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S A N j a A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE: January 08, 2020, 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 <br /> form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br /> contact Robert Lopez at(209) 953-6214 or rlopez@sjgov.org. <br /> Facility name: PROFLEET TRUCK LUBE Submit completed form to: <br /> Facility address: 15453 N THORNTON RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: 10184959 ATTN: ROBERT LOPEZ <br /> PRO522720 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation #2 - Failed to complete and electronically submit a hazardous materials business plan. <br /> 21/ <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included pp <br /> Describe actions taken or will be taken to correct violation: fr Aga rj-c_ (oTe J <br /> cc-' 'j Out '2LV% <br /> Violation #4- Failed to complete and/or submit the Business Activities or Owner/Operator Identification page <br /> Q 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: �a.1 -C,ti2S <br /> Violation #5- Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. <br /> ^H 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 /> Page 2 of 4 <br /> Rev.827/2019 <br /> 1868 E. Hazelton Avenue I Stockton!California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />