittal. <br /> Violation#8-Failed to establish and electronically submit a reasonable or an adequate training program. <br /> VThis 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: Training program has been submitted with most <br /> recent CERS submittal. <br /> Violation#11 -Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> ,_,/ This violation was corrected [I This violation will be corrected by(date): <br /> qe Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Training documents with initial and refresher training has been attached with email attachments. <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 />
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