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S A� .-J O AQ u I N Environmental Health Department <br /> COUNTY- <br /> Corrective Action Statement <br /> RE: January 31, 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: PANDA EXPRESS#3104 Submit completed form to: <br /> Facility address: 15099 HARLAN RD SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN: NICHOLAS LOEHRER <br /> PR0545341 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#2-Failed to complete and electronically submit a hazardous materials business plan. p� Q <br /> ❑ This violation was corrected This violation will be corrected by(date): `"IGJ�'�/ l(9. 02 0 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> e <br /> �T'f� C <br /> AZIAA ' 6 ` <br /> Violation#3-Faiied to establish and'impll Ia h rdaze does materials business plan. <br /> ❑ This violation was corrected I This violation will be corrected by(date): /1fAt ad f 6 a u > d <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 page. <br /> 13eThis violation was corrected This violation will be corrected by(date): / `-, <br /> 4o" -/ el y`' ZO <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> Page 2 of 5 <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 />