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M � I � Environmental Health Department <br /> u <br /> '- -COUNTY— <br /> Greatness <br /> COUNT <br /> Greatness grows here, <br /> Corrective Action Statement <br /> RE: April 18, 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 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 /> Facility name: NULAID FOODS INC Submit completed form to: <br /> Facility address: 200 W FIFTH ST SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10182723 ATTN:VICKY VANG-LEE <br /> PR0519387 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials on <br /> site. <br /> XThis 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: The plastic containers of Flo-Chlor and the four <br /> (4) 55 gallon drums of glycol have been added to the business plan and submitted on CERS. <br /> A copy of the HMBP report is also available in the google drive folder linked below. <br /> https://drive.google.com/open?id=114NhmbOT tESJldxlfGjewHp2601F15E&usp=drive_fs <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> XThis 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: The Site Map has been updated the include the <br /> missing parameters. A copy of this map is available in the CERS web portal and in the linked google <br /> drive folder below. <br /> https://drive.google.com/open?id=114NhmbOT tESJldxlfGjewHp2601F15E&usp=drive_fs <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> XThis 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: Nulaid Foods will ensure that the annual HMBP <br /> Submit is completed on or before January 15th each calendar year. <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 /> Doc ID: 55a1d7be9471bcef3566552f91f66250bfe69e57 <br />