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SAN J O A Q U I N Environmental Health Department <br /> C 0tjNTY <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 /> IN-N-OUT BURGERS, 16514 GOLDEN VALLEY PKWY, CERS ID: none, PRO544911 <br /> Violation#5-Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. + 'l r� <br /> This violation was corrected �7 This violation will be corrected by(date): 0 ` r ly —L Q <br /> / <br /> F3 Supporting documents included / <br /> Describe actions taken or will be taken to correct violation: �" S Ppl (b,-1 <br /> C .(7 . <br /> Violation#6-Failed to complete and/or submit a site map with all required content. <br /> This violation was corrected M This violation will be corrected by(date): 0 1 <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation: S��e IM CALl (j=g_Q1 <br /> i n 0 k22 P S..P rqN't++,K I on 06-� E's <br /> Violation#7-Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> ff;/ is violation was corrected ?(This violation will be corrected by(date): 0 1 �y — 20 <br /> Supporting documents included <br /> Describe actions taken or will be taken to correct violation <br /> e dl .ar e w <br /> Page 3 of 4 <br /> Rev.8/27/2019 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />