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S A N J Q A Q U I N Environmental Health Department <br />(.-()UNiY <br />Corrective Action Statement <br />RE: September 24, 2024, 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 />Michael Suszycki at (209) 598-7001 or msuszycki@sjgov.org. <br />MITSUBISHI CHEMICALS ADVANCED MATERIALS, 3837 Imperial Way, CERS, ID: 10401880, <br />Violation #9 - 1010003 - Business Owner/Operator ID and Business Activities pages electronically submitted <br />and are accurate. <br />E1 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 />Business Owner/Operator ID and Business Activities pages have been certified on CERS. <br />Violation #10 - 1010004 - Complete and accurate Hazardous Materials Inventory information electronically <br />submitted. <br />Et 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 />The updated inventory has been submitted and certified on CERS. <br />Violation #11 - 1010005 - Site Map with all required content electronically submitted. <br />IZ' 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 />The updated site map has been submitted and certified on CERS. <br />Page 3 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 />