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SAN J O A Q U I N Environmental Health Department <br /> L-3r�- COUNTY-- <br /> ` . y Greorness grows +ef-P. <br /> Corrective Action Statement <br /> RE: March 27, 2024, 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 Maria Lopez at(209)616-3064 or MELOPEZ@SJGOV.ORG. <br /> Facility name: CENTRISYS CORP Submit completed form to: <br /> Facility address: 825 PERFORMANCE DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10187373 ATTN: MARIA LOPEZ <br /> PR0529889 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 ❑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 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 4 <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 />