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Environmental Health Department <br />Corrective Action Statement <br />RE: December 06, 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 form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Vicky Vang-Lee at (209) 616-3028 or vvang-lee@sjgov.org. <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: VICKY VANG-LEE <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Facility name: <br />Facility address: <br />CERS ID: <br />Submit completed form to:WORLD CLASS DISTRIBUTION <br />10183909 <br />4239 POCK LN <br />PR0520536 <br />Violation #4 - Failed to electronically submit the Business Activities or Owner/Operator Identification page. <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: <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: <br />Violation #7 - Failed to electronically submit an adequate ER procedures for a release or threatened <br />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: <br />Page 2 of 3 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />x <br />x <br />x <br />The business plan has been updated and resubmitted in <br />through CERS. The update includes checking yes for the APSA program and the change in emergency contact. <br />The business plan has been updated and resubmitted in <br />through CERS. The update includes a revised map with all the required elements. <br />The business plan has been updated and resubmitted in <br />through CERS. The update includes a revised emergency response / contingency plan including the change in <br />emergency contact.