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Environmental Health Department <br /> SAN1UAQU f N <br /> COUNTY <br /> Gevoine5s grows here, <br /> Corrective Action Statement <br /> RE. April 10, 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: NUTRIEN AG SOLUTIONS-STKN Submit completed form to: <br /> Facility address: 1905 N BROADWAY AVE SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10183535 ATTN:VICKY VANG-LEE <br /> PRO520305 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#5-Failed to electronically submit hazardous materials inventory for all reportable materials an <br /> site. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included r <br /> Describe actions taken or will be taken to correct violation: S V�) <br /> Violation#6-Failed to electronically submit a site map with all required content. <br /> '[E—This violation was corrected ❑This violation will be corrected by(date): LZ <br /> ❑ Supporting documents included i <br /> Describe actions taken or will be taken to correct violation: I i 2 { 'l) 1 y c'CLJ ' <br /> Violation#9-Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> 1- This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included n f� <br /> Describe actions taken or will be,,taken to correct violation: <br /> 1 <br /> Page 2 of 3 <br /> Rev.9116/2020 <br /> 1868 E.Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org)EHD <br />