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N JDAW N Environmental Health Department <br /> Corrective Action Statement <br /> RE: October 03, 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. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed for <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Robert Lopez at(209) 953-6214 or rlopez@sigov.org. <br /> Facility name: CARL'S JR#2550 Submit completed form to: <br /> Facility address: 939 W CHARTER WAY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none I ATTN: ROBERT LOPEZ <br /> PR0543797 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2-Failed to complete and electronically submit a hazardous materials business plan. <br /> d This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included ,/ /,_�-' <br /> Describe actions taken or will be taken t/o� correct violation:��U`aL, �)llt.t rQ � <br /> �(� Vl,(/✓� 1 fit,�'( S t/l-SYJ fa.G � �'t-�.r:.J't.� �� � ��l�. <br /> Violation#3-Failed to establish and implement a hazardous materials business plan. <br /> 13✓ 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 #4-Failed to complete and/or submit the Business Activities or Owner/Operator Identification <br /> page. <br /> G3"This violation was corrected ❑ This violation will be corrected by (date): <br /> ❑ Supporting documents included <br /> i cI Eby-)'_ oy <br /> Describe actions taken of will be taken to correct violation: <br /> Page 2 of 5 <br /> Rev.8/22/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjceh .corri <br />