Laserfiche WebLink
SAN J Q A Q U I N Environmental Health Department <br /> C=O U PFJ 'T Y <br /> Corrective Action Statement <br /> RE: January 10, 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 Nicholas Loehrer at(209)468-0623 or nloehrer@sjgov.org. <br /> Facility name: IN-N-OUT BURGERS Submit completed form to: <br /> Facility address: 16514 GOLDEN VALLEY PKWY SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN: NICHOLAS LOEHRER <br /> PR0544911 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#2-Failed to complete and electronically submit a hazardous materials business plan. <br /> ®1This violation was corrected This violation will be corrected by(date): D I 0 - OQQ <br /> dSupporting documents included <br /> Describe actions taken or will be taken to correct violation: �-1 M S W"1'11Ltt±'6 <br /> o>n r-E 5 <br /> Violation#3-Failed to establish and implement as hazardous materials business plan. <br /> t� his violation was corrected U Thhais violation will be corrected by(date): Q 1 Q <br /> Vs�' Supporting documents included <br /> Describe actions taken or will be taken to correct violation: y �' �j5jJo(Y-,;i+--ed (nn <br /> CP,QS . -DnC- (kV"'*�S �1 CkVa- In'Ox' ) VTado- aya.;1 LLo <br /> +-a 5-ire- -"i-Pa ►yl- <br /> Violation#4-Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. n <br /> � his violation was corrected &This violation will be corrected by(date): r L Q <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Sa-b tyl' eol or, <br /> -v <br /> Page 2 of 4 <br /> Rev 8/27/2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www sjcehd.com <br />