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SAN J DAQ U I N Environmental Health Department <br /> CO()NTY <br /> Corrective Action Statement <br /> RE: August 21, 2019, 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. <br /> Also. describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, <br /> please contact Christine Lawrence at(209)468-3562 or clawrence@sjgov.org. <br /> Submit completed form to. <br /> Facility name Crane Lake Ranch SJC ENVIRONMENTAL HEALTH <br /> Facility address: 8297 N PODESTA LN DEPARTMENT <br /> CERS ID: 10614253 ATTN: CHRISTINE LAWRENCE <br /> 1868 E HAZELTON AVENUE <br /> PR0539854 <br /> Violation#5-Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. <br /> a This violation was corrected 1Z This violation will be corrected by(date): 10 — licl <br /> jj Supporting documents included <br /> Describe actions taken or will be taken to correct violation: i L s�S w t e ` <br /> Violation#6 -Failed to complete and/or submit a site map with all required content. <br /> 9 This violation was corrected AThis violation will be corrected by(date): , kcx <br /> Ca Supporting documents included ff <br /> Describe actions taken or will be taken to correct violation: VX., S b� <br /> V P Art k-c cl� Ay nC. j C•0— v r CA C-0 .Za'C_ CA,h ck <br /> d d� -tom Cus <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd com <br />